Editor's Note: The following is the text of a speech delivered by David Kelley at multiple venues in 1993-94. Its theme remains relevant today, especially with the advent of "Obamacare."
Editor's Note: This sidebar is part of " The Problem with ObamaCare ." June 2009 --I first met Dr. Alieta Eck at the Zarephath Health Center in New Jersey, a clinic she opened   with her physician-husband John in 2003 to provide free primary care to poor patients who do not have private insurance or access to government programs like Medicare.
A half-century ago, when the American medical care system was largely free and voluntary, and people regularly called it “the world’s finest medical care,” the advocates of the welfare state were able to converge on a strategy.
With health care reform efforts well underway, President Obama is endeavoring to make good on his campaign pledge to “accelerate efforts to develop and disseminate best practices, and align reimbursement with provision of high quality health care.”

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