A NICE delivery--the cross-Atlantic divide over treatment intensity in childbirth.

ing a robust primary care system is more than a bureaucratic exercise; in Brazil, it has required long-term social movements and professional commitments. The future of Brazil’s FHS, its sustained expansion to the remaining urban centers and the middle classes, and its effective integration into secondary and tertiary care will require continued engagement by health care providers and the public and continued financial, technical, and intellectual investments — all of which ultimately depend on sustained political support.