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January 5, 1994

Health of Nations: An International Perspective on US Health Care Reform

Author Affiliations

University of Chicago (Ill)

JAMA. 1994;271(1):72-73. doi:10.1001/jama.1994.03510250088045

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This is the best book yet on cross-national comparison of health services delivery systems and their operation and financing with direct policy relevance for the United States. It was designed specifically for policy-making politicians and their consultants. The many previous excellent studies too numerous to list here in a range of methodological styles are more directed to classfying health services delivery systems for various analytical purposes. The study under review draws on previous ones to focus directly on policy relevance for as intelligent policy formulation as possible in this very complex institution called the health services establishment.

For this purpose the author has judiciously selected countries that might be helpful for policymakers in the United States: Canada, Germany, the Netherlands, Japan, the United Kingdom, and the United States, a mixture of market-oriented, government-control, and ownership-oriented systems. Each country is treated to a well-documented historical vignette, which reveals the boundaries of

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