Brain
My friend hasnt worked in the US for over a decade and his perspective is not to think our model is best. He is in the trenches and sees what goes on. Hope you enjoyed the Thai information also. He said they do a number of things very well there. The biggest difference he emphasized about US physicians over the Thai (and many other countries) physicians is the ability to think outside the box to find solutions when things arent exactly as they were taught. In Thailand if they dont see something fitting exactly in their frame of reference they refer you to someone else and this can go on and on. His point was that the concept of American ingenuity is very real.