Global competition in health care

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Abstract
Earlier this month the leaders of United States managed health care plans met in Mexico City to look at the opportunities for doing business internationally. The meeting was organised by the American Association of Health Plans and the Academy for International Health Studies. As one delegate said, the rhetoric may have been about learning from other countries but most of the Americans at the meeting were interested in selling. Workshops looked at “market opportunities” in Israel, Korea, Venezuela, Canada, Mexico, Russia, France, Singapore, Brazil, New Zealand, Puerto Rico, Australia, South Africa, and Argentina. Britain was probably absent from the list because its financially constrained health care system provides little room for profit and because many of the methods of managed care are already being used.

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