Universal Access to Health Care in America: A Moral and Medical Imperative

I am not an advocate for frequent changes in laws and constitutions, but laws and institutions must go hand in hand with the progress of the human mind. As that becomes more developed, more enlightened, as new discoveries are made, new truths discovered and manners and opinions change, with the change of circumstances, institutions must advance also to keep pace with the times. We might as well require a man to wear still the coat which fitted when a boy as civilized society to remain ever under the regimen of their barbarous ancestors. —Thomas Jefferson (1) With the twentieth century drawing to a close, inter-nal medicine has the rare opportunity to lead the way in reforming our nation's health care system. As leaders o