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Primary care has been at the center of Dutch health care practice for a long time. All citizens are registered with a general practitioner, who provides generalist and continuous medical care and deals with more than 95% of health problems. Specialist consultations are covered by insurance only after referral. Since World War II, insurance coverage
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Dr. Knottnerus is a professor of general practice at the University of Maastricht, Maastricht, the Netherlands, and president of the Health Council of the Netherlands, The Hague. Dr. ten Velden, who died on November 11, was deputy executive director of the Health Council of the Netherlands.
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