Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
In Reply: Goodman et al1 explain
that outcomes such as life expectancy and infant mortality are a function
of many factors besides medical care. Important variables include diet, social
status, social stability, wealth, and risk-taking behavior—as well as
genetic endowment. Additionally, they argue that the health of US residents
is not poorer than that of people who live under single-payer health systems.
Their argument is buttressed by extensive references to official statistics
and the medical literature, which cannot be cited in a brief book review or
Orient JM. Single-Payer Health Systems and Statistics—Reply. JAMA. 2005;294(1):43-44. doi:10.1001/jama.294.1.44