Abstract
The NHS performs as well as or better than the US healthcare system on many objective indicators. Yet the United Kingdom shows greater interest in learning from the United States than vice versa. Is this paradox a consequence of American insularity, British credulity, or some other factor? And is there any prospect of the balance of trade in health policy ideas being reversed? If so, what aspects of health care in the United Kingdom should the United States be studying and seeking to learn from?