Abstract
The excellent set of papers contained in this issue provides important insight into early experience with consumer-directed health care plans. While more experience and research are required to reach definitive conclusions, the evidence to date raises major cautions about relying on a consumer-directed health care movement to address fundamental problems in the health care system. Longer-term solutions aimed directly at the root causes of higher costs are needed to improve health system performance and to achieve better quality, safety, and efficiency of care provision.
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