Comments by "whyamimrpink78" (@whyamimrpink78) on "Best Of Kyle Kulinski Vs Charlie Kirk (Politicon 2019)" video.

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  29.  @Zandman26  , I did. I cited a book to start with. I can cite more. For example, one healthcare ranking uses amenable mortality to decide healthcare rankings. However, as pointed out in the paper entitled "Using ‘amenable mortality’ as indicator of healthcare effectiveness in international comparisons: results of a validation study" They say "Given these gaps in knowledge, between-country differences in levels of mortality from amenable conditions should not be used for routine surveillance of healthcare performance. " Along with the review entitled "Amenable mortality as an indicator of healthcare quality - a literature review." They say "No study has explicitly used a healthcare activity or quality variable in their analyses. This implies that the evidence that amenable mortality is an indicator of healthcare quality is far from overwhelming or clear." The fact that you immediately jump to flat earthers shows you are not wiling to have an honest discussion. I can cite many materials on this issue from experts. I will ask you on your source, what makes it credible? I read their methods and they are not clear. They have some "survey" and an arbitrary numbering system. I will also give you one more on medical bankruptcy entitled "Myth and Measurement — The Case of Medical Bankruptcies" The say "But our findings suggest that medical factors play a much smaller role in causing U.S. bankruptcies than has previously been claimed. Overemphasizing “medical bankruptcies” may distract from an understanding of the true nature of economic hardship arising from high-cost health problems." So I have plenty of sources.
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  31.  @Zandman26  , did you even read the paper? Here "Our study estimated healthcare systems’ efficiency using two separate DEA models. The first included mostly inputs considered to be within the discretionary control of the healthcare system, and the second one included mostly inputs beyond the short-term discretionary control of the healthcare system. The fact that the healthcare systems of several large and stable economies were defined as efficient by the first model, yet not by the second, emphasizes the importance of broadening policy measures to areas currently beyond the short-term discretionary control of the healthcare system (population behavior and welfare) rather than focusing only on ensuring adequate medical care. In addition, countries striving at improving healthcare efficiency may consider avoiding specific institutional arrangements, namely gatekeeping and the presence of multiple insurers. And finally, the ambiguous association that was found between socioeconomic and environmental indicators and a country’s healthcare system’s efficiency necessitates caution when interpreting different ranking techniques in a cross-country efficiency evaluation and needs further exploration." "This limitation does not weaken our results, since, as mentioned above, there was no attempt to provide the accurate level of countries’ healthcare systems’ efficiency, but rather to provide a more general concept of the determinants associated with efficiency. Finally, the nature and validity of cross-country efficiency measurement have been questioned [5], and should, therefore, be interpreted cautiously." They admit there are limits and overall they are simply giving another way to evaluate healthcare systems. That is my argument as well. I have said there are advantages to a universal healthcare system, but the US does many things very well. As for their model, there are some vague stats they use. For example, they use overall life expectancy when many factors outside of healthcare influence life expectancy. They also used infant mortality. The problem with that when it comes to the US is that we lead the OECD nations in obesity rates where obesity leads to higher premature births as mentioned in a Stanford study "Obesity before pregnancy linked to earliest preterm births, Stanford/Packard study finds" Now add in the fact that obesity rates are higher for the poor, and the rate of pregnancies, especially unwanted pregnancies, are also higher for the poor that leads to a large factor weighing our infant mortality rates down. This is why I focus on two things 1. Access to advanced testing 2. Survival rates of advanced illnesses We lead the world in both.
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