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Correspondence
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Volume 341:917-921 September 16, 1999 Number 12
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The American Health Care System

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To the Editor: Iglehart (Jan. 7 issue)1 has undertaken the admittedly difficult exercise of tracking how Americans spend money on health care. In Table 2 of his article, which shows expenditures in 1970, 1980, and 1990 and projected expenditures in 1998 and 2007, Iglehart indicates that about 18 to 20 percent of national health care expenditures are for physicians' services, and about 4 to 7 percent are for program administration. The expenditures that he cites for physicians' services probably reflect gross payments, including overhead, not physicians' take-home income. Overhead is much higher in the United States than in other countries . . . [Full Text of this Article]

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