HEALTH-CARE REFORM IN THE UNITED-STATES - IMPLICATIONS FOR TRAINING AND PRACTICE IN MARRIAGE AND FAMILY-THERAPY

Americans are spending 12-14% of their income on health care, and cost s are rising about 11-12% per year. These increases are fueled by many social problems and are not limited strictly to health matters. Many alternatives have been examined to limit the rapidly increasing costs. The long-term results of these efforts are likely to be a reduction i n health care benefits for many and the continued development of a two -tier system of health care. This article addresses the place of menta l health care in general and marriage and family therapy in particular in the emerging system. Suggestions for training and practice for the new health care system are given.