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May 18, 2005

Holes in the Swiss Health Care System

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2005;293(19):2337-2341. doi:10.1001/jama.293.19.2337-b

To the Editor: Drs Herzlinger and Parsa-Parsi argue that the Swiss health care system is largely consumer-driven and that this explains its superior performance compared with the United States in terms of cost control and universal and equitable access.1 The notion that the Swiss system could serve as a model for the United States will come as a surprise to many Swiss compatriots. We are in the midst of a vigorous debate on the future of our health care system, with stakeholders and politicians agreeing on only 1 point: the need to reform a system that seems financially unsustainable.

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