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In a February 1993JAMAEditorial, leaders of the American Medical Association (AMA) wrote: "We stand at a watershed. The opportunity for physicians to do what is best for our patients in the public policy arena has never been better. Within our grasp is the chance to open the door to appropriate care for every child and adult, to see that every health dollar is invested in care that is right for every patient; to end outrageous administrative costs and wasteful paperwork; and to guarantee all patients the freedom to choose their own physician."1This statement sounds remarkably similar to the speech President Clinton made to Congress on September 22, 1993; the AMA has been calling for security, savings, simplicity, quality, choice, and responsibility since 1990 with the unveiling of its Health Access America2,3proposal. Yet in that same Editorial, AMA leaders wrote, "But as our new president |
