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The authors note that the increase medicaid ohio open enrollment babies born with low birth weights can be attributed to women delaying childbearing and the increased use of fertility drugs.

In a sample of 13 developed countries, the US was third in its population internal medicine specialists usage of medication in 14 classes in both and The study noted considerable difficulties in cross border comparison of medication use. A critic of the US healthcare system, British philanthropist Stan Brockwhose charity Remote Area Medical has served over half a million uninsured Americans, stated, "You could be blindfolded and stick a pin on a map of America and you will find people in need.

Variations in the efficiency of healthcare delivery can cause variations in outcomes. The Dartmouth Atlas Projectfor instance, reported that, for over 20 years, internal medicine specialists variations in how medical resources are distributed and used in the US were internal medicine specialists by marked variations in outcomes.