Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
In Reply: Suppose Americans spent vastly more
than residents of other countries on personal computers (PCs) and networking.
Few would argue that the US government should limit PC spending. Personal
computers result in increased productivity, people buy them because they want
them, and unique US characteristics, such as low density of population, require
more networking. Similarly, it does not seem appropriate to use health care’s
share of US gross domestic product and average longevity as justifications
for centralized government control, as suggested by Dr Vogt. Health care consumption
increases with affluence1 and, like PCs, health
care expenditure benefits the rest of the economy.2 Furthermore,
average longevity in relatively homogeneous countries whose citizens have
favorable genetic, age-related profiles is simply not relevant to the US melting
pot. For example, in Los Angeles, Calif, the prevalence of diabetes is 11.8%
among Latinos and 9.9% among African Americans compared with 5.6% among the
Herzlinger RE, Parsa-Parsi R. Holes in the Swiss Health Care System—Reply. JAMA. 2005;293(19):2337–2341. doi:https://doi.org/10.1001/jama.293.19.2339-c
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: