The debate about cost as it pertains to medical technology misses the mark by not pressing on the central problem of increased prevalence of chronic illness. Far from cost containment, what are needed are additional services which may in the end reduce total costs. (Author/MJL)

This paper proposes structural reforms in the U.S. health care system based on the need for (1) workable, affordable solutions; (2) preserving and strengthening the biomedical research enterprise; (3) increased minority participation in science and the health professions; and (4) a culture of character emphasizing health promotion and disease…