Health Affairs, 27, no. 3 (2008): 748 doi: 10.1377/hlthaff.27.3.748 © 2008 by Project HOPE	New Online   New Issue: China & India   Obesity In China   Pay Cuts For Medicare Docs   Access To Care Woes

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Quality & Accountability

PROLOGUE

Improving Quality And Accountability

The tale of health care reform in the United States is often reminiscent of the ancient tale of the sightless men and the elephant. Hampered by blindness or darkness, each man attempts to understand what an elephant is by feeling a different part of its body: leg, tail, side, or ear. Not surprisingly, each comes away with a unique, limited, and limiting perception: the elephant resembles a pillar, a rope, a wall, or a hand fan.

Reformers who concentrate too narrowly on insurance coverage—broadening availability, paying the tab, or both—tend to suffer a similar fate: for them, the health care . . . [Full Text of this Article]

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