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19. A Legislator's Response to the Institute of Medicine Report
Pages 155-160

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From page 155...
... We are talking about the quality of health care in America at this conference. If one defines health care in a comprehensive manner (as I think we must)
From page 156...
... We in the Congress structured the program poorly and we, along with the Health Care Financing Administration, were negligent in attending to essential details. For example, we did not provide space for the individual PROs to breathe, grow, and adjust to reality at an individual state level as I intended when we first started the program.
From page 157...
... We can address the needs of the underserved only by closely examining where our monies are going now and by making the current health care delivery system more efficient and effective. FUTURE DIRECTION OF HEALTH POLICY I would like to make a few comments on where public policy is going in the future, some of which relate to this IOM study.
From page 158...
... The President talks about consumer choice in child care and in education, but he is going to have to add health care to the list. People are going to have to play a role in reforming the system.
From page 159...
... We are at a point in time in which the company, in a sense, brings some level of comfort or assurance or security to a lot of people. Currently, however, they are the least well equipped to participate actively in health care quality assurance, even though they are exploring things such as case management and managed care.
From page 160...
... Any other health services purchased beyond the basic benefit covered package would be the individual's or employer's particular choice. Having a national-level benefit package means that all persons are covered, including those who may be heavy users of the health care system.


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