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US health care reform: the physician's voice

Members of the Editorial Board of the Journal of Clinical Investigation have called for increased physician participation in the ongoing debate that has swept the nation in response to President Obama’s mandate for health care reform. “Physicians have a unique appreciation of the tremendous successes and even greater potential of our health care system, yet we also endure first hand its woeful deficiencies. In the ongoing debate about how to improve the current health care structure in the United States, our individual voices have been all too quiet,” laments the Journal’s leadership in a September 10 editorial.
   Recognizing the multifaceted nature of this debate as well as the integral role that physicians and scientists play in the development and delivery of medical care, the Journal invited academics, physician scientists, and key leaders to voice their opinions of what is needed to fix the American medical machine. These Personal Perspectives accompany the Editorial and are freely available below.
EDITORIAL
The right to health care
Laurence A. Turka, Arthur L. Caplan
EDITORIAL
The physician's voice in the health care debate
Jonathan A. Epstein, Laurence A. Turka, Morris Birnbaum, and Gary Koretzky
PERSONAL PERSPECTIVES
Call for a slower approach to health care reform
David G. Nathan
Dana-Farber Cancer Institute and Children's Hospital
Healing health care
Elizabeth M. McNally
The University of Chicago
The debate over health care reform: Houston, we have a problem
Eric G. Neilson
Vanderbilt University School of Medicine
Health care reform: without a correct diagnosis, there is no cure
Jeffrey S. Flier
Harvard Medical School
Academic medicine and real health care reform
William N. Kelley
University of Pennsylvania School of Medicine
Health care reform: the differential diagnosis
Andrew R. Marks
Columbia University
An academic, apolitical approach to health care reform
Robert Alpern
Yale University School of Medicine
A case for a science-informed perspective on health care reform
Paul Mischel
David Geffen School of Medicine at UCLA
Creating meaningful health care reform
Ralph Snyderman
Duke University Medical Center
Health care reform — need for less emotion and more science
C. Ronald Kahn
Joslin Diabetes Center and Harvard Medical School
Reflections on health care
Laurie H. Glimcher
Harvard Medical School
Linking biomedical research to health care
Elizabeth G. Nabel
National Heart, Lung, and Blood Institute
Research and education in health care reform
Ralph I. Horwitz
Stanford University
Build it and hope that enough of them will come
Nancy C. Andrews
Duke University School of Medicine
A view from a European medical academic who spends time in the US
Marc Feldmann
Imperial College London
Right to reform
Arthur L. Caplan
University of Pennsylvania
LETTERS
Remove for-profit elements from health care
Laurence Jacobs, M.D.
University of Rochester School of Medicine and Dentistry
First principles for health care reform
Alan M. Krensky, M.D.
National Cancer Institute
The Health Care Wars
Arthur Bank
Columbia University
Healthcare Conundrum
J.L. Mehta, MD, PhD
University of Arkansas for Medical Sciences
Healthcare Reform: Support for Medical Education And Biomedical Research Is Critical For Any Meaningful Healthcare Reform
Gerald S. Levey, M.D.
David Geffen School of Medicine at UCLA
Thoughts on Health Care Reform
John Balint, MD, FRCP, FACP
Albany Medical College
Comments on ASCI health care forum
William R. Hazzard, MD
University of Washington.
Another View of Health Care… Think of it as an Industry, Not as a System
Norman H. Edelman, MD
Stony Brook University.
Early Delivery of Care by Specialists Matters: Reflecting on Global Differences and Outcomes for End Stage Kidney Disease
Daniel Batlle, MD
Northwestern University.
Benefits of a Public System
F.P. Schena, MD, FASN
University of Bari.
Why should the government stay out of healthcare business?
Irene M. Spinello, MD, MBA, FCCP
David Geffen School of Medicine at UCLA.
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Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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