Abstract
Various measures of the health status of the population of the United States show there is considerable room for improvement. Compared with other industrialized nations, we are spending more for health care but our health is worse. These data form the basis for setting national priorities. Four selected policy issues are discussed, including access to medical care, maternal and child health care, the acquired immunodeficiency syndrome, and long-term care. Examination of these issues leads to the conclusion that universal and affordable health care is the major national health priority, requiring a commitment by the people of the United States and its leaders to develop a viable solution.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Freeman H. E., Blendon R. J., Aiken L. H., Sudman S., Mullinix C. F., Corey C. R. Americans report on their access to health care. Health Aff (Millwood) 1987 Spring;6(1):6–8. doi: 10.1377/hlthaff.6.1.6. [DOI] [PubMed] [Google Scholar]
- Hellinger F. J. Updated forecasts of the costs of medical care for persons with AIDS, 1989-93. Public Health Rep. 1990 Jan-Feb;105(1):1–12. [PMC free article] [PubMed] [Google Scholar]
- Lubitz J., Prihoda R. The use and costs of Medicare services in the last 2 years of life. Health Care Financ Rev. 1984 Spring;5(3):117–131. [PMC free article] [PubMed] [Google Scholar]
- Moyer M. E. A revised look at the number of uninsured Americans. Health Aff (Millwood) 1989 Summer;8(2):102–110. doi: 10.1377/hlthaff.8.2.102. [DOI] [PubMed] [Google Scholar]
- Osborn J. E. The AIDS epidemic: multidisciplinary trouble. N Engl J Med. 1986 Mar 20;314(12):779–782. doi: 10.1056/NEJM198603203141212. [DOI] [PubMed] [Google Scholar]
- Renner C., Navarro V. Why is our population of uninsured and underinsured persons growing? The consequences of the "deindustrialization" of America. Annu Rev Public Health. 1989;10:85–94. doi: 10.1146/annurev.pu.10.050189.000505. [DOI] [PubMed] [Google Scholar]
- Riley G., Lubitz J., Prihoda R., Stevenson M. A. Changes in distribution of Medicare expenditures among aged enrollees, 1969-82. Health Care Financ Rev. 1986 Spring;7(3):53–63. [PMC free article] [PubMed] [Google Scholar]
- Schieber G. J., Poullier J. P. International health spending and utilization trends. Health Aff (Millwood) 1988 Fall;7(4):105–112. doi: 10.1377/hlthaff.7.4.105. [DOI] [PubMed] [Google Scholar]
- Scitovsky A. A. "The high cost of dying": what do the data show? Milbank Mem Fund Q Health Soc. 1984 Fall;62(4):591–608. [PubMed] [Google Scholar]
- Scitovsky A. A., Capron A. M. Medical care at the end of life: the interaction of economics and ethics. Annu Rev Public Health. 1986;7:59–75. doi: 10.1146/annurev.pu.07.050186.000423. [DOI] [PubMed] [Google Scholar]
- Scitovsky A. A., Rice D. P. Estimates of the direct and indirect costs of acquired immunodeficiency syndrome in the United States, 1985, 1986, and 1991. Public Health Rep. 1987 Jan-Feb;102(1):5–17. [PMC free article] [PubMed] [Google Scholar]
- Sullivan L. W. Shattuck lecture--the health care priorities of the Bush administration. N Engl J Med. 1989 Jul 13;321(2):125–128. doi: 10.1056/nejm198907133210224. [DOI] [PubMed] [Google Scholar]
- Waldo D. R., Sonnefeld S. T., McKusick D. R., Arnett R. H., 3rd Health expenditures by age group, 1977 and 1987. Health Care Financ Rev. 1989 Summer;10(4):111–120. [PMC free article] [PubMed] [Google Scholar]