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Health Systems Performance and the Politics of Cancer Survival
Author(s) -
Gusmano Michael K.
Publication year - 2013
Publication title -
world medical and health policy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.326
H-Index - 11
ISSN - 1948-4682
DOI - 10.1002/wmh3.27
Subject(s) - compromise , argument (complex analysis) , politics , health care , public health , disease , public policy , cancer , cancer survival , investment (military) , medicine , political science , public economics , public relations , economics , law , nursing , pathology
Five‐year survival rates for many forms of cancer are higher in the United States than other countries in the world. There is some evidence that this reflects effective treatment of the disease, but there is equally compelling evidence that, even if better care is available in the United States, it is not equally accessible to all citizens. Despite the difficulty of interpreting cancer survival statistics, U.S. health policy debates offer a story that is simplistic. Cancer statistics are used to claim that the U.S. health care system is the “best in the world” and that efforts to evaluate the value of technology will compromise the quality of care available to patients with cancer and other life threatening illnesses. The argument that newer and more expensive medical technology always leads to better outcomes makes it difficult to conduct a reasonable public discourse about the merits of further public investment .