The Commonwealth Health System Study in Context: Will it Prompt Meaningful Action in the U.S.?

Keckley Report September 23, 2024
Paul Keckley

Last Thursday, the Commonwealth Fund released its assessment of how the U.S. health system compares to other developed systems of the world. The title says it all: Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System.

Commonwealth researchers analyzed the performance of health systems in 10 countries (Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom and the United States) applying 70 measures along 5 dimensions (access to care, care process, administrative efficiency, equity, and health outcomes) to compare and contrast. They concluded:

“The top three countries are Australia, the Netherlands, and the United Kingdom, although differences in overall performance between most countries are relatively small. The only clear outlier is the U.S., where...

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