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Health Affairs, 26, no. 6 (2007): 1527
doi: 10.1377/hlthaff.26.6.1527
© 2007 by Project HOPE
 
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Perspectives

EDITORS' NOTE

Perspectives On A Quarter-Century In The Health Policy Sphere


Health Affairs began publication with its Winter 1981 issue. In the more than twenty-five years since then, the journal has published countless articles exploring the status quo and reporting on trends, as well as proposals for reform. In the complex and politically charged world of health policy, we have strived to serve as a nonpartisan forum for new research, fresh analysis, and commentary on cutting-edge topics, rigorous enough to satisfy the demands of external peer reviewers yet readable and timely enough to contribute to the changing demands of policy debates. Steadily growing subscription numbers, brisk Web-site traffic, and strong "impact factor" scores attest to the journal’s success in these areas.

For this issue of Health Affairs, which commemorates our twenty-fifth anniversary, we invited a selection of more than a dozen longtime contributors to write short pieces exploring one or some combination of the following topics: (1) changes in the health care system over the past twenty-five years, including consideration of dimensions that have progressed and those that have regressed; (2) Health Affairs’ contributions to the ongoing policy dialogue over twenty-five years; (3) advice for would-be reformers as we head into an election year and an apparent new round of reform discussions; (4) similarly, lessons that reformers may be overlooking as we anticipate a new round of reform; (5) prospects for enduring and comprehensive reform; and (6) speculation on what kinds of issues we might be facing twenty-five years hence, on the eve of Health Affairs’ fiftieth anniversary. As you might imagine, the commentaries we are publishing address a healthy mix of subjects and views—appropriate in reflecting the landscape of Health Affairs in its first quarter-century. We thank those who contributed their views—Robert A. Berenson of the Urban Institute; Robert J. Blendon of the Harvard School of Public Health; M. Gregg Bloche of Georgetown University; Lynn M. Etheredge of the Rapid Learning Project at George Washington University; Richard G. Frank (Harvard University) and Sherry A. Glied (Columbia University); Victor R. Fuchs of Stanford University; Alan Garber (Stanford University), Dana P. Goldman (RAND), and Anupam Jena (RAND); David Mechanic of Rutgers University; William L. Roper of the University of North Carolina; William M. Sage of the University of Texas; Leonard D. Schaeffer of WellPoint; and Kenneth E. Thorpe of Emory University—and we invite discussion of these views via our blog, letters to the editor (both online and in print), and other informal venues as the reform debate continues.


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