Misleading World Health Rankings

(Sorry to disappoint the far Left that perversely revels in decrying our superior health system. But, Obamacare could well make their wishes come true) jsk

By Sally C. Pipes
Wall Street Journal, February 5, 2013

Misleading World Health Rankings

The federally chartered Institute of Medicine issued a comprehensive report last month on the state of American health. Saying that, “Other high-income countries outrank the United States on most measures of health,” the report concluded that the US “is among the wealthiest nations in the world, but it is far from the healthiest.”

To fix this state of affairs, the authors called on America’s leaders to consider “policies that countries with superior health status have found useful and that might be adapted for the United States.” But the institute’s report doesn’t tell the whole story. Its key measurements aren’t directly related to the quality of American health care.

In truth, health care in the US continues to be the envy of the world. The study looked at 13 developed countries in Europe, along with Australia, Japan, Canada and the US. It found that Americans suffer from higher rates of several diseases—including HIV/AIDS, heart disease and diabetes and rank near the bottom in some common measurements of public health. Consider life expectancy. The US was ranked last for men with an average 75.64 years compared with 79.33 in top-ranked Switzerland and second-to-last for women at 80.68 years, compared with 85.98 in top-ranked Japan.

Lower life expectancy is less than ideal but, its also not a good measure of a country’s health care. In fact, the study’s lead author, Virginia Commonwealth University Family Medicine Professor Steven Woolf, recently told reporters that fife expectancy and other noted health outcomes are determined “by much more than health care.” He added: “Much of our health disadvantage comes from factors outside of the medical system and outside of what doctors and hospitals can do.”

For instance, a comparatively high rate of fatal car accidents and murders in the U.S. diminishes overall life expectancy. Another major gauge of health is infant mortality. As the report’s authors point out, the U.S. has the highest infant-mortality rate among high income countries. Again, this isn’t a good indicator of the quality of the American health care system. The elevated US rate is a function of both the technological advancement of American hospitals and discrepancies in how different countries defines live birth.

Doctors in the US are much more aggressive than foreign counterparts about trying to save premature babies. Thousands of babies that would have been declared stillborn in other countries and never given a chance at life are saved in the US. As a result, the percentage of pre-term births in America is exceptionally high – 65% higher than in Britain, and about double the rates in Finland and Greece.

Unfortunately, some of the pre-mature babies that American hospitals try to save don’t make it. Their community deaths inflate the overall infant mortality rate. But most premature babies are saved, largely because America’s, medical research community is exceptionally innovative.

There’s a laundry list of modem medical advancements used to treat a premature baby: suction devices to clear the baby’s mouth and lungs of amniotic fluid, miniature catheters to deliver vital fluids and medications, and emergency incubators equipped with sophisticated temperature regulation technologies. Thanks to such technologies, the US neo-natal mortality rate has dropped to just 5% today from 95% in the 1960s.

The Institute of Medicine report ignores one of America’s chief health care assets: the country’s superiority in medical innovation. American researchers are responsible for a disproportionate number of break through medicines and procedures. Scientific research conducted in the US contributed to at least 20 of the top 27 diagnostic and therapeutic advances of the last 40 years, according to a 2009 study for the Cato Institute economist Glen Whitman and physician Haymond Raad. The European Union and Switzerland contributed to just 14 of those breakthroughs.

This American strength may soon be diminished by ObamaCare. The law saddles the pharmaceutical industry with $28 billion in new taxes through 2019. As of Jan. 1, medical-device firms must pay a 2.3% tax on sales. The tax is projected to extract as much as $29 billion over 10 years. That is money that can’t go to research and development. Several top device firms, including Stryker, Zimmer, Welch-Allen and Covidian have already announced cutbacks in research investments.

Make no mistake—there is plenty of work to be done in improving American health. But the statistics in the Institute of Medicine report don’t reflect flaws in the US health-care system. Sustaining a superior level of medical innovation will do far more to improve Americans’ health than adopting the health care policies from overseas.

Ms. Pipes is president, CEO and fellow in health care studies at the Pacific Research Institute. Her latest book is “The Pipes Plan: The Top Ten Ways to Dismantle and Replace Obamacare”
(Regnery, 2012).

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