This chart breaks it down by spending, it does nothing about determining the effectiveness of said spending. How much actual care per $ spent?
I've been on a mock jury for a personal injury lawsuit--and it was obvious to a couple of us that the smoking gun presented by the defense clearly showed she was running up the bill on something minor. We were pointing out the problem--did that sway the majority? No. The general opinion seemed to be she was owed something for what had happened--and they had failed on the voir dire, they asked about my background, didn't ask anything about family. Oops--I knew it would end up all going to the lawyer and doctors, nothing to her (the proposed amount was less than the bills she had run up.) I played it fair and didn't speak up about what would happen.
And all the national systems have a fox guarding the henhouse problem. Provide proper treatment for the expensive stuff or lower the standards? So long as you make a sufficient portion of the electorate think you're doing a good job the reality is the standards get lowered. And cook the books in pretending it's fair. (Two examples that come to mind: Including "fairness" in the measure of health system quality--automatic selection for UHC, and comparing infant mortality (they admitted the comparison was not valid, did it anyway.) The reality is the biggest "cause" of infant mortality in the developed world is how the medical world falls on the stillbirth/infant mortality line. Even elsewhere--Cuba gets it's good infant mortality numbers by setting a minimum birth weight. The ones that were born too early and never had a chance get classed as stillbirths.)
Over litigation of medical malpractice is a huge problem in this country and is a large contributor to why our system is so expensive. Medical malpractice juries should not be made up of people who have no idea how medicine works.
Yeah. Jury of your peers is fine for non-technical matters, but an awful lot of cases are technical. I would like to see a profession "juror" that requires a broad science education--enough that it doesn't come down to whose "expert" is better at making it believable. And for cases involving licenses make some of it people qualified to hold the license. (And the lawyers would hate that. They go ape over supposed lack of liability with vaccines--no, it goes before medically trained people. And locally there used to be a malpractice review board--three? doctors, three? lawyers. All malpractice cases must be presented to it first--non-binding but your chances in court were pretty slim if you did get a majority from the review board. The lawyers really loved destroying that.)
> And for cases involving licenses make some of it people qualified to hold the license.
Cases involving licenses (rather than cases involving torts or crimes by licensed professionals, which are not the same thing) already do, generally; they aren't held in courts, they are held by licensing boards who are themselves composed of licensed professionals in the same profession.
> And the lawyers would hate that.
Legal malpractice being tried to a jury of lawyers? Lawyers would love that.
I've been on a mock jury for a personal injury lawsuit--and it was obvious to a couple of us that the smoking gun presented by the defense clearly showed she was running up the bill on something minor. We were pointing out the problem--did that sway the majority? No. The general opinion seemed to be she was owed something for what had happened--and they had failed on the voir dire, they asked about my background, didn't ask anything about family. Oops--I knew it would end up all going to the lawyer and doctors, nothing to her (the proposed amount was less than the bills she had run up.) I played it fair and didn't speak up about what would happen.
And all the national systems have a fox guarding the henhouse problem. Provide proper treatment for the expensive stuff or lower the standards? So long as you make a sufficient portion of the electorate think you're doing a good job the reality is the standards get lowered. And cook the books in pretending it's fair. (Two examples that come to mind: Including "fairness" in the measure of health system quality--automatic selection for UHC, and comparing infant mortality (they admitted the comparison was not valid, did it anyway.) The reality is the biggest "cause" of infant mortality in the developed world is how the medical world falls on the stillbirth/infant mortality line. Even elsewhere--Cuba gets it's good infant mortality numbers by setting a minimum birth weight. The ones that were born too early and never had a chance get classed as stillbirths.)