In 2016, the US health expenditures /GDP exceed 16%, with an average of 10.000 $/ inhab. In the same period, the Cuban health expenditure/GDP did not exceed 11%, with an average not exceeding 1000 $/ inhabitant.
Despite these staggering expenditures, the US health care system is not the best in terms of fairness or efficiency, since the United States shows poor results. According to the latest ranking in 2015 by the Organization for Economic Co-operation and Development (OECD), the country ranked 33rd out of 35 member countries in infant mortality, ahead of only Turkey and Mexico. Far ahead of Cuba's 30th place, and first nation with "no high" incomes, the United States is at a pitiful 35th place.
If we agree on the answer: “spending more will not guarantee a fair and efficient health system”. And to achieve a fair US health system like that of France in the first place, and secondly an effective health system like that of Spain in recent years: should we start by dismantling financial, demographic or organizational barriers?
effectively, despite the fact that the US is the largest power in the world, its health system is characterized by little equity and efficiency...
In my view, more equitable and efficient US system requires the dismantling of all obstacles at the same time. To begin, we should dismantle the financial barriers for millions of Americans who do not have social security coverage, then we should dismantle demographic barriers, in order to make health care services more accessible to the entire population in the 50 states without discrimination ...
Regarding organizational obstacles, it's hard to dismantle them; they are the result of a liberal economic and social regime, this liberal regime which is already anchored in the mentality of the American leaders since 1776.
Although the American governments follow one another, nothing is done concerning a universal coverage of the American population. The arrival of President Tramp has aggravated the financial barriers ; it is the supremacy of wall street on the economic, social and political scene; it is the supremacy of wall street on the economic, social and political scene...
I agree on the supremacy of the financial world on all sectors, especially on the health system. We will even see in next few years , social countries like France are withdrawing more and more from its social support for its population, so the pension reform project is proof.
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