Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
In Reply: The points made by Dr Collins are
well taken. My concern is that, in the current political climate, any appointed
commission would fail to question the underlying reasons for our health system
being the way it is.
Dr Ishida's observations are consistent with my suspicions. I have been
to Japan and encouraged officials there to take a more introspective look
at their health care delivery. It may be that the resistance of the Japanese
people to undergo invasive interventions sets them apart from their US counterparts,
who have been taught to believe that more intervention is better.
Starfield B. Deficiencies in US Medical Care—Reply. JAMA. 2000;284(17):2184-2185. doi:10.1001/jama.284.17.2184