Lake’s memo advises that advocates should not compare the U.S. to other countries, or assert that America does not provide quality health care; neither should they mention that the U.S. is thirty-seventh in the world in health outcomes. Does Lake want to hide the fact that the U.S. performs poorly? My goodness, she almost sounds like a Republican!

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Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.