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Is US Health Really the Best in the World?

COMMENTARY. Is US Health Really the Best in the World? Barbara Starfield, MD, MPH measures used. Common explanations for this poor perfor- mance fail to implicate the Health system. The perception I. NFORMATION CONCERNING THE DEFICIENCIES OF US MEDI- is that the American public behaves badly by smoking, cal care has been accumulating. The fact that more than drinking, and perpetrating violence. The data show other- 40 million people have no Health insurance is well wise, at least relatively. The proportion of females who smoke known. The high cost of the Health care system is con- ranges from 14% in Japan to 41% in Denmark; in the United sidered to be a deficit, but seems to be tolerated under the States, it is 24% (fifth best).

tings, but it is unlikely to affect underreporting of adverse eventsinnoninstitutionalsettings.Onlybetterrecordkeep-ing, with documentation of all interventions and ...

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