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Editorial
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Volume 328:805-807 March 18, 1993 Number 11
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Northern Exposure -- Can the United States Learn from Canada?

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This issue of the Journal contains two papers that are likely to fuel the debate over the appropriateness of Canada's universal single-payer health insurance system as a model for Americans. Redelmeier and Fuchs1 show that American acute care hospitals use 24 percent more resources per admission than Canadian hospitals. In attempting to explain the greater expenditures in the United States, these investigators could not support the hypothesis that American patients receive more services per admission, although their investigation was limited to 12 diagnostic services in two pairs of hospitals in California and Ontario. They tentatively conclude that the 24 percent . . . [Full Text of this Article]

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