Heart Transplantation

Abstract
IN June 1986, Dr. Otis Bowen, secretary of the Department of Health and Human Services (DHHS), announced that Medicare will now cover heart transplantations — at specified centers — thus bringing to a close another chapter in a long, wrenching debate that has been watched closely as an augury for similarly expensive but lifesaving procedures. The proposed regulations, discussed in detail later in this essay, were issued on October 17, to become final on November 17, after the 30-day period for comment.Heart transplantation has been a kind of test case in medicine's new economic era. Clinicians and families who . . .

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