Over a year ago I said that "we urgently need a new and more comprehensive approach to health policy. . ." and noted that the National Leadership Commission on Health Care was planning to propose such an approach by the end of 1988.*The Commission's report has not been released as of this writing, and when it is I expect to comment further. In the meantime, the Journal has published two other important contributions on this subject. In this issue and the last is a two-part description by Professor Alain Enthoven of his "Consumer-Choice Health Plan for the 1990s." This . . .