Categories like the following:
access
efficiency
equity
healthy lives
don't measure the quality of healthcare. They measure how socialist it is, or they measure cultural issues that affect health.
The article doesn't explain how the other categories:
effective care
safe care
coordinated care
patient centered care
are measured. Furthermore, the last two sound like bogus measures that don't really measure the quality of the care.
The only thing that really measures the quality of healthcare: ie, how many people who go into the hospital with a health issue come out with a successful resolution. The United States beats every other country by far in that category - the only one that matters to the patient.
In short, your article is bullshit propaganda.
what it measures is ACCESS. if you can't OBTAIN health care, then it doesn't matter how effective, safe, coordinated or patient-centered the care is.
so yes, i'd choose columbia pres/ny hospital cornell over almost anything in the world if i needed a hospital (or mass general or johns hopkins, etc.) but if you earn $100,000 a year and your care is going to cost $300,000 then it doesn't matter how good the doctors are.
as for it meaning how many people who go to a doctor have a successful resolution, what else would you measure health care by some fantasmagircal make believe standard where you chant USA USA?
how about the right stop being defensive about the things we don't do well... and start solving problems?
oh right... that would mean thought, and a desire to solve those problems and actually govern.
never mind.
Well, let's just define "access", shall we? Today I had what is a very normal spread of calls for my typical workday.
1) There was the gentleman with the 1199/SEIU coverage (I absolutely cringe when I see that come up in the header) who wanted to know why his "very important; I need it to live" medication was going to cost him $260. I explained that it was a quite new drug, a brand-name without a generic equivalent, and because of its newness on the market, it currently appeared on his insurance provider's formulary as non-preferred, which would probably change when it had been around longer and the effects had been observed more. He informed me that that was "Crazy! How can a medication cost that much!" I told him that the medication actually costs quite a bit more, when you considered the part the insurance was covering, and that many brand-names cost more than that. He then asked, "Well, why is the insurance company making me pay so much of it? You don't understand, I NEED this drug, so why does it cost me so much?" I think you just answered your own question, dummy.
2) There was the gold-standard call - it wouldn't be my workday without at least one of these gems. Guy took his prescription for Cialis to the local pharmacy to be filled, and they filled it . . . for half the quantity it was written for. When he asked them why they didn't give him the full amount, they told him that the claim had been rejected by the insurance company for any quantity over what they gave him. I explained that his insurance company has a quantity exception for Cialis - which is the norm among insurance companies - and in order for them to pay for his full prescription, his doctor would have to request a prior authorization. He gave me the answer I could hear coming a mile away: "Where does the insurance company get off overruling my doctor and telling me what drugs I can take?" My standard, memorized response: "They aren't telling you what drugs you can take. You are welcome to purchase whatever quantity out of your own pocket that you like. They are, however, declining to pay for any more than this amount without your doctor explaining the clinical necessity for it." The hard truth is, if you turn over responsibility for paying your bills to someone else, you also turn over the right to dictate what you get to that payer.
3) Just recently, United Parcel Service's union renegotiated their contract, and they were forced to face the hard truth: there ain't no such thing as a free lunch. UPS is done giving their employees a platinum-plated free ride, and downgraded to gold plate instead. They imposed an incredibly nominal deductible, and a modest schedule of flat copayments depending on whether the drug is preferred, non-preferred or generic. When I say "modest", we're talking in the range of $5-10 for a 90-day supply of generic meds through the mail. Most of our members would kill to have their own policies be that inexpensive to them. Nevertheless, I have learned to cringe when I see UPS come up in the insurance header, too, because these people are INCENSED at the idea that they now are required to take on a VERY SLIGHTLY larger share of their own health costs. Don't even talk to me about premiums. Most of the people I talk to are on long-term medications like insulin, a cocktail of blood pressure and cholesterol pills, antidepressants and nerve medications, or all of the above. Their insurance companies are paying more for their meds every month than they are paying for their premiums, with no doubt.
Every single one of the people I talk to has "access" to medical care and medications; if they didn't, I wouldn't be talking to them, because my company is employed by their insurance companies. People without health insurance have no reason to call me at all. But THEY think they don't have access, because they are defining "access" as "I do squat and someone else provides everything for me because I deserve it".