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Published online before print October 29, 2008, doi:10.1212/01.wnl.0000336343.20348.17)
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 Volume 71, Number 23, December 2, 2008
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NEUROLOGY 2008;71:1914-1920
© 2008 American Academy of Neurology
Special Article

Invited Article: The US health care system

Part 2: Proposals for improvement and comparison to other systems

M. R. Nuwer, MD, PhD, G. L. Barkley, MD, G. J. Esper, MD, P. D. Donofrio, MD, J. P. Szaflarski, MD, PhD and T. R. Swift, MD

From the Department of Neurology (M.R.N.), UCLA School of Medicine, Los Angeles, CA; Department of Neurology (G.L.B.), Henry Ford Hospital, Detroit, MI; Department of Neurology (G.J.E.), Emory University School of Medicine, Atlanta, GA; Department of Neurology (P.D.D.), Vanderbilt University School of Medicine, Nashville, TN; Department of Neurology (J.P.S.), University of Cincinnati Academic Health Center, OH; and Department of Neurology (T.R.S.), Medical College of Georgia, Augusta.

Address correspondence and reprint requests to Dr. Marc R. Nuwer, UCLA Department of Neurology, Reed Neurological Research Center, 710 Westwood Plaza, Room 1-190, Los Angeles. CA 90095 MRN{at}UCLA.edu

In the search for a universal, high quality, affordable health care system, Americans seek to identify and correct a series of current problems. In part one of this two-part series, we presented problems along with some suggested actions. This second part presents other health care systems in Europe and Canada. These different systems provide universal care and at a lower cost than in the United States. Further domestic proposals are presented from the Massachusetts plan and positions from US presidential candidates. These systems and proposals raise ideas about possible changes in the US health care system. Knowledge of these issues and other health care systems will help foster a meaningful dialog about changes in the US health care system.

Abbreviations: HMO = health maintenance organization; NHS = National Health Service; PPO = preferred provider organization; VA = Veterans Affairs.

See page 1907.

e-Pub ahead of print on October 29, 2008, at www.neurology.org.

Opinions expressed here are those of the authors, not of any organization.

Disclosure: The authors report no disclosures.

Received January 31, 2008. Accepted in final form August 29, 2008.


Related Article

Invited Article: The US health care system: Part 1: Our current system
M. R. Nuwer, G. J. Esper, P. D. Donofrio, J. P. Szaflarski, G. L. Barkley, and T. R. Swift
Neurology 2008 71: 1907-1913. [Abstract] [Full Text] [PDF]





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