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November 1, 2000

Deficiencies in US Medical Care—Reply

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

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.

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