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Every country's health system is in crisis. In the absence of clear "best practices," cynics might remark that reform usually consists of replacing one set of problems with a new set, and then beginning a new process of change. International comparisons have therefore become a popular pastime both in the illusory quest for the right path and for the consolation of knowing that others have problems too. In the past, many Americans could look to Britain's National Health Service (NHS) in search of the "evils of socialized medicine"; scholars were, like the police chief in Casablanca, "shocked, shocked" to
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