As Republicans struggle to agree on a replacement forthe Affordable Care Act, the Commonwealth Fund has rated the U.S.health care system as the worst among the 11 developed nations it analyzed as part of an evaluation conducted every three years. The think tank also rated the U.S. health care system as the worst-performing of the nations analyzed when the last evaluation was released in 2014.

Related: John McCain says Senate health care bill is going to fail

The Commonwealth Fund focused on care process, access, administrative efficiency, equity and health care outcomes, studying 72 indicators within those fields. The 11 countries analyzed were Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdomand the United States. In addition to rankinglast or close to last inaccess, administrative efficiency, equity and health care outcomes, the U.S. was found to spend the most money on health care.

Daily Emails and Alerts - Get the best of Newsweek delivered to your inbox

The U.S. rated especially poor in equality of coverage. The report found that 44 percent of low-income Americans have trouble gaining access tocoveragecompared with 26 percent of high-income Americans. The numbers forthe U.K. are 7 percent and 4 percent, respectively. Not unrelated, the U.K.s National Health Servicewas deemed the best health care system, just as it was in 2014.In contrast to the U.S., over the last decade the U.K. saw a larger decline in mortality amenable to health care than the other countries studied, the report reads.

Though the U.S. did rank fifth in care process, which includesprevention, safe care, coordinationand patient engagement, its overall score was easily the worst of the 11 nations.

The U.S. ranks last in health care among the 11 nations evaluated by the Commonwealth Fund. Commonwealth Fund

Particularly distressing when considering the last-place ranking is how much more America spends on health care relative to other nations.

The U.S. leads in health care spending. Commonwealth Fund

The U.S. health care system was the lowest performing. Commonwealth Fund

The U.S. is the only high-income nation to lack universal health care. As the report notes, this has effects that go beyond just access issues. Administrative efficiency, for example, lags because of the time wasted sorting out billing and insurance claims.

Though there is plenty of room for the U.S. to improve, the Commonwealth Fund concludes that for the countrys health care system to compete with those of other high-income nations, a drastic change in course may be necessary.

To gain more than incremental improvement,..the U.S. may need to pursue different approaches to organizing and financing the delivery system,the report reads. These could include strengthening primary care, supporting organizations that excel at care coordination and moving away from fee-for-service payment to other types of purchasing that create incentives to better coordinate care. These steps should ensure early diagnosis and treatment, improve the affordability of care, and ultimately improve the health of all Americans.

See the original post:

How Bad Is US Health Care? Among High-Income Nations, It's the Worst, Study says - Newsweek