I can’t agree more with Michael Dettman’s opinion ; the fact that the financial/payer/payee structure of our health care system is similar to that of another country (North Korea) in no way means that our governments are at all at par in terms of being “brutal” or otherwise.
In addition, I would suggest to Dr Tyers (BCMJ 2006;48(4):163) that he do his research regarding Cuba. While that country currently has a two-tiered (private/public) system, they did not previously. I wonder whether those inside the country would think the change has meant an improvement in care.
Anyone familiar with the work of Dr Paul Farmer (Partners in Health, Pathologies of Power author, Harvard Infectious Disease specialist/anthropologist) will recall his descriptions of the Cuban “government monopoly” health care system. No system is perfect, but Cuba’s sounded rather effective in many respects—particularly when pitted against other systems of health care management—including that of the USA.
Hillary Lawson, MD
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org