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Invited Commentary
December 2017

Health and Wealth in the United States and England—Two Very Different Countries With Similar Findings

Author Affiliations
  • 1London School of Hygiene & Tropical Medicine, London, England
  • 2Department of Policy Analysis and Public Management, Bocconi University, Milano, Italy
JAMA Intern Med. 2017;177(12):1753-1754. doi:10.1001/jamainternmed.2017.5090

Although superficially they have much in common, health and social policy in the United States and England differ greatly. England provides universal health coverage; notwithstanding the achievements of the Affordable Care Act, the United States does not. England has retained strong social safety nets. Welfare in the United States is much less generous and, although those reaching 65 years can look forward to a range of benefits, support for the young is much less generous. But what do these differences mean for the health of those living in each country? Makaroun and colleagues1 ask this question in the accompanying article.

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