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- W4237676554 abstract "<h3>To the Editor.</h3> —Dr Reiser<sup>1</sup>bases his advocacy for a system of health insurance vouchers on the notion of consumer autonomy. While we agree that consumer autonomy is paramount in health care financing reform, his proposal reflects a fundamental misunderstanding of the kind of autonomy for which consumers yearn. His voucher system aspires to promote autonomy in the selection of health plans with different bundles of benefits; what consumers really want is the freedom to choose their own health care provider and to participate in the management of their own health care, unencumbered by health insurance restrictions. Reiser's faith that vouchers would facilitate optimal choice of health insurance is misplaced. Consumers are knowledgeable about their own health values, but few can untangle health plans that confound even insurance specialists. Furthermore, it is untenable to expect health care professionals to effectively counsel consumers, as Reiser suggests. Physicians, in particular, have" @default.
- W4237676554 created "2022-05-12" @default.
- W4237676554 date "1992-09-09" @default.
- W4237676554 modified "2023-09-27" @default.
- W4237676554 doi "https://doi.org/10.1001/jama.268.10.1265" @default.
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