← Back to context

Comment by caddemon

3 years ago

Unless you are looking at outcomes of only the top institutions it's not really what he was saying. The US has a bad system for the average person for sure, but that does not mean that the US doesn't have one of the best systems if you can afford the best care. If you have medical outcome data that disputes that specifically I'd be interested.

Why would you think the best hospitals in the USA outperform any other developed country's best hospitals? Especially when those countries already deliver better average results across the board. Why do you have this belief and what is it based on?

One example of cancer outcomes on a per country basis: https://worldpopulationreview.com/country-rankings/cancer-su...

Just google medical outcomes for any disease on a per country basis.

Do you really think the best hospitals in France or somehow worse than the best hospitals in the USA? Especially when the best hospitals in the USA still have the same fundamental problems as the rest of the American system?

  • It is extremely plausible that worst case, average case, and best case have different rankings - it's a little telling that you have no data and your only counter is to say that average should have the same trend.

    I am aware that most of the cutting edge clinical trials in my field occur in the US. I have also seen people travel to the US for treatment of rare diseases. And I know that this isn't a surprising thing for the US in general, just look at our universities.

    It's actually pretty funny that the only other response I got was someone saying that this is super obvious/true across fields in the US and thus not an interesting statement.

    • It is extremely weird that you think the best hospitals in the USA are not the same as the best hospitals in other developed countries. Especially given that their medical systems outperform the US system on a general basis.

      I don't know if it is a weird American bias or what. I'd take a look at the bias there and this belief in American exceptionalism as it doesn't pan out in the data.

      Cutting edge clinical trials and those companies are global in nature. I mean just look at the Moderna team and where they conducted those.

> The US has a bad system for the average person for sure, but that does not mean that the US doesn't have one of the best systems if you can afford the best...

That's basically the case for everything in America, so I'm not sure that it says anything remarkable about the American healthcare system.

Like can you think of anything else in America that you couldn't apply that statement to?

  • I'm not making any argument about what it means, I'm just saying the response from OP is not actually a counter argument