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Author: erikinthered100 Big red star, 1000 posts Old School Fool Add to my Favorite Fools Ignore this person (you won't see their posts anymore) Number: of 4250  
Subject: Re: PD: Health Care System Needs to be Fixed Date: 10/12/2012 3:46 PM
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Please provide a link wherein the UN Study was debunked.

Donna


Here's a detailed analysis of the 2000 WHO (World Health Organization, a division of the UN) report:


http://www.facs.org/fellows_info/bulletin/2009/wenger0709.pd...



It's a very thorough scholarly analysis of the criteria used for ranking different counties. It points out that only 2 of the 5 criteria used by the WHO are clinically based. In the words of the report,

"The remaining criteria (accounting for 62.5% of the health systems grade)are nonmedical socioeconomic pseudo-objective measures that look at inequality of the distribution of the health care services within a country. It would have been more valuable to have examined the quality of care received by each country's poorest citizens."

In other words, "inequality" is not a valid measure of a health system if it downgrades a country if some citizens receive excellent health care while the poorest citizens still receive very good health care.

The analysis also points out that criteria included in the "health level" grade are typically not related to the quality of the health care system - specifically life expectancy and infant mortality. Socioeconomic (lifestyle, genetics, etc.) factors are far more critical to life expectancy than the quality of a health care system. Infant mortality is inaccurately measured in many other countries (many infant deaths are not recorded) and the US is penalized for making heroic efforts to save extremely preterm infants.

In a nutshell, the rankings are bogus.


The article is actually an excellent overall analysis of the US health care system. It concludes that the US has a "very good" system but it could be better. It makes some excellent suggestions for reform which would decrease costs while maintaining quality. These include tort reform (citing research that it could lower overall costs 5-9%), tax reform (making ALL health care costs deductible for EVERYBODY) and health insurance reform (allowing purchase of insurance across state lines). It also recommends portability of health insurance and government subsidies for those who are chronically ill or uninsurable due to pre-existing conditions.


dave
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