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November 1, 2000

Deficiencies in US Medical Care

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(17):2184-2185. doi:10.1001/jama.284.17.2184

To the Editor: Dr Starfield1 mentions that Japanese citizens have the highest rate of longevity in the world, but I have found that the quality of care in Japan is questionable. True, Japan may have more magnetic resonance imaging scanners than any other country, but there is no convincing evidence this high-tech "toy" is used in a cost-effective manner.

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