Neurology
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Published online before print October 29, 2008, doi:10.1212/01.wnl.0000336647.02564.59)
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 Volume 71, Number 23, December 2, 2008
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Received January 31, 2008
Accepted September 5, 2008

Invited Article: The US health care system. Part 1: Our current system

M. R. Nuwer MD, PhD*, G. J. Esper MD, P. D. Donofrio MD, J. P. Szaflarski MD, PhD, G. L. Barkley MD, and T. R. Swift MD

From the Department of Neurology (M.R.N.), UCLA School of Medicine, Los Angeles, CA; Department of Neurology (G.J.E.), Emory University School of Medicine, Atlanta, GA; Department of Neurology (P.D.D.), Vanderbilt University School of Medicine, Nashville, TN; Department of Neurology (J.P.S.), University of Cincinnati Academic Health Center, OH; Department of Neurology (G.L.B.), Henry Ford Hospital, Detroit, MI; and Department of Neurology (T.R.S.), Medical College of Georgia, Augusta.


* To whom correspondence should be addressed. E-mail: MRN{at}UCLA.edu.

The US health care crisis is of great concern to American neurologists. The United States has the world's most expensive health care system yet one-sixth of Americans are uninsured. The cost and volume of procedures is expanding, while reimbursement for office visits is declining. Pharmaceutical costs, durable goods, and home health care are growing disproportionately to other services. Carriers spend more for their own administration and profit than on payments to physicians. This first article on the US health care system identifies problems and proposes solutions, many of which are championed by the American Academy of Neurology through its legislative and regulatory committees.


Related Article

Invited Article: The US health care system: Part 2: Proposals for improvement and comparison to other systems
M. R. Nuwer, G. L. Barkley, G. J. Esper, P. D. Donofrio, J. P. Szaflarski, and T. R. Swift
Neurology 2008 71: 1914-1920. [Abstract] [Full Text] [PDF]





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