U.S. Ranks Last in Health Care System International Survey

The United States (U.S.) health system ranks poorly compared to peer countries.  According to a report released this week from the Commonwealth Fund, the U.S. health care system ranks last among 11 industrialized countries.  The United Kingdom ranks first.  “Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally” incorporates data from three surveys (covering patients, doctors and adults over 18) and health outcomes data from the World Health Organization (WHO) and Organization for Economic Cooperation and Development (OECD) for Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom and the U.S.

According to the report, “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.”

The U.S. ranks last for cost-related problems (people reporting skipping some type of recommended care because of the price), efficiency (total spending on administrative costs) and equity (the quality of care received does not vary because of characteristics such as income or where an individual lives).  The U.S. ranks third on effective care, which represents care being delivered according to recommended guidelines.

Click here to read and download the report: Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally

Read additional coverage on the report:

Coverage by USA TODAY

Coverage by the LA Times

Coverage by CBS News


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