In the current debate over U.S. health reform, policy analysts have most often looked to the health care delivery systems of four nations--Canada, Germany, the Netherlands, and the United Kingdom. Most such comparisons praise foreign systems for their universality and lower budgetary costs, while omitting any discussion of their weaknesses or hidden costs. In this volume, the authors address several weaknesses and concerns that should be considered before reformers redesign the U.S. system on a foreign model.

Robert B. Helms is a resident scholar at AEI.