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Journal of the Association of American Medical Colleges: April 1990

AbstractThe author presents a discussion of current problems in health care delivery and considers potential solutions. He notes that in the United States there is a wide disparity in health care status between the white population and the poor and minority communities, and that this disparity exists in virtually every health care category. Inadequate access to health care services, perpetuated by the high cost of health care, is part of the problem. The author analyzes many legislative and administrative steps that have been taken to address these issues, and many more that should be carefully examined. More emphasis on health promotion and disease prevention is vital. Another solution is to further enhance the biomedical research enterprise and work to prepare the regulatory system to quickly, safely, and effectively infuse this knowledge into the health care delivery system. Another solution is for physicians to be adequately prepared for this practice of medicine in the years to come. Acad. Med. 65(1990):226–230.

This paper was presented as the Alan Gregg Lecture at the 100th Annual Meeting of the Association of American Medical Colleges, Washington, D.C., October 1989.

Dr. Sullivan is U.S. Secretary of Health and Human Services.

Correspondence and requests for reprints should be addressed to Dr. Sullivan, Department of Health and Human Services, Office of the Secretary, Washington, DC 20201.

© 1990 by the Association of American Medical Colleges