Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor
To the Editor.—Dr Bell and colleagues1 are comparing apples and oranges. While it is undoubtedly true that charges for medical services are considerably higher in the United States than in Canada, the significance of charges is really quite different, and the study sheds no light on the real difference in costs. Of the 3 numbers that could have been studied (charges, revenues, and costs), the authors used the one that has a different significance within the 2 systems.
Magee BD. Hospital Services in the United States and Canada. JAMA. 1998;280(7):599-600. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-7-jbk0819-c