Archive for June, 2011

France Has the Best Healthcare System in the World

June 25th, 2011

As the United States struggles toward a system of universal health care, many have looked at the Canadian health care system as a model. Only a few have looked toward France. That’s a mistake for at least 2 reasons.

First, according to the World Health Organization (WHO), France has the best health care system in the world . It has been widely reported that the WHO found the French system to be number 1 while the Canadian system is number 30 and the U.S. number 37.

It should be noted here that the WHO rankings actually contain multiple rankings and the numbers generally quoted are the ranking based on the measure that the WHO calls the OP ranking. OP is said to measure “overall performance” adjusted to reflect a country’s performance based on how well it theoretically could have performed. When reporting the rankings of 1 for France, 30 for Canada and 37 for the United States, it is the OP ranking being used.

Why did the French system do so well in the WHO rankings? The French system excels in 4 areas:

  • It provides universal coverage
  • It has responsive health care providers
  • Patients have freedom of choice
  • The health and longevity of the population

Second, we should be looking more closely at the French system because it has more similarities with the U.S. system than either the Canadian or British system. Many Americans assume that the French system is like the system in Britain. Nothing could be further from the truth or more insulting to the French. » Read more: France Has the Best Healthcare System in the World

Universal Health Care – Ethical Issues in Health Care Reform

June 25th, 2011

Universal health care seems to be a hotly debated topic whenever health care reform in the United States is discussed. Those who maintain that health is an individual responsibility do not want a system that requires them to contribute tax dollars to support fellow citizens who do not act responsibly in protecting or promoting their own health. They argue that they want the freedom to choose their own physicians and treatments, and suggest that government cannot know what is best for them. These people argue that preserving the current system with improvements to provide better insurance coverage for citizens who remain uninsured or under insured for their medical care needs is the only reform that is needed.

Those who believe health care is an individual right support a universal health care system with the argument that every citizen deserves to have access to the right care at the right time and that a government’s responsibility is to protect its citizens, sometimes even from themselves.

Two opposing arguments arising from two opposing ideologies. Both are good arguments but neither can be the supporting argument for implementing or denying universal health care. The matter must be resolved through an ethical framework.

Examination of the ethical issues in health care reform would require consideration of much different arguments than those already presented. Ethical issues would center on the moral right. Discussion would begin with not “What is best for me?” but rather “How should we as a society be acting so that our actions are morally correct?”. » Read more: Universal Health Care – Ethical Issues in Health Care Reform