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Science 17 November 1989:
Vol. 246. no. 4932, pp. 892 - 896
DOI: 10.1126/science.2510299
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Articles

Science, Vol 246, Issue 4932, 892-896
Copyright © 1989 by American Association for the Advancement of Science

articles

Some of the tough decisions required by a national health plan

LB Russell

Institute for Health Care Policy, and Aging Research, Rutgers University, New Brunswick, NJ 08903.

The goals of providing coverage for everyone in the United States and controlling the growth in national health expenditures require difficult decisions about what medical services to provide. Currently accepted practices vary enormously in the amount of health they produce for a given expenditure. Studies of the health effects of several major interventions in relation to their costs--Pap smears, mammography, coronary care units, bypass surgery, and cholesterol reduction--indicate the kinds of choices to be made.


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