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VIEWPOINT How and Why US Health Care Differs From That in Other OECD Countries resonance imaging (MRI) scans and mammograms, pro- Victor R. Fuchs, PhD portionately more specialists, more amenities (privacy and space in hospitals), and more standby capacity as evident NITED STATES HEALTH CARE, OFTEN HAILED AS “THE in a higher ratio of MRI scanners available to MRI scans per- best health care system in the world,” is also formed. The greater number of physician visits and hospi- faulted for being too costly, leaving many mil- tal days in OECD countries does not result in higher spend- Ulions of individuals uninsured, and having avoid- ing because of differences in services provided during a visit able lapses in quality. Criticism often draws on compari- or a hospital day. In general, the United States has an ex- sons with other countries of the Organization for Economic pensive mix, whereas the OECD countries have an inex- Co-operation and Development (OECD). This Viewpoint pensive one. also makes such comparisons, over a broad range of vari- The effect of these differences in mix and total expendi- ables, and reaches one inescapable conclusion—US health tures on health outcomes is uncertain. Measured by life ex-
JAMA – American Medical Association
Published: Jan 2, 2013
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