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Which Way Will We Choose to Transform Children's Health Care?

Charles J. Homer, MD, MPH

Arch Pediatr Adolesc Med. 2007;161(7):715-717.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Both the American people and the physician community hold internally conflicting views about health care and the medical profession, respectively. We are uncertain as a people whether access to high-quality health care is a fundamental right, such as freedom of speech, or a commercial service, such as hotel accommodations. We are uncertain as a medical profession whether our work is a calling or a job. These ambivalences are reflected in the current policy emphasis on and the public and professional queasiness about pay for performance.

The goal of the health care system is to continuously improve the health and well-being of the American public; the needs of our economy dictate that this effort be done in such a way as to achieve the greatest benefit at the lowest cost.¹

Countless studies document the shortcomings of the health care system: the dramatic variability across regions independent . . . [Full Text of this Article]

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