© 2002 American Public Health Association
Vicente Navarro is director of the Public Policy Program jointly sponsored by the School of Public Health of The Johns Hopkins University, Baltimore, Md, and the Department of Political and Social Sciences, Pompeu Fabra University, Barcelona, Spain. Correspondence: Requests for reprints should be sent to Vicente Navarro, MD, PhD, DrPH, Department of Health Policy and Management, Johns Hopkins University, School of Public Health, 624 N Broadway, Baltimore, MD 21205 (e-mail: vnavarro@jhsph.edu).
ON JUNE 24, 2000, THE World Health Organization published its World Health Report 2000, Health Systems: Improving Performance, which ranked countries according to an overall single indicator of the performance of their health care systems.1 This indicator was an aggregate of 3 other indicators that supposedly measured (1) effectiveness of health care (basically, medical care and public health services), (2) responsiveness of the health care system to users of its health services, and (3) fairness in the system of financing of health care.
Publication of the report created a worldwide debate, most of it published outside the United States.26
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