Where do we go from here: Is there any hope for real health care reform?

Over the past forty years the United States has witnessed some bold attempts at health care reform but it has always fallen short of achieving the goal of universal health insurance. The results have been a series of patchwork changes aligned to the demands of special interest groups. Given the state of the U.S. economy, a depressing world situation characterized by unending and escalating conflicts, there is little to be optimistic about in regards to health care. This article focuses attention on the major characteristics of an ideal health care system. Some comparative health systems data are presented along with a discussion of Australia's Medicare system. A new National Commission is suggested for the United States to address health care reform in the broadest possible manner. Finally, it is suggested that health improvements cannot be achieved unless the United States makes a significant realignment in its priorities concerning domestic and international policies.