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March 23, 1984

A Healthy State: An International Perspective on the Crisis in United States Medical Care

Author Affiliations

The University of Chicago The University of Wisconsin-Madison

JAMA. 1984;251(12):1617-1618. doi:10.1001/jama.1984.03340360073038

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 revised and updated book is an attempt to compare the health services provision enterprise in the United States with that of Sweden, Great Britain, the Soviet Union, and the People's Republic of China. These four countries were selected because they have in common concepts and serious attempts to develop their health services "in a highly-planned and organized way." As usual the United States is compared unfavorably in the areas of equity of use and funding, distribution of services, and the usual health indicators. The authors observe that the United States ranks high on the quality and quantity of facilities and personnel, but they are not planned and organized rationally to achieve a balanced mix of services, equitable distribution of services, or freedom from fear of possible high-cost medical episodes.

The subject is, of course, a technical one, but the authors say that the book is intended for the general