Abstract

The need for a national health insurance program is agreed on by most students of the problem and by many members of Congress—but its form is not. There is also little agreement on the need for changes in the organization and delivery of health care. Changes in financing are being proposed as the cure, but the problems are structural. Any government social program must meet the test of equitability in the delivery of the services and in the method of taxation used to raise revenues for program funding. All the proposed programs currently before Congress are deficient by these criteria, some more than others.

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