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Correction to Woolhandler et al., N Engl J Med 349(8):768-775 August 21, 2003.

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Volume 349:2461-2464 December 18, 2003 Number 25
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Costs of Health Care Administration in the United States and Canada

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by Aaron, H. J.
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by Woolhandler, S.
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To the Editor: There is little doubt that per capita health care administrative costs are lower in Canada than in the United States, as Woolhandler et al. report (Aug. 21 issue),1 even though the precise magnitude of the gap is open to debate, a point that Aaron makes in his accompanying editorial.2 However, the Canadian single-payer system results in chronic shortages of medical services because of underfunding. The underfunding problem is usually considered to be a separate issue from the single-payer system itself,2 but the very structure of the single-payer system may cause the problem.

In the United States, persons . . . [Full Text of this Article]



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