title: Here we go again--lessons on health reform.
abstract: The 2008 election will focus renewed attention on fundamental health care reform. Lessons from past politically driven reform efforts show that although fundamental reforms may make for good politics, a systemic shift in how health care is financed and delivered is unlikely to occur. Calls for fundamental reform over the past twenty-five years have prompted incremental changes that have had a major impact on the U.S. health care system. Many of these changes were driven from outside the political system. The forecast based on past experience is not radical change; it is more of the same.
authors.affiliation: University of North Carolina at Chapel Hill, School of Medicine, USA. roper@med.unc.edu
authors.forename: William L
authors.initials: WL
authors.lastname: Roper
mesh_terms: D003363:Cost Control; D005544:Forecasting; D018166:Health Care Reform; D006801:Humans; D011057:Politics; D014481:United States; D019472:Universal Health Insurance