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Spinoff: The Commonwealth Fund Healthcare 2017 rankings. US basically ranked last

Posted on 7/19/17 at 1:05 pm
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/19/17 at 1:05 pm
The Commonwealth Fund Healthcare 2017 Rankings

Just came out recently, and the US is ranked 10-11 out of 11 European countries/Canada.

I know this is a totally bogus study. Will anyone here dispute that?
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69307 posts
Posted on 7/19/17 at 1:07 pm to
These studies tend to put a lot of weight on "fairness", so they are basically bunk.
Posted by TBoy
Kalamazoo
Member since Dec 2007
23728 posts
Posted on 7/19/17 at 1:07 pm to
Looks about right.
Posted by TigerDoc
Texas
Member since Apr 2004
9904 posts
Posted on 7/19/17 at 1:08 pm to
Unless you care about fairness.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422585 posts
Posted on 7/19/17 at 1:09 pm to
quote:

These studies tend to put a lot of weight on "fairness", so they are basically bunk.

exactly

also they seem to judge "access" highly but don't include things like "extreme waiting times" as part of "access"
Posted by Loserman
Member since Sep 2007
21912 posts
Posted on 7/19/17 at 1:09 pm to
quote:

Just came out recently, and the US is ranked 10-11 out of 11 European countries/Canada. I know this is a totally bogus study. Will anyone here dispute that


So basically this report means Obamacare sucks! Right?
Posted by el Gaucho
He/They
Member since Dec 2010
53018 posts
Posted on 7/19/17 at 1:09 pm to
what was the category? Best at treating stab wounds?
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422585 posts
Posted on 7/19/17 at 1:09 pm to
quote:

Unless you care about fairness.

that shouldn't be a factor in ranking healthcare systems

"fairness" is getting into things like coverage and access and not the quality of the actual outcomes
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69307 posts
Posted on 7/19/17 at 1:10 pm to
quote:

Unless you care about fairness.
It seems like an odd thing to care about when measuring how "effective" treatment is in america.

Ask Charlie Gard about fairness.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/19/17 at 1:10 pm to
quote:

Unless you care about fairness


What is fairness? And who defines it?
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422585 posts
Posted on 7/19/17 at 1:13 pm to
yeah these rankings merge "healthcare" and "government"

you have to make the assumption that the 2 concepts should be intertwined in order to effectively rank the systems

which really only makes sense if that will benfit your system, ie, you already have an intertwined public insurance system
Posted by Scruffy
Kansas City
Member since Jul 2011
72129 posts
Posted on 7/19/17 at 1:13 pm to
quote:

Unless you care about fairness.
Subjective measures should not be used to evaluate systems like healthcare.

Posted by TigerDoc
Texas
Member since Apr 2004
9904 posts
Posted on 7/19/17 at 1:13 pm to
quote:

"fairness" is getting into things like coverage and access and not the quality of the actual outcomes


Yes. And that's important too.

They rank quality as well and there we're 5th of 11, same as we were in '14.
Posted by Kino74
Denham springs
Member since Nov 2013
5344 posts
Posted on 7/19/17 at 1:14 pm to
quote:

I know this is a totally bogus study. Will anyone here dispute that?


The grading criteria is suspect. The US has a high mortality rate yet we also have a high homicide and suicide rate. Quality of care or access to care grading criteria will not address those incidents. The other missing grading is what constitutes child mortality which the us has a very liberal standard versus other nations.

Find it odd that the country with the highest drug research and surgical methods is ranked lower. Personal care is out the door for government doctrine and many of these studies are disingenuous at best.

Posted by MSMHater
Houston
Member since Oct 2008
22775 posts
Posted on 7/19/17 at 1:21 pm to
The CommonWealth Fund has never attempted to really hide who they are and what they want.

They were a favorite of my grad school professors to reference and assign papers for policy discussion. They want access and equity above all. We're not very good at those b/c, you know, capitalism and all. But the theme of their data and conclusions has been consistent since I was in school 9+ years ago. I wholeheartedly disagree with alot of their positions, much to the chagrin of certain professors, but they aren't deceptive, IMO.


This post was edited on 7/19/17 at 1:23 pm
Posted by JT
Lake Charles
Member since Jan 2006
377 posts
Posted on 7/19/17 at 1:23 pm to
No system is perfect but there is no other country that has better trained doctors overall and better treatment outcomes overall, especially for cancer. And yes, we do a very large percentage of all the world's meaningful medical research. And yes, we do subsidize drug prices for the rest of the world.

If the US health industry disappeared overnight, the next day would see innovation grind to a halt and drug prices go through the roof for these "superior" health care systems.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69307 posts
Posted on 7/19/17 at 1:23 pm to
So, isn't this sort of an indictment of the ACA?

The left used to love to cite these "rankings" back in the early 2000s
Posted by MSMHater
Houston
Member since Oct 2008
22775 posts
Posted on 7/19/17 at 1:24 pm to
quote:

So, isn't this sort of an indictment of the ACA?

The left used to love to cite these "rankings" back in the early 2000s


It would mean the ACA hasn't changed their opinion of the system. I was reading CommonWealth Fund papers while the ACA was in development, and their conclusions were the same as they are now. They were big believers in the WHO rankings at the time, and use alot of the same measures.
This post was edited on 7/19/17 at 1:26 pm
Posted by TigerDoc
Texas
Member since Apr 2004
9904 posts
Posted on 7/19/17 at 1:32 pm to
In a way, it's an indictment, if you judge ACA by the standard of giving us an elite health care system. It was a pragmatic attempt to move the US toward universal coverage (it did expand access) and reduce the cost of healthcare spending growth (which happened at first and is creeping back up). No one in the healthcare world thinks of it as an ideal. It's generally seen as progress though flawed and in need of revisions. Obama himself concedes as much.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422585 posts
Posted on 7/19/17 at 1:33 pm to
quote:

progress though flawed and in need of revisions


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