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<DIV><B>From:</B> <A title=ruglucia@PAHO.ORG
href="mailto:ruglucia@PAHO.ORG">Ruggiero, Mrs. Ana Lucia (WDC)</A> </DIV>
<DIV style="FONT: 10pt arial">
<DIV> <A title=EQUIDAD@LISTSERV.PAHO.ORG
href="mailto:EQUIDAD@LISTSERV.PAHO.ORG">EQUIDAD@LISTSERV.PAHO.ORG</A>
</DIV></DIV>
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<DIV class=Section1>
<P class=MsoNormal
style="MARGIN-BOTTOM: 7.5pt; MARGIN-LEFT: 0.5in; LINE-HEIGHT: 120%; MARGIN-RIGHT: 0in; mso-margin-top-alt: 7.5pt"><B><FONT
face=Arial color=#993300 size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #993300; LINE-HEIGHT: 120%; FONT-FAMILY: Arial">Uninsured
in <st1:country-region w:st="on"><st1:place
w:st="on">America</st1:place></st1:country-region>: problems and possible
solutions<o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 7.5pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><STRONG><B><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Karen
Davis</SPAN></FONT></B></STRONG><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">, Commonwealth
<st1:place w:st="on"><st1:City w:st="on">Fund</st1:City>, <st1:State
w:st="on">New York</st1:State>, <st1:country-region
w:st="on">USA</st1:country-region></st1:place><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 7.5pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><B><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">BMJ 2007;334:346-348 (17 February,
2007), doi:10.1136/bmj.39091.493588.BE <o:p></o:p></SPAN></FONT></B></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 7.5pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><I><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-STYLE: italic; FONT-FAMILY: Arial">Failure
to ensure access to health care for all lies at the<SUP> </SUP>heart of the
<st1:place w:st="on"><st1:country-region
w:st="on">US</st1:country-region></st1:place> failure to achieve value for
money<o:p></o:p></SPAN></FONT></I></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 7.5pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Website: <A
href="http://www.bmj.com/cgi/content/full/334/7589/346"><FONT
color=#333399><SPAN
style="COLOR: #333399">http://www.bmj.com/cgi/content/full/334/7589/346</SPAN></FONT></A>
<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal
style="MARGIN-BOTTOM: 7.5pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in; mso-margin-top-alt: 0in"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">“….The
<st1:country-region w:st="on"><st1:place w:st="on">United
States</st1:place></st1:country-region> is the only major industrialised nation
without<SUP> </SUP>universal health insurance, and coverage has deteriorated
in<SUP> </SUP>the past six years. The consequences are increasingly well
known:<SUP> </SUP>inequities in access to care, avoidable mortality and poor
quality<SUP> </SUP>care, financial burdens on people who are uninsured or
underinsured,<SUP> </SUP>and lost economic productivity. The <st1:place
w:st="on"><st1:country-region w:st="on">US</st1:country-region></st1:place>
spends twice as much<SUP> </SUP>on health care as the median industrialised
nation but does<SUP> </SUP>not systematically achieve the best quality care.
What<SUP> </SUP>are the prospects for reform?<SUP>
..<o:p></o:p></SUP></SPAN></FONT></P>
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