Tatjana, thanks for sharing.
Very interesting look into US Health system, always great at managing complex cases needing cutting edge solutions like robotic surgery that afflict the minority, but weak in basic essentials for things like universal health coverage and every day illnesses that afflict the majority. Interestingly it was from the same Commonwealth Fund that reported similar observations in 2011 when it compared the G7 countries health systems. It is interesting because US is attractive in so many ways to many LIMCs for all sorts of reasons, hence those countries look up more and more to US for solutions to their health challenges, further deepening the challenges of inaccessibility, unaffordability, inequitable, and lack of universal access, and so on and so on of the US health system. Sadly LMICs are getting poorer (or the poverty gap is widening) making such emulation of the US system irrational and ill advised. Hopefully, the searchlight on every (most countries) countries health system opportuned by the Coronavirus/COVID19 pandemic should trigger a new thinking about health systems that are more suited to emulate in the structure, funding mix, and operations of LMIC health systems, otherwise the peril that populations face in LMICs, such as the high preventable and avoidable morbidity and mortality will not end soon. There is a good lesson in observing the old saying, that 'All that glitters is not always Gold'.
HIFA Profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007.
Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.
Email: jneana AT yahoo.co.uk