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A survey of the American non governmental organization the Commenwealth Fund compares the system of health of the United States with the one of the other countries developed. She reveals that the French health system occupies a place of all first plan in terms of quality.
Audit of the American health system
The Commonwealth Fund is a foundation created in 1918 by an American philanthropist. She set for mission to improve the system of health of this country, notably thanks to the realization of study. The last in date titles itself "Why Not the Best? Results from the National Scorecard one U.S. Health System Performance 2008." It is in this case at a time about a yearly audit of the American, relaxing health system on the evolution in relation to the results of the previous years and on a comparison with the systems of health of the main countries developed.
This comparison leans in particular on the notion of "avoidable mortality." This one consists in taking in account the deaths occurred at people of less than 75 years for reasons that would have can be warned or treated by the system of health: bacterial infections, diabetes, cardiovascular illnesses, cancers dépistables, intervening complications following a surgical intervention... in other words, a weak avoidable death rate is the sign of an efficient health system.
On the 19 countries developed studied by the report of the Foundation, France occupies the first rank in this domain, with a rate of 65 avoidable deaths for 100.000 inhabitants, before Japan (71) and Australia (71). To title of comparison, the United States display a rate of 110 avoidable deaths for 100.000 inhabitants, United Kingdom of 103 and Germany of 88.
Other element that reveals the efficiency of the French health system: the life expectancy to 60 years. To this age, a French woman has a life expectancy of 20 years on average, what classifies France right behind Japan (22 years) and Switzerland (20 years). For the men, the middle hope of life to 60 years is always of 17 years, what classifies France again to the third rank, behind Japan (18 years) and Switzerland (17 years).
These good results justify the financial effort agreed in favor of the health system. France dedicates more than 10% of his/her/its gross domestic product there indeed (GDP), what situates it to the second rank of the 19 countries studied by the report. There is not an automatic tie however between the budgetary effort and the efficiency of the health system. The United States dedicate 15% of their GDP there thus and yet get some results very mitigated. From where the title of the report of the Commonwealth Fund: "Why not the best?"...
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