
"A higher-earning person in the U.S. is more likely to meet cost barriers than a low-income person in the U.K.," said the Commonwealth Fund's senior vice president for policy and research Eric Schneider, M.D. (Photo: Joe Brusky/Flickr/cc)
Among Wealthiest Nations, US Healthcare System Comes in Dead Last
"The United States spends far more on healthcare than other high-income countries. Yet the U.S. population has poorer health than other countries."
No, in turns out, the United States does not have the "best healthcare system in the world."
In the midst of a deeply unpopular attempt by the Republican Party to pass legislation that could leave 22 million more Americans uninsured and as support for Medicare for All soars, a new analysis published on Friday by the Washington-based Commonwealth Fund finds that the U.S. healthcare system currently ranks last among 11 other advanced countries in healthcare outcomes, access, equity, and efficiency.
"Your level of income defines the healthcare you receive far more in the United States than in other wealthy nations."
--Commonwealth Fund
The U.S. "fell short" in almost every domain measured, the Commonwealth Fund's senior vice president for policy and research Eric Schneider, M.D., told the New Scientist.
The study examines the healthcare systems of the U.S., the United Kingdom, France, Sweden, and several other nations, utilizing surveys of physicians and patients as well as data accumulated by the World Health Organization (WHO) and the Organization for Economic Cooperation and Development (OECD).
The report's conclusion echoes those of previous studies, which have indicated that despite spending far more on healthcare than other advanced nations, the U.S. continues to lag behind in a variety of measures, from infant mortality rate to overall life expectancy.
Schneider and his co-authors--Dana Sarnak, David Squires, Arnav Shah, and Michelle Doty--observed that "[t]he U.S. healthcare system is unique in several respects. Most striking: it is the only high-income country lacking universal health insurance coverage."
The researchers went on to summarize their findings:
The United States spends far more on healthcare than other high-income countries, with spending levels that rose continuously over the past three decades. Yet the U.S. population has poorer health than other countries. Life expectancy, after improving for several decades, worsened in recent years for some populations, aggravated by the opioid crisis. In addition, as the baby boom population ages, more people in the U.S.--and all over the world--are living with age-related disabilities and chronic disease, placing pressure on health care systems to respond.
Timely and accessible healthcare could mitigate many of these challenges, but the U.S. health care system falls short, failing to deliver indicated services reliably to all who could benefit.
As opposed to nations that guarantee healthcare to all, the authors concluded that Americans' ability to attain quality healthcare is almost entirely dependent on financial status.
"Your level of income defines the healthcare you receive far more in the United States than in other wealthy nations," the authors note.
While acknowledging that the Affordable Care Act (aka Obamacare) had much success in providing coverage to low-income Americans--particularly through the law's expansion of Medicaid--Commonwealth Fund President David Blumenthal, M.D., said the U.S. healthcare system is "still not working as well as it could for Americans, and it works especially poorly for those with middle or lower incomes."
Underscoring this point, the Commonwealth Fund's analysis noted that "in the U.S., 44 percent of lower income and 26 percent of higher income people reported financial barriers to care." In the U.K., these percentages are seven and four.
"A higher-earning person in the U.S. is more likely to meet cost barriers than a low-income person in the U.K.," Schneider observed.

The survey comes as the Senate GOP is currently scrambling to convince enough Republicans to vote for a bill that, if enacted, would drastically cut Medicaid, defund Planned Parenthood, and potentially cause the deaths of thousands.
Blumenthal concludes that while there are substantial and urgent problems with the healthcare status quo, the Republicans' legislative efforts would "certainly exacerbate these challenges as millions would lose access to health insurance and affordable healthcare."
We are at a crossroads
This country and this world are at a monumental crossroads. In a few short weeks, US voters will have an opportunity to beat back the forces of fascism and confront the billionaires who are rigging the economy, our media system, and our democracy, making it increasingly impossible for ordinary people to get by. We’re not just talking about the election. We’re talking about what must be done once these fascist elements are vanquished from power. We need a bolder set of solutions than what either major party has so far been willing to offer and a working-class movement ready to fight like hell for it. Trump didn't emerge from nowhere. The conditions that fueled MAGA authoritarianism were created by decades of radical neoliberal economic policies and a corrupt political system dominated by corporate interests. They slashed taxes on the super-rich, promising that the benefits would trickle down. They said giveaways to the corporate titans would make life more affordable for the rest of us. It was all bullshit. And when a bitter, betrayed populace searches for someone to blame, right-wing demagogues have little trouble finding scapegoats. People know when they're being lied to, but you won't hear any of this from the corporate media. Only independent journalism—powered and funded by people who believe in building a better world—can deliver truly trustworthy daily news. Our Fall Campaign is underway, and we need your help. To power our newsroom through the rest of the year, we need to raise $125,000 by midnight on October 31. So if you share our vision, please contribute whatever you can to sustain our work. |
No, in turns out, the United States does not have the "best healthcare system in the world."
In the midst of a deeply unpopular attempt by the Republican Party to pass legislation that could leave 22 million more Americans uninsured and as support for Medicare for All soars, a new analysis published on Friday by the Washington-based Commonwealth Fund finds that the U.S. healthcare system currently ranks last among 11 other advanced countries in healthcare outcomes, access, equity, and efficiency.
"Your level of income defines the healthcare you receive far more in the United States than in other wealthy nations."
--Commonwealth Fund
The U.S. "fell short" in almost every domain measured, the Commonwealth Fund's senior vice president for policy and research Eric Schneider, M.D., told the New Scientist.
The study examines the healthcare systems of the U.S., the United Kingdom, France, Sweden, and several other nations, utilizing surveys of physicians and patients as well as data accumulated by the World Health Organization (WHO) and the Organization for Economic Cooperation and Development (OECD).
The report's conclusion echoes those of previous studies, which have indicated that despite spending far more on healthcare than other advanced nations, the U.S. continues to lag behind in a variety of measures, from infant mortality rate to overall life expectancy.
Schneider and his co-authors--Dana Sarnak, David Squires, Arnav Shah, and Michelle Doty--observed that "[t]he U.S. healthcare system is unique in several respects. Most striking: it is the only high-income country lacking universal health insurance coverage."
The researchers went on to summarize their findings:
The United States spends far more on healthcare than other high-income countries, with spending levels that rose continuously over the past three decades. Yet the U.S. population has poorer health than other countries. Life expectancy, after improving for several decades, worsened in recent years for some populations, aggravated by the opioid crisis. In addition, as the baby boom population ages, more people in the U.S.--and all over the world--are living with age-related disabilities and chronic disease, placing pressure on health care systems to respond.
Timely and accessible healthcare could mitigate many of these challenges, but the U.S. health care system falls short, failing to deliver indicated services reliably to all who could benefit.
As opposed to nations that guarantee healthcare to all, the authors concluded that Americans' ability to attain quality healthcare is almost entirely dependent on financial status.
"Your level of income defines the healthcare you receive far more in the United States than in other wealthy nations," the authors note.
While acknowledging that the Affordable Care Act (aka Obamacare) had much success in providing coverage to low-income Americans--particularly through the law's expansion of Medicaid--Commonwealth Fund President David Blumenthal, M.D., said the U.S. healthcare system is "still not working as well as it could for Americans, and it works especially poorly for those with middle or lower incomes."
Underscoring this point, the Commonwealth Fund's analysis noted that "in the U.S., 44 percent of lower income and 26 percent of higher income people reported financial barriers to care." In the U.K., these percentages are seven and four.
"A higher-earning person in the U.S. is more likely to meet cost barriers than a low-income person in the U.K.," Schneider observed.

The survey comes as the Senate GOP is currently scrambling to convince enough Republicans to vote for a bill that, if enacted, would drastically cut Medicaid, defund Planned Parenthood, and potentially cause the deaths of thousands.
Blumenthal concludes that while there are substantial and urgent problems with the healthcare status quo, the Republicans' legislative efforts would "certainly exacerbate these challenges as millions would lose access to health insurance and affordable healthcare."
- 'We Need Medicare for All Yesterday': US For-Profit Healthcare Spending to Hit $7.7 Trillion | Common Dreams ›
- Opinion | It's Obvious the US Healthcare System Isn't Working, So Why Not Try Medicare for All? | Common Dreams ›
- Report Highlights 'Uniquely Poor Performance' of US For-Profit Health System Compared to Others | Common Dreams ›
No, in turns out, the United States does not have the "best healthcare system in the world."
In the midst of a deeply unpopular attempt by the Republican Party to pass legislation that could leave 22 million more Americans uninsured and as support for Medicare for All soars, a new analysis published on Friday by the Washington-based Commonwealth Fund finds that the U.S. healthcare system currently ranks last among 11 other advanced countries in healthcare outcomes, access, equity, and efficiency.
"Your level of income defines the healthcare you receive far more in the United States than in other wealthy nations."
--Commonwealth Fund
The U.S. "fell short" in almost every domain measured, the Commonwealth Fund's senior vice president for policy and research Eric Schneider, M.D., told the New Scientist.
The study examines the healthcare systems of the U.S., the United Kingdom, France, Sweden, and several other nations, utilizing surveys of physicians and patients as well as data accumulated by the World Health Organization (WHO) and the Organization for Economic Cooperation and Development (OECD).
The report's conclusion echoes those of previous studies, which have indicated that despite spending far more on healthcare than other advanced nations, the U.S. continues to lag behind in a variety of measures, from infant mortality rate to overall life expectancy.
Schneider and his co-authors--Dana Sarnak, David Squires, Arnav Shah, and Michelle Doty--observed that "[t]he U.S. healthcare system is unique in several respects. Most striking: it is the only high-income country lacking universal health insurance coverage."
The researchers went on to summarize their findings:
The United States spends far more on healthcare than other high-income countries, with spending levels that rose continuously over the past three decades. Yet the U.S. population has poorer health than other countries. Life expectancy, after improving for several decades, worsened in recent years for some populations, aggravated by the opioid crisis. In addition, as the baby boom population ages, more people in the U.S.--and all over the world--are living with age-related disabilities and chronic disease, placing pressure on health care systems to respond.
Timely and accessible healthcare could mitigate many of these challenges, but the U.S. health care system falls short, failing to deliver indicated services reliably to all who could benefit.
As opposed to nations that guarantee healthcare to all, the authors concluded that Americans' ability to attain quality healthcare is almost entirely dependent on financial status.
"Your level of income defines the healthcare you receive far more in the United States than in other wealthy nations," the authors note.
While acknowledging that the Affordable Care Act (aka Obamacare) had much success in providing coverage to low-income Americans--particularly through the law's expansion of Medicaid--Commonwealth Fund President David Blumenthal, M.D., said the U.S. healthcare system is "still not working as well as it could for Americans, and it works especially poorly for those with middle or lower incomes."
Underscoring this point, the Commonwealth Fund's analysis noted that "in the U.S., 44 percent of lower income and 26 percent of higher income people reported financial barriers to care." In the U.K., these percentages are seven and four.
"A higher-earning person in the U.S. is more likely to meet cost barriers than a low-income person in the U.K.," Schneider observed.

The survey comes as the Senate GOP is currently scrambling to convince enough Republicans to vote for a bill that, if enacted, would drastically cut Medicaid, defund Planned Parenthood, and potentially cause the deaths of thousands.
Blumenthal concludes that while there are substantial and urgent problems with the healthcare status quo, the Republicans' legislative efforts would "certainly exacerbate these challenges as millions would lose access to health insurance and affordable healthcare."
- 'We Need Medicare for All Yesterday': US For-Profit Healthcare Spending to Hit $7.7 Trillion | Common Dreams ›
- Opinion | It's Obvious the US Healthcare System Isn't Working, So Why Not Try Medicare for All? | Common Dreams ›
- Report Highlights 'Uniquely Poor Performance' of US For-Profit Health System Compared to Others | Common Dreams ›

