Health Affairs, 22, no. 6 (2003): 7 doi: 10.1377/hlthaff.22.6.7 © 2003 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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From The Editor

Hospitals Flex Their Market Muscle Amid Competitive Threats

American hospitals are a powerful blend of capital, charity, and commercial success. Despite payers’ efforts to constrain spending and technologies that have enabled more outpatient care, many hospitals are thriving enterprises. In 1970 hospital spending totaled $27.8 billion—38 percent of total national health spending that year. Despite slowdowns during the 1990s, by 2001 hospital spending had risen to $451.2 billion—at 32 percent, the largest slice of national health spending. This issue’s major papers document the strong standing of many hospitals in the U.S. health care system and underscore the challenges they face. The issue and a national conference were supported . . . [Full Text of this Article]

John K. Iglehart

Founding Editor

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