Abstract
As a professional society of physicians whose goal is excellence in medicine, we see a system failing all who are a part of it—patients, physicians and other health professionals, purchasers, and insurers. Most of the problems have been well documented: over 35 million Americans without health coverage, excessive utilization of high technology coexisting with substandard care, astonishing increases in spending without commensurate gains in health status, acute care promoted at the expense of preventive services and technology-based care at the expense of primary care.
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