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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.293.19.2339-a

To the Editor: Drs Herzlinger and Parsa-Parsi1 attribute the success of the Swiss system to its resemblance to a consumer-driven system. However, Dr Reinhardt2 points out that the resemblance is distant, at best. He notes that the Swiss system is more like “managed competition” than consumer-driven care and that there are many other plausible reasons why Switzerland seems to be doing much better with health care than the United States.