WHO HAS THE BEST HEALTH-CARE SYSTEM - A 2ND-LOOK

A 1994 opinion survey again shows Americans less satisfied with their health care system than Canadians and (West) Germans are with theirs. Americans also report more problems in paying for care and receiving n eeded services. However, overall satisfaction in Canada and Germany ha s fallen. Important cultural differences between the countries were id entified. Americans have higher expectations for medicine and a strong er preference for spending more nationally on health care. The most dr amatic difference is Americans' antipathy to government. Public confid ence in heads of U.S. federal health agencies is the lowest of any ins titution or agency in the three countries.