Book Book

Demanding Medical Excellence

BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7201.63 (Published 03 July 1999) Cite this as: BMJ 1999;319:63
  1. David Woods, president
  1. Healthcare Media International, Philadelphia, USA

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    Michael L Millenson

    University of Chicago Press, £19.95, pp 384

    ISBN 0 226 52587 2

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    The US healthcare system consumes $1 trillion a year, which is equivalent to 14% of gross domestic product or roughly $4000 per capita (compared with about $1300 in Britain). Even so, Americans' life expectancy ranks about 15th in the world, infant mortality is higher than in most industrialised nations, and 44 million citizens have no health insurance. In short, say Drs Frank Davidoff and Robert D Reinecke in the 20 April issue of Annals of Internal Medicine, “the health care …

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