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Abstract: Despite the clear need to improve the health system, policymakers and the public sometimes underestimate its problems and overstate the concerns about solutions. This is especially apparent in views about the U.S. system relative to those of other nations. Many believe wrongly that we have the best health system in the world, and changing it will lower quality, reduce access, and impose added costs on our businesses. I aim to dispel these myths through global comparisons. Honest debate will help create climate for reform which is essential to our nation's health as well as its economic vitality and global leadership.