Lorenia posted a funny video about the United States health care system being ranked #37. I briefly looked at The world health report 2000 – Health systems: improving performance. It is a 1.73MB PDF.

I’d like to better understand both the claims that the United States has the best or 37th best health care system in the world. Unfortunately the WHO report is 200 pages and has more about car crash deaths in the United States than what they mean by responsiveness level (25% of the overall level of health). Responsiveness appears to be dependent upon expectation, so we could all just stop complaining about wait times, autonomy, and not want our own hospital rooms to improve our ranking.

Except the WHO might not produce any more reports after this first one because it was too complex compiling the first one. Charts compare  1990 through 1999, so really the United States was ranked 37th in the 90s. The age of this number bothers me. How have reforms in the United States and worldwide changed the number? Let’s assume no change, do proponents of United States health care reform really expect their favorite bills to get us a better ranking than 33rd in 2015 once this is fully implemented?

There is also the Commonwealth Fund 2006 report placing the United States dead last among 5 industrial nations regarding health care. Their donor page shows millions invested in the CF to improve health care in the United States and New York. Seems a little myopic for an organization funded to improve health care to say health care needs improving.

Does the United States have health care issues? Sure. In my opinion the real problems is all this talking without something like Baha’i consultation (everyone participates, objectivity, detachment, unity). Similar to research indicating workers without the ability to make decisions experience more stress, patients and doctors without autonomy get stressed. Instead we have explicit policies creating a incomprehensible environment where people are hurt inadvertently because systems are cold and uncaring.