Which Countries have the best Healthcare 

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Which Countries have the best Healthcare ?

Neither Canada nor Japan cracked the top 10, and the United States finished a dismal 35th, according to a much anticipated ranking of healthcare quality in 195 countries, released May 2017.

Among nations with more than a million souls, top honours for 2015 went to Switzerland, followed by Sweden and Norway, though the healthcare gold standard remains tiny Andorra, a postage stamp of a country nestled between Spain (No. 8) and France (No. 15).
Iceland (No. 2), Australia (No. 6), Finland (No. 7), the Netherlands (No. 9) and financial and banking centre Luxembourg rounded out the first 10 finishers, according to a comprehensive study published in the medical journal The Lancet.

Of the 20 countries heading up the list, all but Australia and Japan (No. 11) are in western Europe, where virtually every nation boasts some form of universal health coverage.
The United States—where a Republican Congress wants to peel back reforms that gave millions of people access to health insurance for the first time—ranked below Britain, which placed 30th.
 

The Healthcare Access and Quality Index,

based on death rates for 32 diseases that can be avoided or effectively treated with proper medical care, also tracked progress in each nation compared to the benchmark year of 1990.
Virtually all countries improved over that period, but many—especially in Africa and Oceania—fell further behind others in providing basic care for their citizens.
With the exceptions of Afghanistan, Haiti and Yemen, the 30 countries at the bottom of the ranking were all in sub-Saharan Africa, with the Central African Republic suffering the worst standards of all.

"Despite improvements in healthcare quality and access over 25 years, inequality between the best and worst performing countries has grown," said Christopher Murray, director of the Institute for Health Metrics and Evaluation at the University of Washington, and leader of a consortium of hundreds of contributing experts.

A warning sign

Furthermore, he added in a statement, the standard of primary care was lower in many nations than expected given levels of wealth and development.
The biggest underachievers in Asia included Indonesia, the Philippines, India and tiny Brunei, while in Africa it was Botswana, South Africa and Lesotho that had the most room for improvement. Regions with healthcare systems underperforming relative to wealth included Oceania, the Caribbean and Central Asia.
Among rich nations, the worst offender in this category was the United States, which tops the world in per capita healthcare expenditure by some measures.
Within Europe, Britain ranked well below expected levels.
"The UK does well in some areas, including cerebrovascular disease," noted co-author Marin McKee, a professor at the London School of Hygiene and Tropical Medicine. "But it lags behind in outcomes of some cancers."
The gap between actual and expected rating widened over the last quarter century in 62 of the 195 nations examined.
"Overall, our results are a warning sign that heightened healthcare access and quality is not an inevitable product of increased development," Murray said.

Between 1990 and 2015, countries that made the biggest improvements in delivering healthcare included South Korea, Turkey, Peru, China and the Maldives.
The 32 diseases for which death rates were tracked included tuberculosis and other respiratory infections; illnesses that can be prevented with vaccines (diphtheria, whooping cough, tetanus and measles); several forms of treatable cancer and heart disease; and maternal or neonatal disorders.


Read more at: https://medicalxpress.com/news/2017-05-countries-healthcare.html#jCp

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   Australia (Population 22.32 million, GDP US$1.379 trillion)

The state encourages wealthier individuals to use a private system by enforcing an additional 1% tax on those who fall above a certain income level but use the public system anyway. The fruits of the government’s innovative techniques are evident in Australia’s death rate from conditions amenable to medical care, which was a startling 50% less than America’s in 2003 and 25% less than the United Kingdom's.

 Sweden (Population 9.449 million, GDP US$539.7 billion)

Expenditures were as low as US$5,331 per capita in 2011? This rate can in part be attributed to government initiatives in Sweden that disincentivize sending patients to specialists when their illnesses can be treated by general practitioners. The Swedish government’s success with cost efficiency explains why even though public funding accounts for 85% of total Swedish health expenditure, this does not place an unreasonable constraint on taxpayers or the government.

 France (Population 65.43 million, GDP US$2.773 trillion)

Share of GDP spent on health care is 40% than America's, but its public expenditure still accounts for an incredible 79.1% of total healthcare spending. The way the system works there is that a majority of medical bills are taken care of by the government (funding for this comes from payroll and income taxes) and the remaining expenses are paid for by the individual’s supplemental private insurance. Every citizen is entitled to public coverage, and now illegal immigrants are as well.

 United Kingdom (Population 62.74 million, GDP US$2.445 trillion)

The U.S. and the UK may be just a letter apart by name, but are worlds apart in terms of health care. In the UK, the National Health Service (NHS) publicly covers various costs, including preventative services and mental health care. About 88% of prescriptions there are exempt from charges! Despite American efforts to increase affordability and equity however, the UK ranked first on indicators of efficiency in the aforementioned Commonwealth Fund study. America could learn a lesson or two from its successes at cutting administrative costs and closing loopholes that would otherwise cost the government millions.

 Germany (Population 81.8 million, GDP US$3.601 trillion)

With the oldest universal health care system in the world, 90% of Germans happily use the public system offered there, and just 10% of the population voluntarily uses the private system. Moving past the mythical tradeoff between time and cost, Germany is one of the few countries to have quick access to specialty services with very little out-of-pocket costs. Germany spends around half as much as America does on health care per capita, with few differences in quality of services between the two countries.

 Netherlands (Population 16.69 million, GDP US$836.1 billion)

Interestingly, health insurance coverage is statutory in Holland, but provided by private insurers competing for business. Insurers can decide by whom and how the care is delivered, which, to capitalists' great relief allows the insured to choose between alternatives based on quality and costs. This system has proven to be very effective. In 2010, 72% of Dutch adults saw their doctor the same or next day when they were sick, compared with only 57% of adults in America. And, whereas one third of U.S. adults did not see a doctor when sick, went without recommended care, or failed to fill prescriptions due to costs, only 6% of adults in the Netherlands faced these issues.

 Canada (Population 34.48 million, GDP US$1.736 trillion)

In the realm of health care, America and its neighbor couldn’t be more different. Canada’s national health care system consists of a centralized body that sets standards that the 13 Canadian provinces must follow to receive funding. Hospitals are mainly private nonprofit organizations with their own governance structures, lending Canada an interesting balance between privatization and public ownership.

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The British used to have a TOTALLY FREE National Healthcare system but it suffered huge wastages and could not deliver the needed services under complete government ownership. Here is what has happened since:  

The Most Efficient Health Care: Countries

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