We ranked No. 1 out of ten for our health care system according to the US based Commonwealth Fund (This healthy nation’s fit for a fall 2/10). The ranking was based on combining 5 different measures. On access to health care we ranked ninth, just above the USA. Somehow, despite that appalling ranking, we ranked No,1 on equity. How could that be? The measure of equity this think tank uses is obviously grossly inadequate. We are clearly not number one, as the many patients struggling to access care, will attest.
In addition, we rated No.1 on health outcomes, another of the five measures. Health outcomes are hugely determined by the social determinants of health, the conditions in which we work, live, and play. These are not part of the health system.
Let’s not kid ourselves. Our health system needs reform.