Arnold Relman

Arnold S. Relmanis professor emeritus of medicine and of social medicine at Harvard Medical School and the former editor of The New England Journal of Medicine.

Recent Articles

In Dire Health

Despite the passage of the Affordable Care Act, the U.S. medical system is near collapse. What will save it is a single-payer system and physicians in group practice.

Most people assume that insurance is an essential part of the health-care system. Some think it should be provided through public programs like Medicare, while others prefer to see it purchased from private insurance companies, but the majority believe that insurance is needed to help pay the unpredictable and often catastrophic expenses of medical care. That is why so much public policy focuses on extending coverage to as many people as possible and controlling its cost. I think this emphasis on insurance is mistaken.

Canada's Romance with Market Medicine

Canada, of all places, is having a highly charged national debate about whether to adopt the U.S. model of commercialized health care as part of its national health-insurance system. Health policy makers in Canada, particularly at the provincial level where most practical decisions are made, are being told a monstrous myth. Consultants and business people, often with little professional health training or experience but with ample conflicts of financial interest, are extolling the advantages of marketplace medicine and the benefits that an American-style entrepreneurial approach would supposedly bring to the stressed Canadian system. And yet the U.S.

State of the Debate: Dr. Business

A new book by a Harvard Business School professor who wants to reorganize medicine into "focused factories" shows just how scary the medical-industrial complex might become.



WORKS DISCUSSED IN THIS ESSAY

George Anders, Health Against Wealth: HMOs and the Breakdown
of Medical Trust
(Houghton Mifflin, 1996).

Regina Herzlinger, Market-Driven Health Care: Who Wins, Who
Loses in the Transformation of America's Largest Service Industry

(Addison-Wesley, 1997).