The World Health Report 2000, Health Systems: Improving
Performance, ranked the U.S. health care system
37th in the world, a result that has been discussed frequently during
the current debate on U.S. health care reform and the passage of the PCAA.
Evidence shows that 36 other countries perform better than the US in ensuring
the health of their residents. The framework of the WHO rankings proposed
that health systems should be assessed by comparing the extent to which public
health and medical care were contributing to serious social objectives; such as
improving health, decreasing health disparities, guarding households from destitution
due to increasing medical expenses, and providing services that are responsive
and that respect the dignity of patients.
Many people the U.S. health arena claim
that international comparison is not useful because of the uniqueness of the
United States. With that said Murray;
etal. stated in 2010, “It is hard to ignore that in 2006, the United States was
number 1 in terms of health care spending per capita but ranked 39th for infant
mortality, 43rd for adult female mortality, 42nd for adult male mortality, and
36th for life expectancy.
These facts have fueled a question now being discussed in academic circles, as
well as by government and the public: Why do we spend so much to get so little?
Reference
Murry,
C., Phil, D., & Frenk, J. (2010, January 14). Ranking 37th — Measuring the
Performance
of the U.S. Health Care System. In The
New England Journal of Medicine.
Retrieved
June 4, 2013, from http://www.nejm.org/doi/full/10.1056/NEJMp0910064
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