Persistent vegetative state and the right to die: the United States and Britain.

Abstract

American financing system, however, than that of provider competition itself, particularly the absence of an effective budget constraint on either insured pur- chasers or, under retrospective reimbursement, on hospitals, and on failures to embody agreements about quality in contracts.2" There is, moreover, evidence of cost savings under selective contracting, particularly through reductions in length of stay. So there is no particular reason to suppose that the worst features of the American system of health care will be imported lock, stock, and barrel into the United Kingdom.