Jeffrey Merrill, PhD, then at the Joseph L. Mailman School of Public Health at Columbia University, New York, wrote a comparative study of other countries' health systems that identified components that might be relevant to the redesign of the U.S. health care system.
Such redesign seemed probable under national health care reform efforts that were just beginning at the time the grant was made in 1991. Merrill's book, The Road to Health Care Reform: Designing a System That Works, was published by Plenum Press in 1994.
Merrill analyzed how different countries approach similar issues in structuring their health care systems and delivering health care.
The Road to Health Care Reform: Designing a System That Works covers the following topics: