This article is available to subscribers. Subscribe now. Already have an account? Sign in

PerspectiveFree Preview

Achieving Health Care Reform — How Physicians Can Help

List of authors.
  • Elliott S. Fisher, M.D., M.P.H.,
  • Donald M. Berwick, M.D., M.P.P.,
  • and Karen Davis, Ph.D.

This year, we have the best chance in a generation of enacting legislation worthy of being called health care reform and of setting the United States on the path to high-quality, affordable health care for all Americans. The recent commitment by several major stakeholders — including the American Medical Association — to slowing the growth of health care spending is a promising development. But the controversy about whether the organizations actually agreed to a 1.5-percentage-point reduction in annual spending growth is just one indication that success is still far from assured.Two threats in particular put reform at risk: conflicting . . .

Continue reading this article

Select an option below:

Create your account to get 2 free subscriber-only articles each month.

Get Free Access Now Subscribe For Full Access

Already have an account?

Sign In

Print subscriber?

Activate your online access.

Funding and Disclosures

Dr. Fisher reports receiving grant support from Aetna and consulting, teaching, or speaking fees from Regence Blue Shield, RAND, Kaiser Permanente, the Center for Corporate Innovation, Blue Cross Blue Shield of Montana, and numerous provider organizations and medical associations. No other potential conflict of interest relevant to this article was reported.

This article (10.1056/NEJMp0903923) was published on May 20, 2009, at

Author Affiliations

Dr. Fisher is a professor of medicine and of community and family medicine and associate director for Population Health and Policy at the Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, Lebanon, NH. Dr. Berwick is a professor in the Department of Health Policy and Management, Harvard School of Public Health, Boston, and president and chief executive officer of the Institute for Healthcare Improvement, Cambridge, MA. Dr. Davis is the president of the Commonwealth Fund, New York.

Print Subscriber? Activate your online access.