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May 18, 1994

Health Care System: The American Model

Author Affiliations

Interregional Medical Association Moscow, Russia

JAMA. 1994;271(19):1546. doi:10.1001/jama.1994.03510430102046

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This book about the American health care system interestingly was published in Russia. Ten years ago nobody would have imagined that such a book would be written in Russia. But today, it is not only possible, it has been done.

Since August 1991, the best-known reforms have been conducted in the fields of economics, politics, and the social system. Not as well known is the fact that the health care system has also been the subject of reforming trends.

But what is the best beginning for change? Many analysts of the Russian health care system would like to know what is the most efficient system to serve as a model for the new Russian system of health care. Ideally, it should be one that serves the common good of society.

During the totalitarian era in the former Soviet Union, there were no objective books on Western health care systems. The

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