To the Editor The study by Dr Papanicolas and colleagues1 examined health care and social spending in the United States and other high-income countries in the Organisation for Economic Co-operation and Development (OECD). They concluded that US social spending and health care utilization were similar to these countries and that underinvestment in social spending did not appear to be a driver of increased US health care spending. One way this could be interpreted by policy makers is that health care and social spending should not be adjusted. We believe this interpretation would be unfortunate for 3 reasons.
Goodman LJ, Valenti J. Comparing Spending on Medical Care in the United States and Other Countries. JAMA. 2018;320(8):838. doi:10.1001/jama.2018.8016
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