This book offers a brief description and evaluation of the health care systems of Canada, Germany, the Netherlands and the United Kingdom, with an eye to possible lessons for the United States. All are less expensive and command more public support than the U.S. system. But each has its weaknesses, and each has features that could be transplanted to the United States only with difficulty: capital budgeting for most equipment, effective price controls on physicians, a lack of physician accountability and discouragement of medical innovation. No easy lessons here, but useful perspectives on the health care debate that will occur in the United States.
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