Yes, the revolutions in managed care have helped keep costs down - and opened up new employment opportunities for young doctors who want to go into primary care. But efficiency must never be a substitute for quality. We must keep as much decision making as possible in the hands of physicians and their teams. The Commission issued a landmark report calling for a Patient's Bill of Rights. A Patient's Bill of Rights must not be an empty promise.
Quality is also about outcomes.
This is not a saying about the power of shoemakers - or rabbis. It's about the power of numbers. There is strength in numbers. We want to strengthen the health of every citizen - so that everyone can share in the opportunities of the 21st century. We also need a vigorous international effort to develop vaccines.