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Can the United States provide a health care program that offers a
comprehensive package of the highest-quality health benefits to all
Americans while containing health care costs? In this important
book, Dr. William L. Kissick says that it cannot: no society in the
world has sufficient resources to provide all the health services
its population is capable of utilizing. Dr. Kissick was an active
participant in the drafting of Medicare legislation in the 1960s
and for the past twenty-five years has held joint positions in a
medical school and a business school where he has specialized in
health care management. Drawing on his long experience in the
field, he discusses the dimensions of the current crisis, the
financial and medical implications of alternative
proposals--including the program put forth by the Clinton
administration--and the requirements for long-term strategies. He
argues that although there are no ideal solutions to health care
reform, there are many significant programs at the regional, state,
and local level that can serve as prototypes for the restructuring
of the organization, financing, and delivery of health services.
Dr. Kissick discusses some of these alternatives and suggests that
after the federal government legislates a health care policy, it
should be implemented through collaboration with state and local
initiatives, for such programs have been built on an understanding
of regional needs, expectations, and cultural diversity.
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