To: Brumar89 who wrote (920363 ) 2/10/2016 7:14:35 PM From: Wharf Rat Read Replies (1) | Respond to of 1575845 Here's some good news... we're 11th best in heath care. OTH, only 11 countries in the study. OTH, it's before the full implementation of Obamacare. OTH, Cuba's not there, or we might be 12th. OTH, Canada is there, so no need for MM to go to Cuba. Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally The United States health care system is the most expensive in the world, but this report and prior editions consistently show the U.S. underperforms relative to other countries on most dimensions of performance. Among the 11 nations studied in this report—Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States—the U.S. ranks last, as it did in the 2010, 2007, 2006, and 2004 editions of Mirror, Mirror. Most troubling, the U.S. fails to achieve better health outcomes than the other countries, and as shown in the earlier editions, the U.S. is last or near last on dimensions of access, efficiency, and equity. In this edition of Mirror, Mirror , the United Kingdom ranks first, followed closely by Switzerland (Exhibit ES-1). The most notable way the U.S. differs from other industrialized countries is the absence of universal health insurance coverage.5 Other nations ensure the accessibility of care through universal health systems and through better ties between patients and the physician practices that serve as their medical homes. The Affordable Care Act is increasing the number of Americans with coverage and improving access to care, though the data in this report are from years prior to the full implementation of the law. Thus, it is not surprising that the U.S. underperforms on measures of access and equity between populations with above- average and below-average incomes.commonwealthfund.org