Views & Reviews From the Frontline

The cause of clinical variance

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f1122 (Published 19 February 2013) Cite this as: BMJ 2013;346:f1122

Re: The cause of clinical variance

Dear Dr. Spence:

There is no more envy in many so-called emerging countries of the Medicine that is practiced in the US, where the business model of healthcare prevails.

In my discipline, for example, there are No Missing Medications since various forms of human insulins, Metformin, newer generation sulfonylureas, not to mention statins, all classes of anti-hypertensive and anti-platelet drugs are all Free for any citizen, independent of having private insurance, or not.

History has to move forward ... sometimes like an elephant ... but it does!

Competing interests: No competing interests
20 February 2013
Jose Mario Franco de Oliveira
Associate Professor of Medicine
Universidade Federal Fluminense
Rua Senador Vergueiro # 2 apt. 202
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