CHAPTER 9

Lessons From Abroad

According to one poll, only 30 percent of the American people are very satisfied or fairly satisfied with health care while another 25 percent are neither satisfied nor dissatisfied. And not surprisingly 43 percent of Americans are not very or not at all satisfied with health care.1

What accounts for this dismal assessment of America’s health care system? In a recent essay,2 Robert H. Shmerling, MD, highlights what physicians, nurses, economists and other social scientists, public officials, employers, employees, and the insured and anyone else that pays for or needs medical care generally acknowledge. The U.S. medical care system (a term I prefer to use instead of health care) is expensive, opaque, and bureaucratic. ...

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