Published: 14 March 2016
Author(s): Giuseppe Lippi, Camilla Mattiuzzi, Gianfranco Cervellin
Issue: March 2016
Section: Letters to the Editor

There is ongoing debate about the impact of aggregate health care expenditure on health outcomes, and it also remains quite uncertain whether increasing health spending may be a significant factor for decreasing death rates. In 1991, Mackenbach published an interesting analysis to establish whether a higher national level of health care expenditure could be associated with a larger degree of success in decreasing mortality within the European Community [1], concluding that no association existed between deaths and health care funding.

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