Curing America's health care system

America's health care system is characterized by unacceptably high cost, inequity, and insufficient technology assessment. Cost containment has failed in part because of misunderstanding of the nature of the health care system. Inadequate technology assessment and the malpractice crisis have also contributed to the rise in health care costs. Explicit, systematic rationing of health care services is one way to radically alter the existing system; the instituting of some type of national health program is another. Less drastic measures include systematic technology assessment; growing emphasis on group medical practice; more preventive services; and malpractice reform, including exploration of no-fault legislation and an expanded federal role.