Government Initiatives and Controls in American Medical Care

  • David C. Warner


The ‘crisis’ in medical care in the United States is not a crisis of supply and demand. Rather, it is a crisis of accountability. This crisis has been exacerbated by increases in voluntary insurance and in government expenditures. Ironically, the increases in the resources available to pay for health care have led to less consumer sovereignty as practitioners and health care institutions have become less dependent upon funds from the individual consumer’s own resources. Accountability systems established by fiscal inter­mediaries have led to the proliferation of expenditure for lawyers, accountants, and experts by all participants with little increase in responsiveness to social needs. New methods must be developed to harness the energies and capabilities of the health care professions and institutions toward appropriate social goals.


Social Security Private Health Insurance Municipal Hospital Government Initiative Utilization Review 
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  1. 2.
    Indeed in 1952 the Chairman of the President’s Committee on the Health Needs of the Nation stated explicitly that ‘The building up of our health resources in terms of training more health personnel and providing more physical facilities must start from the ground up. We have recommended federal grants-in-aid to these and other necessary activities because we believe that the role of the federal government is to stimulate them, not to control them. Government must take the leadership in the promotion of good health; its major energies should go there rather than in extensive direct operation of health services.’ Odin Anderson, Health Care Can There Be Equity? ( John Wiley & Sons, New York, 1972 ) p. 72.Google Scholar
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Copyright information

© Carnegie Corporation of New York 1975

Authors and Affiliations

  • David C. Warner

There are no affiliations available

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