Abstract
In Reply. —The US health system is witnessing an alarming and rapid corporate transformation with profound implications for health care quality. Rather than addressing this disturbing reality, or engaging the 10 quality principles we outlined for US health system reform, Dr Noel echoes a series of inaccurate assertions about Canada, and instead offers the administratively unwieldy and inequitable remedy of individual retirement accounts. He misrepresents Canada as plagued by medical cost inflation, shortage, long queuing, and rationing. Recent Canadian data show that average real per capita health expenditures increased only 1.4% annually from 1987 through 1993, and have actually decreased for the latter 2 years. 1 While effectively containing costs, Canada provides more care— more physician visits, more hospital days, more procedures, and even more bone marrow transplantations (and at a more appropriate stage)—than the United States, while achieving the highest level of satisfaction in the world and winning
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
