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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: The Commentary by Dr Starfield1 raises a few questions about the efficiency and effectiveness of US health care spending. It would be helpful to know how much of the overall cost is used for direct patient services and how much is used to cover administrative costs, paperwork, corporate profits, advertising, liability, and other entities that are not directly related to patient care.

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