To the Editor:
In his generally inaccurate and exaggerated article, “What Health Care Crisis?” [February], Irwin M. Stelzer takes a series of statements from an article of mine in Domestic Affairs and uses them to mislead your readers.
My question was whether any possible differences in services justify the much higher costs of medical care in America than in other countries. The answer is no. That does not mean the United States should want to spend as little as even the most expensive other country, Canada. In the article, I discuss which differences in cost are clearly unnecessary (such as the overhead associated with our risk-rating insurance system, or some of the “excess” capacity of high-tech equipment); which we might choose to reduce slightly (much higher incomes for our providers); and which we might choose to retain (some amenities and extra capacity).
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