Health Services in the United States: Groping Toward a “System”?

  • Anne R. Somers
Part of the Nato Conference Series book series (NATOCS, volume 15)


There is no U.S. “health services system”, in the formal sense of the term, and very little formal coordination between the many fragments, public or private, of this huge and vital industry, which now accounts for nearly 10 percent of the Gross National Product (GNP) and is estimated to cost about $275 billion in 1982.1/ In some important respects, there is even less coordination today — under the antigovernment, pro-competition policies advanced by the Reagan Administration — than there was five years ago. However, this does not mean that the multitudinous programs, agencies, instititions, and individual practitioners are totally lacking in cooperative arrangements, coordination, or other “meaningful relationships”. On the contrary, there is widespread, albeit inconsistent, evidence of increasing coordination, consolidation, and even mergers between and among various institutions and programs.


National Health Insurance Private Health Insurance Gross National Product Health Service System American Hospital Association 
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Copyright information

© Plenum Press, New York 1984

Authors and Affiliations

  • Anne R. Somers
    • 1
  1. 1.Rutgers Medical SchoolUSA

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