AFTER DECADES OF RAPID growth, the rate of increase in health services
spending appears to be moderating. Although a slowdown in health expe
nditure growth would release resources for other uses in the economy,
concerns have been raised about the effects of a spending slowdown on
health workers and regional economies Based on projections carried: ou
t by the Bureau of Labor Statistics during the health reform debate an
d on state health sector employment data, the author concludes that he
alth workers may experience costly dislocation as health spending grow
th slows, and some regions may be more affected than others. However,
che appropriate response is a general economic policy supporting econo
mic growth and full employment: policy with regard to health expenditu
re growth cannot be held hostage to concerns about employment effects.