S. Ward Casscells, MD; Elder Granger, MC, USA
Potential Financial Conflicts of Interest: None disclosed.
Casscells SW, Granger E. How to Achieve a High-Performance Health Care System in the United States. Ann Intern Med. 2008;148:708-709. doi: 10.7326/0003-4819-148-9-200805060-00015
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Published: Ann Intern Med. 2008;148(9):708-709.
TO THE EDITOR:
The recent position paper by the American College of Physicians (1) drew many lessons from international health care systems and the Veterans Administration and made several recommendations. In pointing out success stories, the article overlooked one of the largest health care systems in the United States, which covers more than 9 million men, women, and children: the U.S. Department of Defense's Military Health System (MHS) TRICARE health plan. The MHS is vigorously addressing the problems identified in caring for wounded warriors at Walter Reed Army Medical Center and across the system. Looking beyond those military-specific challenges, observers will find a large and complex health care program worthy of further examination.
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