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In reply to the discussion: Who Wants To Cut Their Healthcare Costs By 20% Instantly [View all]FBaggins
(28,613 posts)The metrics they use make your claim somewhat circular. For instance, the fact that high costs make quality care unaffordable for many lowers our WHO ranking, but isn't really a measure of the quality of care if you can afford to pay for it. In fact, the fairness of expenditures and distribution of care are a big part of how they run their rankings. That distorts any evaluation of the quality of the care itself.
Also, outcomes are impacted by more than just quality of care. So, for instance, Americans tend to be more likely to die or be injured in car accidents. That doesn't speak to the healthcare system directly, but the impact on life expectancy has a negative impact on some of the metrics that feed their rankings. Similarly, the American diet has a significant impact on health outcomes that also drags on measures of health quality... despite the fact that the care provided may be exceptional.