Still Number One.

[kallend 2,175]

How the Performance of the U.S. Health Care System Compares Internationally

www.commonwealthfund.org/~/media/files/publications/fund-report/2014/jun/1755_davis_mirror_mirror_2014.pdf

Executive Summary
The United States health care system is the most expensive in the world, but this report and prior editions
consistently show the U.S. underperforms relative to other countries on most dimensions of performance.

Among the 11 nations studied in this report—Australia, Canada, France, Germany, the Netherlands, New
Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States—the U.S. ranks last, as
it did in the 2010, 2007, 2006, and 2004 editions of Mirror, Mirror.

Most troubling, the U.S. fails to
achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last
or near last on dimensions of access, efficiency, and equity

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The only sure way to survive a canopy collision is not to have one.

[weekender 0]

from the report, "The Fund’s work focuses particularly on society’s most vulnerable, including low-income people,
the uninsured, minority Americans, young children, and elderly adults."

at least we know their motivation and why they published this report.

I'd say the US is very bad at access to healthcare. I would also venture to say we have great healthcare for those who can afford it. arguably the best, again, for those who have access.

we should probably find a better balance. i doubt we can ever find that without eroding the quality of care on the top. thats a hard sell for those who feel they are paying their share and deserve the best.

"The point is, I'm weird, but I never felt weird."
John Frusciante

[rushmc 23]

Ah,....... Ok


http://www.nationalreview.com/agenda/230340/commonwealth-fund-rags-u-s-health-care/avik-roy



typical of you too

Quote

The study is typical of the genre: drawing conclusions that are not warranted by the data; failing to account for alternative (and more plausible) explanations; and using flawed methodologies. The point of view of the authors is clear: in the first paragraph of the report, they write that “newly enacted health reform legislation in the U.S. will start to address these problems by extending coverage.” But they do their cause no favors with such a tendentious report.

First of all, the authors attempt to assess the quality of U.S. and international health care systems not with hard data, but with subjective surveys. The survey assessed the effectiveness of health care by asking patients and physicians questions like: “Did you receive reminders for preventive and/or followup care?” and “Do you believe a medical mistake was made in your treatment or care in the past 2 years?”

While it is interesting to look at such surveys, it is simply not serious to draw hard conclusions from them. U.S. consumer culture is famously more demanding than that of other developed countries; while Americans still defer to their doctors and pharmacists, they do so appreciably less than Europeans do. They are more likely to suspect error, and far more likely to sue if they believe an error has been made. An international poll that does not even attempt to normalize for these cultural differences is not informative

"America will never be destroyed from the outside,
if we falter and lose our freedoms,
it will be because we destroyed ourselves."
Abraham Lincoln

[kallend 2,175]

rushmc

Ah,....... Ok


http://www.nationalreview.com/agenda/230340/commonwealth-fund-rags-u-s-health-care/avik-roy



typical of you too

Quote

The study is typical of the genre: drawing conclusions that are not warranted by the data; failing to account for alternative (and more plausible) explanations; and using flawed methodologies. The point of view of the authors is clear: in the first paragraph of the report, they write that “newly enacted health reform legislation in the U.S. will start to address these problems by extending coverage.” But they do their cause no favors with such a tendentious report.

First of all, the authors attempt to assess the quality of U.S. and international health care systems not with hard data, but with subjective surveys. The survey assessed the effectiveness of health care by asking patients and physicians questions like: “Did you receive reminders for preventive and/or followup care?” and “Do you believe a medical mistake was made in your treatment or care in the past 2 years?”

While it is interesting to look at such surveys, it is simply not serious to draw hard conclusions from them. U.S. consumer culture is famously more demanding than that of other developed countries; while Americans still defer to their doctors and pharmacists, they do so appreciably less than Europeans do. They are more likely to suspect error, and far more likely to sue if they believe an error has been made. An international poll that does not even attempt to normalize for these cultural differences is not informative

So the Republican National Review doesn't like the facts. Pretty much what I'd expect for the mouthpiece of the GOP.

...

The only sure way to survive a canopy collision is not to have one.