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LETTER |
Jef L. Leroy and Stefano M. Bertozzi are with the Mexican National Institute of Public Health (Instituto Nacional de Salud Publica), Cuernavaca, Mexico. Stefano M. Bertozzi is also with the Center for Economics Research and Education, Mexico City, and the University of California, Berkeley. Jean-Pierre Habicht and Gretel Pelto are with the Division of Nutritional Sciences, Cornell University, Ithaca, NY.
Correspondence: Requests for reprints should be sent to Jef L. Leroy, PhD, MSc, Instituto Nacional de Salud Publica, Avenida Universidad No. 655, Col. Sta. María Ahuacatitlán, Cuernavaca, Morelos, Mexico 62508 (e-mail: jleroy@correo.insp.mx).
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We read Woolf and Johnsons letter with great interest. The similarity of the findings for developing countries and the United States is impressive,1 as they reflect the influence of the shared assumptions in the research community that lead to low investments in research to improve the fidelity (quality) of health care delivery and utilization.
We have a slight correction to make to their letter. Our research shows that 6 million (not 4 million) lives can be saved by improved delivery and utilization without any additional or improved technology. In addition, 2 million children could be saved by new technology (for
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