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As ever, some of the best contributions came from the US, although (or perhaps because) the US healthcare system appears to be the most challenged. The US Preventive Services Task Force exemplifies how independent guidelines committees can deal with limited and uncertain evidence. Its current chair, Virginia Moyer, is a down to earth, say it as it is, clinical leader who can be credited for turning a previously unknown institution into a global cause clbre for rational policymaking during her watch.

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