Despite Americans paying nearly double that of other nations, the US fares poorly in list of 10 countries

The United States health system ranked dead last in an international comparison of 10 peer nations, according to a new report by the Commonwealth Fund.

In spite of Americans paying nearly double that of other countries, the system performed poorly on health equity, access to care and outcomes.

“I see the human toll of these shortcomings on a daily basis,” said Dr Joseph Betancourt, the president of the Commonwealth Fund, a foundation with a focus on healthcare research and policy.

The fund said the US would need to expand insurance coverage and make “meaningful” improvements on the amount of healthcare expenses patients pay themselves; minimize the complexity and variation in insurance plans to improve administrative efficiency; build a viable primary care and public health system; and invest in social wellbeing, rather than thrust problems of social inequity onto the health system.

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    293 months ago

    My family and I moved from the US to Canada in the summer of 2023 and last week was the first time I had to make use my Services Card. I went to the ER in excruciating pain, had blood and urine labs done, a shot of pain killers then waited around (a long time) for a CT scan. The doctor said it might be a new record, but I had been bumped a few times by suspected stroke patients that came in, so totally understandable. Several hours later with a prescription slip in hand I exited the hospital. Easy as pie.

    For anyone who has never had the displeasure of experiencing an American hospital you can not understand how much simpler and less stressful and cheap the Canadian system is. I dont know what it would have cost me in the USA, probably whatever my insurance deductible was, but it certainly was not $0. That state of not knowing what all this is going to cost you, and how you will afford it, makes an already awful experience even worse. Not being harassed for money on the way out, never once discussing the cost of something with the DR was truly eye opening. Source