Military medicine
-
This paper describes the pressures for health care reform which are impinging on the United States health care system. These are costs, access, allocation of resources, unnecessary care, and administrative costs and confusion. ⋯ Ten persistent issues are identified which will need to be addressed, regardless of whatever changes are proposed in the immediate future. These are the quality of health care, improved management of the military health care system, costs of care including pharmaceuticals, recruitment and retention of health care professionals, graduate medical education, renewed emphasis on health promotion and disease prevention, discharge planning and patient education, development and diffusion of new technologies, information management, and the management of environmental waste.