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The American Health Care System Previous Volume 340:70-76 January 7, 1999 Number 1

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The United States operates a health care system that is unique among nations. It is the most expensive of systems, outstripping by over half again the health care expenditures of any other country.¹ The number of people without insurance continues to increase, however, reaching 43.4 million, or 16.1 percent of the population, in 1997 — the highest level in a decade.² By many technical standards, U.S. medical care is the best in the world,³ but leaders in the field declared recently at a national round table that there is an "urgent need to improve health care quality."⁴ The stringency of . . . [Full Text of this Article]

The Role of Economic Systems

The Role of Employers

The Role of Government

The Contributions of Individual Citizens

The Flow of Health Care Expenditures

The Shifting Pattern of Expenditures

Conclusions

References

Related Letters:

The American Health Care System
Menon M., Vickers M. A., Alpert J. J., Boren S. D., Boren D. M., Anstadt G. W., Leeman C. P., Rosenblatt M. G., Gornick M. E., Maun R. A., LaPorta R. F., Iglehart J. K., Bodenheimer T., Angell M.
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N Engl J Med 1999; 341:917-921, Sep 16, 1999. Correspondence

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