With the continuing devolution of U.S. health care into at least a three tiered class structure, we are left with a number of questions as to why the U.S. with all of its wealth and power is so far down the list of top health care systems. It may perhaps be related to the growing transformation of the U.S. into “bananarepublichood,” where the growing gross disparity in income here leads to lack of access to care by large segments of the the population which adversely effects our overall averages in quality markers such as life expectancy and infant mortality. When you have a combination of the best and the worst features of a health care system your average necessarily drops precipitously.
A recent post in medicalbillingandcoding.org highlights features of 9 of the top health care systems in the world. Interestingly, none of these countries are English speaking nations, but predominately a mix of European, Scandinavian and Asian.