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The article recaps the health care systems and the reform process in the U.S., Canada and Great Britain, discussed during the Anglo-American Conference held from May 18 to 20, 1994. Accountability in health care demands quality health information. Proper management is necessary when deciding to implement advances in medical technology. Several recommendations are given to manage the supply of physicians in countries and the health care reform process.

The article presents information on the objectives of the "Journal of the Royal Society of Medicine." People in the U.S., Canada and Great Britain have benefited from the resurgence of interest in health care reform. The journal's objectives are important to implementing change in the health care system.