© 2007 American Public Health Association DOI: 10.2105/AJPH.2007.125575
Said A. Ibrahim is with the Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, and the Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pa. Correspondence: Requests for reprints should be sent to Said A. Ibrahim, MD, MPH, Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive C (151C-U), Pittsburgh, PA 15240 (e-mail: said.ibrahim2@va.gov).
Health care in the United States is once again emerging as a key issue in national debates leading up to the 2008 presidential election. The discussions reflect, in part, growing public unease about the current health care system, fueled by rising health care costs,1 concerns about the quality of American health care, and the growing number of Americans without health insurance (approaching 45 million).2 These concerns are further ignited by recent reports that put the American health care system in perspective vis-à-vis the rest of the world. For instance, the World Health Organization ranked the US health care system at
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