NHS ranked 'number one' health system

[McFuu]

http://www.bbc.co.uk/news/health-40608253



This has to be a joke. When i had to use it couple of times, this fucking shit for my son it was a disaster. Worst experience I have ever endured.

Dead people can't turn in negative surveys.

[Deleted]

Only babies dying of incurable conditions.

Every baby has an incurable condition when the doctors want to kidnap them.

[Deleted]

Only ever had good experiences with the NHS, but i don't see how it can be rated no1 when that study only looked at like 11 places

[JohnBrown1917]

What does that even mean?

The NHS is obviously run by child smuggling child kidnappers.

[Kellhound]

I wonder how much he'd complain if he used the freedomland version. "do you have 500k, or just go die wherever"

I have never had an issue with US medical care, except for government provided care.

[Deleted]

What does that even mean?

It means they're getting ahead of themselves. Unless you've been living under a rock you have been aware of the other cases where they've just decided to do as they please.

[Teleros]

This has to be a joke. When i had to use it couple of times, this fucking shit for my son it was a disaster. Worst experience I have ever endured.

It's impressive what results you can get if you just torture the data enough.

Okay, here's the details: http://www.commonwealthfund.org/inte.../mirror-mirror

Note that for *outcomes* the UK ranks 10th, and the USA 11th. The UK leads in equity (meaning the same outcomes for rich & poor) and the care process, meaning basic (though by no means trivial) stuff like seeing the same doctor regularly etc. It's 3rd for access and administrative efficiency, but some of that is suspect: for example, the NHS will "see" you in A&E by sending a nurse out to get your details etc, which means you've been "seen" within the X hour window, according to the paperwork. The UK also had no data on whether a lot of time was spent on paperwork or bill-related disputes.

Similarly, you'd expect the results for complaints about insurance admin issues to be low in the UK, because few people (maybe 10% of the population?) use private healthcare or even insurance-based government healthcare, as in Germany etc. That will artificially improve the UK's score relative to other countries.

What else... check out the sample sizes in Appendix 7. 5,000 in Sweden, but only 379 in New Zealand, or 1,116 in the USA, for older adults. You're telling me that's not going to skew things a bit?

= + =

There's a lot more to go through, but basically, you probably want to see a US doctor for a good outcome*, but a British one for long-term care.

*The USA gets the worst score for healthcare outcomes, but let's look at all the data a minute:

Colon cancer: joint 3rd.
Breast cancer: joint 1st.
Ischemic stroke: 1st by a country mile.
Myocardial infarction: 3rd.

11th place (by a long way) on 10-year decline in healthcare-amenable mortality.
11th place (by a fair way) on deaths per 100,000 that are amenable to healthcare.

11th place on infant mortality.
11th place (by miles) on working age adults with 2/5 chronic conditions.
11th place on life expectancy at 60.

Now, why might the USA be worst on the list when it comes to infant mortality, say? Well, it's generally accepted that the US has some of the best doctors & hospitals in the world, so they're going to get saddled with the worst cases. Similarly, we know the US has a big fat problem with obesity, so lots of people with chronic conditions shouldn't be a shocker, nor should the slightly lower life expectancy at 60 be one.

Finally, the report doesn't go into the why of any of this. It just reports the number of infant deaths per 1,000 live births, or whatever. Unless you look into the details, it can seem quite bad. For example:

WaPo article that points out that the US records extremely preterm births as live births, whereas many others report them as stillborn. There's also a significant wealth gap, though whether that's due to wealth or whether the wealth is merely an indicator of something else (like a healthier lifestyle etc) is not gone into.

[JohnBrown1917]

I have never had an issue with US medical care, except for government provided care.

Good thing these kind of things are not based on anecdotal evidence.

[Knolan]

Okay, I have to ask... how expensive is insurance in US?

I am from a third world country, I have insurance and I can get a specialist appointment in about two weeks and the ER wait time for non threatening diseases is about 3 hours (I had food poisoning earlier this year and waited about that). The time I had appendicitis I waited five minutes at most.

Looking at those reports it almost seems that the treatment I have access to is better than the people in some first world countries. Don't get me wrong, if I had to rely on the public system I would be fucked, big time. But at least here I have the option to pay for an insurance.

[Kellhound]

Good thing these kind of things are not based on anecdotal evidence.

Depends on how they are determined.

[JohnBrown1917]

Depends on how they are determined.

Amount of people insured, price and how many people it bankrupts are huge parts of it, i'd say. But ye, 1 person is hardly worth anything in these studies.

[Deleted]

Sure the US is bottom. Or does anyone really want to pretend capitalism is able to create a universal healthcare that actually helps everyone?

No it isnt. Capitalism fails when it is about social services.

Actually it needs a basic health insurance for everyone, controlled by the state.

[Kellhound]

Amount of people insured, price and how many people it bankrupts are huge parts of it, i'd say. But ye, 1 person is hardly worth anything in these studies.

That speaks to is efficiency, not its effectiveness or quality.

[Deleted]

Living here in UK for 3 years. Had few cases of sudden allergic reactions during work:

- Straight to doctor
- Quick examination
- Given medicine
- Observation
- Given doctor excuse for entire day

Not to shabby.

[JohnBrown1917]

That speaks to is efficiency, not its effectiveness or quality.

This is not purely about quality. Its a waste if only the upper classes can benefit from it anyway.
Its about the system.


You can have the highest quality, but whats the point if a large amount can't afford any health care, which is only getting worse with the new changes?

[araine]

http://www.bbc.co.uk/news/health-40608253



This has to be a joke. When i had to use it couple of times, this fucking shit for my son it was a disaster. Worst experience I have ever endured.

perhaps trumpcare is more to your liking, shit coverage and the privilege to pay thousands of dollars even when you supposedly already have insurance from your work

[Kellhound]

This is not purely about quality. Its a waste if only the upper classes can benefit from it anyway.
Its about the system.


You can have the highest quality, but whats the point if a large amount can't afford any health care, which is only getting worse with the new changes?

The majority of Americans do not have an issue with medical costs preventing care.

[Dr Assbandit]

Okay, I have to ask... how expensive is insurance in US?

I am from a third world country, I have insurance and I can get a specialist appointment in about two weeks and the ER wait time for non threatening diseases is about 3 hours (I had food poisoning earlier this year and waited about that). The time I had appendicitis I waited five minutes at most.

Looking at those reports it almost seems that the treatment I have access to is better than the people in some first world countries. Don't get me wrong, if I had to rely on the public system I would be fucked, big time. But at least here I have the option to pay for an insurance.

My mum had rotator cuff repair surgery that came out to exactly 0 £. In the US, that same surgery will cost you 10'000 to 30'000 $ without insurance.

[baskev]

http://www.bbc.co.uk/news/health-40608253



This has to be a joke. When i had to use it couple of times, this fucking shit for my son it was a disaster. Worst experience I have ever endured.

......their dental plan proofs that is false....

and btw the bad straight from the article)

Only in one of the five themes looked at did the NHS perform poorly compared with the other nations - health outcomes. This covers general health of the population, early deaths and cancer survival among other measures.

So........your Health care is the best....It only sucks at the general health of the population, people die sooner and less likely to survive cancer...those are kinda not important ( sarcastic btw)

That saying something like you will not pay allot of money for your insurance for you car, the gas prise is very low. And it drives fast. But the brakes do not work correctly, the steering wheel is loose. And a tendency to pull to the right.

look at this one: https://www.theguardian.com/society/...his-is-the-nhs

And btw do you rank it by cost, by speed, by how old people get. Do you factor in how much they are sick. etc...
1 of my country's ( netherlands) is nr 3...and it also has allot of problems....

[JohnBrown1917]

The majority of Americans do not have an issue with medical costs preventing care.

And in countries with universal healthcare, its nobody.
But sure, continue to think fucking over people is okay because its a 'small minority'. Have fun with the new bill that'll increase that amount.


http://www.cnbc.com/2017/04/11/the-n...rter-2017.html

11% without insurance? Thats hardly small.