Perverse incentrives, statesmanship, and the ghosts of reforms past

P. E. Dans

Research output: Contribution to journalEditorialpeer-review

1 Scopus citations


We are on the verge of health care reforms aimed at increasing access for the uninsured while decreasing costs. Such reforms will require better integration and deployment of health care personnel and facilities. This will be difficult given the perverse incentives (in many cases, the residues of past reforms). Mirroring societal values, these incentives have resulted in a system skewed toward technologic and subspecialty solutions rather than preventive, primary, and long-term care. If the promise of this reform movement is to be realized, statesmanship will be required at all levels by all concerned.

Original languageEnglish (US)
Pages (from-to)227-229
Number of pages3
JournalAnnals of internal medicine
Issue number3
StatePublished - Jan 1 1993


  • Cost control
  • Cost of illness
  • Health services accessibility
  • National health insurance, United States
  • National health programs

ASJC Scopus subject areas

  • Internal Medicine


Dive into the research topics of 'Perverse incentrives, statesmanship, and the ghosts of reforms past'. Together they form a unique fingerprint.

Cite this