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What experts say about who has the world's best health-care system | Opinion

Washington Post · 1,819,029 vues · Ajouté il y a 3 semaines

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Sous-titres (191 segments)

00:00

- I want to start with a simple question.

00:02

Which country in the world has the best health care system?

00:06

- Yeah, so, I hate that question.

00:10

Here's where you should ask me why I hate that question.

00:14

- I knew you were gonna start with that question.

00:16

I think it's a question that a lot of people ask --

00:18

which country has the best health care system?

00:21

- I don't think there's a correct answer to it.

00:24

- It depends on what it is that we value.

00:29

- I'll give you an answer, but then I'll tell you

00:31

why the answer might not be applicable.

00:34

If you look at the world health rankings,

00:38

the country that came out on top is France.

00:41

I think, in general, starting from France

00:43

and working northern,

00:45

you tend to get the best health care systems.

00:48

But the reason why it's not entirely applicable

00:51

is that what works in one country

00:53

may not work in another country.

00:56

- So, just a few years ago,

00:58

I wrote a piece in "The New York Times"

01:00

with my colleague, Aaron Carroll.

01:02

We actually did a tournament of health systems.

01:05

It was like a bracket tournament the way

01:07

March Madness is a bracket tournament,

01:08

or a tennis tournament.

01:10

And we had me and Aaron, Uwe Reinhardt, Ashish Jha --

01:13

a physician, now Dean of Brown --

01:15

and Craig Garthwaite -- an economist at Northwestern.

01:19

And we each voted in each of the brackets --

01:23

in each of the pairings --

01:24

for which system we liked better.

01:26

And we ultimately got a winner, but one of the important

01:29

take-aways from that whole process

01:31

is that in no pairing did any country win 5 to 0.

01:36

There were five of us, right?

01:37

We were not unanimous in any decision.

01:39

There was always at least someone who disagreed,

01:41

and in many cases, it was 3 to 2.

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