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Health, Health Care Reform, and the Care of Health

University of North Carolina, Chapel Hill

This article explores the pressures bearing on health care systems in advanced industrialized countries, particularly the United States, drawing on Geoffrey Vickers's concepts that direct attention to systemic interactions between individual health and the "health-supporting milieus" and between health and other aspects of public policy. It argues that more coordinated policies over a broad front, the management of expectations, and the development of a less technically oriented, more caring health system will all be necessary if a healthy longevity and greater equality of health are to be achieved.

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