Another aspect of the discrepancy in support for research
on cognitive behavior therapy has been the difference
in the approaches to health care research and delivery,
i.e., the presence in the United Kingdom of universal
health care and its absence in the United States. The U.K.
National Health Service encourages multidisciplinary research
and clinical practice. Such control over service delivery
makes standardization of mental health training
and licensing much more feasible in the United Kingdom
than the United States.