Changing the Health Care System -- Copyright -- Foreword -- Contents -- Overview -- Health Care Reform: The European Experience -- LEARNING FROM OTHERS -- EUROPEAN HEALTH REFORMS IN REVIEW -- THE TRANSFORMATION OF EUROPEAN HEALTH CARE -- THE LESSONS -- REFERENCES -- Development and Diffusion of Medical Technology in Europe -- REFERENCES -- DISCUSSION -- European Health Care Reform and Primary Care -- BACKGROUND -- WHAT IS PRIMARY CARE? -- HOW IMPORTANT IS PRIMARY CARE? -- WHAT'S SO DIFFERENT ABOUT PRIMARY CARE? -- PRIMARY CARE: THE U.S. EXPERIENCE -- REFLECTIONS FROM THE BRITISH EXPERIENCE -- CONCLUSION -- REFERENCES -- Response to Jo Ivey Boufford -- REFERENCES -- DISCUSSION -- Operating Under a Global Budget: Perspectives from the United States and Abroad -- EXPENDITURE- VERSUS BUDGET-DRIVEN HEALTH SYSTEMS -- PROSPECT FOR A BUDGET-DRIVEN AMERICAN HEALTH SYSTEM -- Managed Competition as an Alternative to Top-Down Budgeting -- Is There a Future for U.S. Health Care? -- Defining "Equitable Access" -- Additional Perspectives on Global Budgeting -- PHYSICIAN PERSPECTIVE -- Reference -- CANADIAN EXPERIENCE -- ROCHESTER, NEW YORK, EXPERIENCE -- Rochester's Health Care Infrastructure -- The Hospital Experimental Payment Program -- Strengths and Weaknesses of the Rochester Experiment -- Building on the Rochester Experiment -- HOSPITAL PERSPECTIVE -- PANEL DISCUSSION -- Contributors.