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We spent almost a full month in a British public hospital. We also arranged for a complex medical procedure to be done in one of the few remaining private hospitals in Britain. My wife then spent about three weeks recuperating in a New York City hospital as an inpatient and has since used another city hospital for physical therapy as an outpatient. We thus have had a chance to sample the health diet available under two very different systems of health care. Neither system is without its faults and advantages. To paraphrase Thomas Sowell, there are no solutions to modern health care problems, only trade-offs. What follows is a sampling of those tradeoffs as we viewed them firsthand. As I saw my wife collapsed on the hotel���s gym floor, my concern about making the curtain was replaced by a bone-chilling recognition that she was in mortal danger. Despite her protestations that everything was fine, her left side was paralyzed and her eyes were rolling around unfocused. She was making sense, but her words were slurred. Right away I suspected a stroke, even though she is a young, healthy nonsmoker. Over her continuing protests, I knew we had to get her to a hospital right away. The emergency workers who came within five minutes were wonderful. The two young East Enders looked and sounded for all the world like a couple of skinhead soccer fans, cockney accents and all. But their professionalism in immediately stabilizing my wife and taking her vitals was matched with exceptional kindness. I was moved to tears to see how comforting they were both to my wife and to me. As I was to discover time and again in the British health system, despite the ofHYLAND 3

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