Integrating public health and personal care in a reformed US health care system

Dov Chernichovsky, Arleen A. Leibowitz

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Compared with other developed countries, the United States has an inefficient and expensive health care system with poor outcomes and many citizens who are denied access. Inefficiency is increased by the lack of an integrated system that could promote an optimal mix of personal medical care and population health measures. We advocate a health trust system to provide core medical benefits to every American, while improving efficiency and reducing redundancy. The major innovation of this plan would be to incorporate existing private health insurance plans in a national system that rebalances health care spending between personal and population health services and directs spending to investments with the greatest long-run returns.

Original languageEnglish
Pages (from-to)205-211
Number of pages7
JournalAmerican Journal of Public Health
Issue number2
StatePublished - 1 Feb 2010

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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