The other aspect here is social determinants, which have the biggest impact on clinical outcomes. A healthcare payment system can be world class but if food insecurity, housing, transportation, literacy/communication, and loneliness (a biggie!) are not solved for, clinical outcomes will still fail.

This also came across my timeline - very relevant in how we think about health outside of the hospital bsky.app/profile/jess...

JSjesstud.bsky.socialSep 18, 2024 7:56pm

Three NHS paradigms: state, market & community. Given recent NHS reform debates, re-upping our @wearenewlocal.bsky.social grid on the shifts needed. The NHS operates with state assumptions + market reforms: but needs active community participation in health. www.newlocal.org.uk/publications...

Other countries have much better social support systems than the US, which is a huge factor in why their healthcare systems can manage the burden at a reasonable cost. Doctors cannot manage what happens outside the four walls of their office, so if a patient is in temporary housing (for example) /