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The brief history of the National Center for Health Care technology suggests that its three major strategies faced considerable political and institutional obstacles. Federal approaches to solving problems of the cost, quality, and use of new technologies will have to reckon with conflicting interest groups, budgetary pressures, and shifting constituencies. Unexpectedly, history indicates that a quasi-regulatory strategy may have the most favorable long-term prospects.
Author(s): David Blumenthal
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Volume 61, Issue 4 (pages 584–613) Published in 1983
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.