American practitioners and the global primary care movement.

In conclusion, comparative studies of primary health care in various parts of the world can lead to new solutions for underserved communities in Maryland and other parts of the US. Careful review of how similar principles work under different circumstances will open new approaches. Current international experience shows that each country must evolve its own health care system. We have much to learn from those who are poorer than we, where limited resources stimulate local innovation and less waste.