Compared to nine other high-income countries, the U.S. came in last or next to last in four of five broad areas.
Given its collective wealth, technologic sophistication, and spending, the United States should lead, not lag, the world in its healthcare performance. But based on 70 performance measures across five domains — access to care, health outcomes, administrative efficiency, care process, and equity — the United States came in last overall and last or next to last in four of these five broad areas of performance when compared to nine other high-income countries.
states lag international comparators like France, Germany, the United Kingdom, and Australia. To move the United States from laggard to leader will require significant — but doable — changes in its healthcare system, including closing remaining gaps in insurance coverage, limiting debilitating out-of-pocket-expenditures, and reviving its failing primary care capabilities., MD, is a professor of practice of public health and health policy at the Harvard T.H. Chan School of Public Health.
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