It is common for politicians, right-wing think-tanks and other proponents of privatisation to paint marketisation of the NHS as efficient and therefore in the best interests of patients. The Commonwealth Fund (a private U.S. foundation that reports on health systems using its own data as well as that of other international organisations) has repeatedly reported in that the U.S. health care model is broadly one of the worst in the world. At the same time, and despite - massive & deliberate underfunding, under-staffing and structural changes to facilitate further privatisation - the NHS ranks as one of the best health care systems in the world. When politicians use
efficiency as a rationale for privatisation, or for structural change that will lead to privatisation, especially of health care, it's fundamentally wrong.
From the 2017 report:
KEY FINDINGS: The U.S. ranked last on performance overall, and ranked last or near last on the Access, Administrative Efficiency, Equity, and Health Care Outcomes domains. The top-ranked countries overall were the U.K., Australia, and the Netherlands. Based on a broad range of indicators, the U.S. health system is an outlier, spending far more but falling short of the performance achieved by other high-income countries. The results suggest the U.S. health care system should look at other countries' approaches if it wants to achieve an affordable high-performing health care system that serves all Americans.
From the 2014 report:
The United States health care system is the most expensive in the world, but comparative analyses consistently show the U.S. underperforms relative to other countries on most dimensions of performance. Among the 11 nations studied in this report - Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States - the U.S. ranks last, as it did in prior editions of Mirror, Mirror . The United Kingdom ranks first, followed closely by Switzerland.