title: The restructuring of U.S. health care.
abstract: Despite highly publicized recognition in the 1970s that a health care financing crisis existed in the United States, the crisis has gone unabated. In this review of the recent health care experience, I discuss the federal and other initiatives that were taken in the 1970s to curb health care cost increases and why they failed. I then review transformations that are currently altering the health care delivery and payment system in this country. I conclude with a discussion of three possible scenarios for the U.S. health care system at the end of the century. In the absence of a grass-roots acceptance of the limitations of medical intervention, it seems likely that total outlays will continue to increase. That is, we are probably in for "more of the same."
authors.forename: E
authors.initials: E
authors.lastname: Ginzberg
mesh_terms: D003363:Cost Control; D003695:Delivery of Health Care / Q000639:trends*; D005381:Financing, Organized / Q000639:trends; D005544:Forecasting; D005102:Health Expenditures / Q000639:trends; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D008484:Medicaid; D006278:Medicare; D010820:Physicians / Q000600:supply & distribution; D014481:United States