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The United States Needs a Health System Like Other Countries

Anthony M. Perry, MD
JAMA. 1994;271(19):1481. doi:10.1001/jama.1994.03510430032018.
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To the Editor.  —Although I'm sure that you will have considerable comment on Dr Glaser's1 call for national health insurance, I found his article so particularly outrageous that I couldn't refrain from adding my own to the pile. I have little disagreement with his distaste for the grandiose social experiment of national managed competition, but the system that he offers in its place is probably the one substitute that would be worse. Perhaps what took me back most, however, was his characterizing market economics as "utopian," while in the same breath extolling the fanciful benefits of extending political control by the federal government over our entire health care system.One thing we must say about the present health care system is that, despite its many problems, it is delivering an excellent product, in most respects the best in the world. On the contrary, we need only look at the


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