The evolving changes in healthcare reform. Keynote speech given at the 1994 National Academy of the Intravenous Nurses Society in Atlanta, Georgia.

This article explores three major health reform questions: (1) Why do we need to reform a system that provides cutting-edge healthcare? (2) What are the consequences of inaction? (3) Why is it so difficult to carry out a reform that has the support of most Americans? Based on the answers to these three questions, the article offers a two-prong reform alternative. First, seek a national consensus on why we disagree on healthcare. Second, let the states experiment with several promising and competing reform plans before committing to a national level reform.