Monday, the Commonwealth Fund released a report claiming the U.S. has the worst health-care system in the developed world, and Great Britain has the best. But a closer look reveals serious problems with the report’s methodology: The criteria seem deliberately designed to elevate socialized health care while ignoring the strengths of the U.S. system – in particular its high survival rates. For example, a woman diagnosed with breast cancer in the U.S. has an 89 percent chance of surviving it, higher than anywhere in Europe.
The Commonwealth Fund’s dubious conclusion ordinarily wouldn’t deserve comment. But Commonwealth’s work is partly to blame for our current predicament, struggling with Obamacare. Earlier versions of the report issued in 2004, 2006, and 2007 bamboozled some members of Congress into believing that health care is better in countries where government calls the shots. For example, in October of 2009, Senator Kent Conrad (D., N.D.) pointed to a large blue chart during a Finance Committee meeting showing the United States in last place in health performance. “All of these countries have much lower costs than we do,” Conrad said, “and they have higher-quality outcomes than ours.”
Commonwealth gives heavy weight to “equity,” meaning equal access to care, so on this measure countries with government-run systems by definition come out on top. Another criterion gives countries points when doctors say “it’s easy to print out lists of patients by diagnosis.” And countries are rewarded when patients are “routinely sent computerized reminder notices for preventive or follow-up care”; the U.S. lost points because it is more common here to telephone patients than e-mail them. Never mind that American women have a better chance of getting regular mammograms than do women in most other countries, a reason for America’s top breast-cancer survival rate.