On the Oregon trail

On the eve of the 21st century, governments around the world are struggling to resolve the dual problems of health care cost and access. My own experience in addressing these issues as they manifest themselves in the US, and particularly in the state of Oregon, convinces me that successful health care reform, anywhere in the world, must sooner or later grapple with two questions: what are we buying with our health care dollars, and how do these expenditures relate to health?