Which Country Has the World’s Best Health Care? | Ezekiel J. Emanuel

Summary of: Which Country Has the World’s Best Health Care?
By: Ezekiel J. Emanuel


In the book ‘Which Country Has the World’s Best Health Care?’, Ezekiel J. Emanuel takes readers on an enlightening journey through the health care systems of various countries, comparing and assessing their effectiveness. The author explores multiple facets such as cost, quality, and availability of healthcare services, to evaluate each country’s system. This detailed investigation showcases the unique strengths and weaknesses of the healthcare systems in the United States, Canada, the United Kingdom, Norway, France, Germany, the Netherlands, Switzerland, and China. By integrating data, analytics, and narrative descriptions, this book will not only provide readers with an overview of various health care services around the world but also unveil the key elements for a more efficient and accessible health care system.

The Best Healthcare System

In the book, “The Best Healthcare System,” Professor Ezekiel Emanuel analyzes and compares the healthcare systems of different countries. He uses data analytics and real-life examples to refute the promise of the book’s title and instead, gives a clear-eyed assessment of each country’s approach. Emanuel reveals that Germany and the Netherlands have excelled in healthcare delivery, while the US and China lag behind due to their system’s unevenness, for-profit motives, and expenses. The book concludes that no country has the ‘best’ healthcare system, but there are stellar practices that others can learn from.

Healthcare in the US

The US spends the most on healthcare globally, but the system underperforms in coverage, quality, and cost. The country has fewer doctors, nurses, and hospital beds compared to other developed nations. Despite spending nearly twice as much per person on healthcare as other OECD nations, Americans do not receive good value.

Canada’s Healthcare in Numbers

Discover the Metrics Behind Canada’s Healthcare System

Perception is everything, and for Conservative Americans, Canada’s healthcare system is socialist, inefficient, and plagued with long wait times. However, applying consistent metrics, Ezekiel Emanuel dives into the numbers behind Canada’s healthcare system in his book. Emanuel reveals that Canada spends 11.3% of its GDP on healthcare, with 2.7 hospital beds and 2.4 physicians per 1,000 people. His findings show that the Canadian system is not only efficient but also adheres to the needs of its citizens. Through measurable data, Emanuel makes a compelling case for Canada’s healthcare system and its ongoing success.

The NHS: A Mixed Blessing

The National Health Service (NHS) in the UK has provided universal healthcare to the British for over 70 years, a feat that deserves admiration. However, the NHS spends 9.6% of GDP on healthcare, lower than the EU average, and has fewer doctors and hospital beds per 1000 people. In addition, the UK falls short of several countries in Europe, including the US, in the number of nurses per 1000 people. Despite its achievements, the NHS still has room for improvement.

Norway’s Innovative Healthcare System

Norway’s healthcare system, funded through taxes, covers a range of needs including health, pension, unemployment, and disability with no access barrier. Despite spending almost twice as much as the UK, only 10.4% of Norway’s GDP is used. However, physicians lack incentives to save money or improve quality care.

Healthcare in France

France’s healthcare system allows patients to choose any doctor or hospital, and access specialists without a referral. The country spends 11.5% of its GDP on health care, and has 6.3 hospital beds, 3.3 doctors, and 9.9 nurses per 1,000 people. However, the system is criticized for being paternalistic towards doctors and lacking respect for nurses according to Emanuel’s observations.

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