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Politics : A US National Health Care System?
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To: Road Walker who wrote (11333)11/16/2009 1:38:09 PM
From: TimF  Read Replies (1) of 42652
 
But yes many of the studies rank the "system" which means that those who don't get much care drag down the "system performance".

Those who don't get much care might reasonably lower the ratings for a country. But equality itself should not be part of the measurement.

To demonstrate the point I'll imagine you could consider health care quality as one simple number.

Suppose country X, has a rich people who all get quality 10, and poor people who all get quality 2. Now imagine you increase the quality for the rich people to 100, and you increase the quality for the poor to 2.2. Every single person is better off (and that does help the score on the 1/3rd related directly to quality), but the equality score goes down, in this case it would go down by a lot (since quality for the poor increased by 1/10th, while for the rich it increased by 10x, or 100 times more). You would likely get worse final scores even though not just overall quality, but quality for every single individual improved.

Which isn't to say that you should not take in to account those on the bottom, they should be measured as well. But you should count their situation/stats/quality and add them in to the equation (as the WHO study does) without also measuring inequality directly and counting it as a factor (which the WHO study also does). Improvements for any person or group of people should either not effect the score (if their insignificant), or they should improve it.
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