Health-Policy Directions for the 1970's

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Abstract
The health endeavor in the United States, a $60,000,000,000 human-services enterprise, is in a state of crisis that challenges the continuation of its pluralistic, independent, voluntary nature. Health care, although still predominantly a private-sector activity, is no longer solely the private concern of the individual. The evolution of the role of the government has proceeded through four phases, beginning with categorical grants-in-aid (1935), investments in the development of health resources (1946), organization and delivery of health services (1963) and a transition to comprehensive health-care systems (1967). Health-policy deliberations during the 1970's, including the debates over National Health Insurance, must focus on the modification of financing mechanisms and patterns of organization if society is to realize the most effective utilization of its health resources to provide health care for a population projected to reach 250,000,000 by the end of the decade.

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