Hacker News new | ask | show | jobs
by kp98 2355 days ago
Because America has some of the best healthcare outcomes in the world

https://en.wikipedia.org/wiki/List_of_countries_by_quality_o...

3 comments

Being in the top 10-15 is great. But that ranking comes with a price tag roughly double the other highest ranking nations. Not to mention the financial ruin and bankruptcies experienced by some survivors, and the financial pressure experienced by virtually everyone that has to engage heavily with our healthcare system.

And there are other metrics to consider. The US is 35th in life expectancy and falling farther behind. And we have notoriously bad rates of maternal and infant mortality compared to other wealthy nations.

I've heard before that it's a split distribution. The quality of healthcare & outcomes in the US is some of the worst in the world, if you are poor. It's some of the best in the world, if you are rich. Or so I've been told.

For example I was taught that a big part of why our maternal mortality is high, is because new mothers who are poor do not or cannot follow up with their doctor in the days after release from the hospital if something isn't right, e.g. when bleeding fresh blood instead of clotting. Visits to the doctor are expensive, and various barriers (such as language) may have prevented them from being educated on when to come back for help.

Absolutely. If you slice up the demographics in the right way you could find very large populations in the US that have among the best health outcomes anywhere in the world, such as the entirety of New England.
Im not saying it's good compared to other wealthy nations, the initial comparison was to the soviet union
Cancer and cardiovascular disease outcomes are a strange way to measure how much of the population is in poor health, especially when US life expectancy has fallen for three years straight, more than half the country is obese or overweight, and it has the highest infant mortality rate in the developed world. None of that even remotely implies good health.
Im not saying it is a great healthcare system, just that it isn't so bad as to be comparable to the soviet union. At any rate, life expectancy also seems like a strange way to measure the health care system. To measure the health of the general population sure, but we're talking about the healthcare system, and I don't think that those who actively destroy their bodies via drugs or junk food are giving us an accurate picture of the real efficacy of the system. That being said if you want to look at those deaths and say the healthcare system isn't doing enough for them - then fair enough. I would just look at something like decreasing life expectancy caused by suicides and opioids and say maybe this has something to do with wealth inequality rather than the efficacy of our healthcare.
As other commenters have pointed out, life expectancy is only one variable in measuring the quality of a healthcare system.

As an example, due to Europe's propensity for biking and walking relative to the US, that certainly has a positive effect on life expectancy.

Another example would be the high caloric diets of many Americans. This exists for historical reasons (see: the history of fried chicken and its relationship to the South) and for economic reasons (those in poverty disproportionately consume cheap and high-calorie diets).

Neither of these are related to the quality or availability of health coverage, but instead, are infrastructure / sociological issues.