Financing Health Care — Finding the Money Is Hard and Spending It Well Is Even Harder

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Abstract
In this issue of the Journal, Mongan and Lee argue persuasively that physicians should lead the way in confronting the unpleasant truth that we cannot achieve universal health care coverage in the United States without tax increases.1 There is a second unpleasant truth that we must confront: if we are going to create a sustainable system of health care financing in which there is a balance between the costs and benefits of care, then the government must become more involved in influencing how the money is spent. And although the difficulties of figuring out desirable ways of raising money are . . .