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P&S Journal

P&S Journal: Spring 1994, Vol.14, No.2
Health Care Reform: Responses and Proposed Alternatives
Lessons from the Environmental Protection Act

There have been dramatic improvements in the environment since the EPA was passed. The Act helped instill responsibility, both individual and institutional, for environmental matters. Impact fees were perhaps the most critically important strategy for EPA's success. The analogy for health care is obvious. Health impact fees are a vital ethical, practical and motivating need for any health care reform legislation which is/may be adopted. These fees would be applicable to individuals and institutions which fail to conform with well known prevention/wellness knowledge, and which failures result in costly, preventable illness and accidents, as explained in the following Letter to the Editor.

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