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To the Editor: Goodman et al created "twenty myths" about single-payer programs, and in the book Lives at Risk: Single-Payer National Health Insurance Around the World,¹ they proceeded to dispel all of them while maintaining that the US health services system needs reform to increase market competition. In a highly laudatory review, Dr Orient,² from the Association of American Physicians and Surgeons, supported the position of the authors and cited several statistics from the book to buttress the argument. These statistics are not consistent with other information.

For statistics concerning life expectancy in the United States vs other countries, the book cites a 1994 report from the National Center for Policy Analysis, from which we requested that report. We were referred to the National Asian Pacific Center on Aging, which did not answer several requests for the source of the information and for updated information. However, data from the . . . [Full Text of this Article]

Barbara Starfield, MD, MPH
bstarfie@jhsph.edu
Johns Hopkins School of Public Health

Sharon D. Morris, MLS
Sheridan Libraries
Milton S. Eisenhower Library
Johns Hopkins University
Baltimore, Md

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