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Thursday, November 13, 2008




United States Has Greatest Health Care System in the World Report Does NOT Say

The U.S. has highest rates among 8 nations of patient-reported medical errors, wasteful or poorly coordinated care and high out-of-pocket costs; Dutch often fare best in affordable, accessible care, low rates of medical errors.  Compared to patients in seven other countries, chronically ill adults in the United States are far more likely to forgo care because of costs; they also experience the highest rates of medical errors, coordination problems, and high out-of-pocket costs, according to a new study from The Commonwealth Fund. 
The 2008 survey of 7,500 chronically ill patients in Australia, Canada, France, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States included adults who had a diagnosis of at least one of seven chronic conditions.  More than half (54%) of U.S. chronically ill patients did not get recommended care, fill prescriptions, or see a doctor when sick because of costs, compared to 7 to 36 percent in other countries. About one-third of U.S. patients—a higher rate than in any other country— experienced medical errors or poorly coordinated care, including delays in access to medical records or duplicated tests. Reflecting cost-sharing as well as gaps in insurance coverage, 41 percent of U.S. patients spent more than $1,000 in the past year on out-of-pocket medical costs, compared with 4 percent in the U.K. and 8 percent in the Netherlands

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