U.S. Healthcare Ranked Worst In The Developed World

The White House/Flickr/Public Domain

Of the eleven developed nations evaluated by the Commonwealth Fund, the United States comes in dead last on healthcare.

Every three years, the Commonwealth Fund releases a report ranking the healthcare systems of 11 of the world’s developed nation. And every three years, it seems, the United States comes in dead last.

Last released in 2017, the report showed for the sixth time that the U.S. healthcare system is in dire need of a makeover, citing the inequity of access as the most glaring problem.

The Commonwealth Fund focused on care process, access, administrative efficiency, equity and health care outcomes, studying 72 indicators within those fields. The 11 countries analyzed were Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom and the United States.

The report found that 44 percent of low-income Americans have trouble gaining access to coverage compared with 26 percent of high-income Americans.

The one area where the U.S. does shine?

In addition to ranking last or close to last in access, administrative efficiency, equity and health care outcomes, the U.S. was found to spend the most money on health care.

The glaring difference between the United States and its peer countries is the lack of universal healthcare coverage -- a system continuously rejected by America’s political establishment.

“To gain more than incremental improvement,..the U.S. may need to pursue different approaches to organizing and financing the delivery system,” the report reads. “These could include strengthening primary care, supporting organizations that excel at care coordination and moving away from fee-for-service payment to other types of purchasing that create incentives to better coordinate care. These steps should ensure early diagnosis and treatment, improve the affordability of care, and ultimately improve the health of all Americans.”

Though the next report is not due out until 2020, there is little reason to believe its findings will be much different.

After taking control of the federal government, Republicans have worked diligently -- if not quite successfully -- to dismantle the Affordable Care Act and whittle away at the number of Americans qualifying for Medicaid, largely through state-mandated work requirements.

And as reported earlier this month, President Donald Trump also recently signed an executive order that has the potential to impact the availability of healthcare coverage for low-income Americans.

Trump signed the Reducing Poverty in America by Promoting Opportunity and Economic Mobility executive order privately Tuesday, ordering secretaries across the government to review their welfare programs — from food stamps to Medicaid to housing programs — and propose new regulations, like work requirements.

The executive order calls on federal agencies to enforce current work requirements, propose additional, stronger requirements, and find savings (in other words, make cuts), and to give states more flexibility to run welfare programs.

Comments
No. 1-18
ScottW
ScottW

Thank you, @PamD! I thought they used the wrong picture, too. I found one that is more representative of the people who sabotaged any attempts to fix a faulty healthcare system.

PamD
PamD

This study was compiled for the years of...insert drum roll: "The Commonwealth Fund International Health Policy Surveys (2014, 2015, 2016) are nationally representative samples drawn at random from the populations surveyed. The 2014 and 2016 surveys sampling frames were generated using probability-based overlapping landline and mobile phone sampling designs and in some countries, federal registries; the 2015 survey was drawn from government or private company lists of practicing primary care doctors in each country." READ THE FULL REPORT! This is copied directly from the article. Who really belongs in this picture?

Ruffdesu
Ruffdesu

Because honestly, it's still their fault. Not Trump as much since he wasn't in politics, though in the Obama years he was a very vocal and strangely influential voice in the country. Here's a brief history of the marketplace style healthcare we have under the ACA.

Early forms of this plan were popular proposals by Republicans since the 80's as an alternative to universal healthcare. They proposed it in various forms over and over for decades as their reasonable compromise in opposition of calls for any universal system.

Then, during the second Bush Presidency, a version was introduced that would over many revisions be passed as the ACA. Many moderate Democratic congressmen supported it as the best we were likely to get. The original version of it was a lot better for people than what eventually passed, but we'll get to that.

During Obama's campaign, a reporter brought up his support of the bill and coined the term Obamacare. The term stuck, which was ridiculous, but likely helped Obama win as Healthcare has been a huge issue for so long. Unfortunately, that connection to Obama was detrimental to the bill. Obama wins and as President pushes Congress to pass this thing. The Demoncrats didn't have enough pull to pass it in it's best possible form on their own, however, and Republicans stripped away a lot and made it the broken system it would become before enough of them would vote in favor of passing it to be successful. They presented the damage they did to the bill as opposition to Obama to garner favor from their voters. Remember though, this was a bill that was originally theirs and one they should have been proud to pass in a successful form and would have garnered them so much more positive attention had they not been petty and and played up the opposition politics. They hurt their bill and passed a problematic healthcare law all so they could blame Obama for it.

Since Trump took office, they've tried repealing it but failed because it's still better than nothing and in the meantime Trump has worked to strip as much of it's function as he can though the financial and tax parts and legal challenges which do not require Congress to work.

This in a nutshell is why these long time congressmen are pictured in this and their current President sits there deserving blame for not actively working to do something to make it better. He's just continuing the policy of pettiness.

Daz
Daz

In the US, Healthcare is just another business the be plundered by the corporatocracy. You cannot make money out of healthy people but sick people can be held to ransom.

terrig1958
terrig1958

Prior to Nixon, healthcare in the US was non-profit. His decision to open it to "free trade" created the mess we have now!