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The American public finally seems ready for comprehensive reform of its health care delivery system, having been spooked, in part, by the prospect of two impending crises. The first is a crisis of costs: medical expenditures are consuming a frighteningly large (and ever-larger) portion of the nation's resources. In 1993, Americans spent roughly $3900 per person on health care for a total of $942.5 billion.' Over the past forty years, spending for health care has grown 3% faster than expenditures for all other goods and services; such spending now accounts for 13% of all consumption in the U.S. economy. If the current rate of growth continues, health care expenditures will consume almost a third of GNP by the year 2030.2

Medical Malpractice Law and Health Care Cost Containment: Lessons for Reformers from the Clash of Cultures