To: Ilaine who wrote (83068 ) 6/28/2000 3:40:00 PM From: Daniel Schuh Read Replies (2) | Respond to of 108807
What argument is bogus? And who's making it a moral issue? If anything, I'd say it's an economic issue, somehow, the US manages to spend tons more and not have a lot to show for it relative to the rest of the world. The rest of Americans have better health care than any other country in the world. Then how come: The World Health Organisation (WHO) has nevertheless decided to take a stab at doing it. In its World Health Report 2000, published this week, the WHO ranks the health-care systems of 191 countries according to how well they perform on five measures. Among them is overall population health as determined by ?disability-adjusted life expectancy? (DALE), the number of years of good health that an average baby born in a given country in 1999 can expect in his or her lifetime. The study also rates the ?responsiveness? of health-care systems, according to how promptly they provide medical attention, how much choice they offer and how well they respect the confidentiality and autonomy of patients, as well as other ?consumer-oriented? criteria. . . . But there are surprises too. Colombia, which gets low marks for healthy life expectancy and health-care responsiveness, comes top for fairness of financial contribution: its government has worked hard over the past decade to revamp the health-insurance system to try to provide coverage for the country?s poorest. And while America?s health-care system is deemed the most responsive, it does badly when it comes to measures that reflect general population health, coming 24th in the DALE ranking and 54th, alongside Fiji, in how fairly the financial burden of health care is distributed. (http://www.economist.com/editorial/freeforall/current/st7716.html, includes non-responsive link to the WHO report) But we spend the most, anyway, so we're #1 in something. Cheers, Dan.