To explore the concerns of practicing physicians as a way to inform th
e health reform debate, the authors conducted a survey of physicians i
n the United States, Canada, and Germany. Survey results indicate that
U.S. physicians are most likely to view affordability as the greatest
barrier to access to care for their patients. However, unavailability
of services and long waiting times were cited most often by Canadian
physicians. German physicians did not cite access problems as frequent
ly as Canadian physicians did; other measures of satisfaction were clo
ser to U.S. levels, suggesting fewer trade-offs if the United States w
ere to adopt aspects of the German health care system.