How to Achieve a High-Performance Health Care System in the United States

  1. Arvind R. Cavale, MD
  1. From Feasterville, PA 19053.

    TO THE EDITOR:

    With due respect to the extensive effort by the authors of the College's recent position paper (1), I would like to highlight several points of disagreement and disappointment. First, when advocating for a government-run, single-payer system (federal or state), we must decide whether this will resemble the current Medicare or Medicaid system. The latter will obviously lead to most enrollees losing real-time or real-world access to their physicians (similar to how current Medicaid HMOs, while “covering” a large portion of the low-income …

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