Clinton Huxley wrote:CES said...
The US, when you examine and remove these ideologically based factors from the WHO report, clearly moves to the top of the charts.
Students will gain extra marks for showing their working...
I showed quite a bit of work here:
http://www.rationalia.com/forum/viewtop ... 0#p1203320
Note, already, in the WHO's OA report, the US is among the top in the world - 15th, not 37th -- and that is even with the 25% of the study weighted to the "financial fairness" category, where the US is scored low. 15th out of about 192 countries. That's the Overall Attainment list. Is 15th on the list really any sort of evidence that the US needs to completely overhaul their system because they are delivering substandard healthcare? That is, of course, what we're told...
WHO officials make no bones about their desire to push countries in the direction of aiding the have-nots. They gave the controversial factors that reward socioeconomic fairness 62.5 percent weight, compared with only 37.5 percent for the broadly accepted factors of health level and responsiveness.
http://www.politifact.com/truth-o-meter ... lth-care-/
Tweak the weighting a little bit and a country such as the United States rises or falls in the rankings. For instance, judged on responsiveness alone, the United States ranked No. 1 in the world. A bigger weight for that factor — and a smaller weight for financial fairness, where the United States ranked 54th in the world — would have given the country a much higher ranking.
http://www.politifact.com/truth-o-meter ... lth-care-/
Meanwhile, Whitman also raised questions about the WHO's "overall performance" measure — the one in which a country's health ranking is adjusted for its education level and economic resources. (This is the category in which the United States finished 37th.) The implication from the WHO itself as well as subsequent news reports, Whitman wrote, "is that the United States performs badly ... despite its high expenditures." In fact, he writes, in the WHO's statistical model, America's first-in-the-world expenditures for health care actually hurt its ranking in overall performance by setting the theoretical bar it had to reach very high. "A more accurate statement is that the United States performs badly because of its high expenditures, at least in part," Whitman writes.
http://www.politifact.com/truth-o-meter ... lth-care-/
This bit is one of the most misrepresented parts of the WHO report -- we always here how the US spends so much AND YET DELIVERS WORSE CARE. But, obviously, the WHO study says nothing of the kind.
It should be obvious that when 25% of the study is weighted heavily in favor of a countries that have nationalized health care systems, that the US rank of 15th in Overall Attainment is artificially low. Do you dispute that? I can't say we'd go to number one, but we would certainly move towards the top of the charts. I may have used the word "to" improvidently in my last post.
Certainly, we can say that the rank of 37th, bandied about unquestioningly by skeptics for some reason, is bollocks.
Certainly we can say that the rank of 15th isn't too shabby overall, given that there are about 200 countries involved.
Certainly we can say that since 25% of that ranking is based on the US not having a national healthcare system, that if we removed that factor the US would most likely move up from 15th. If we were to say otherwise, we would be saying that the US system's financial fairness IMPROVES the US's score. Does anyone want to take that position?
Further, we know that 62.75% of the criteria of the WHO study hadn't approximately fuck all to do with the delivery of and quality of health care.
So, how valuable is the WHO study?