In reply
We appreciate the interest in our article, "A 2020 Vision for American Health Care,"1 expressed by Drs Remenchik, Bortz, Nevin, Allen, and Feit and Rubinstein. Indeed, we have been pleased to receive many letters and e-mails from physicians since its publication.
Dr Remenchik makes several points with which we agree. First, there is much to be learned from the efforts of individual states to reduce the numbers of uninsured persons. The Commonwealth Fund, New York, NY, has been sponsoring several projects to learn from these state programs as part of our overall effort to provide information that will inform policy makers on both a state and federal level.2- 5 Dr Remenchik also points out that not only do we have a problem in this country with uninsured persons, but some people are also caught up in issues of whether their condition will be covered by their health insurer or by worker's compensation insurance. She also argues for better coverage of mental health problems. We agree and argued in our article for a coverage plan of all persons for their medical, surgical, mental health, and dental problems by the year 2020.