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Dr. William Greene, a Professor of Economics of the New York University Stern Business School, currently teaches economics and econometrics. He tried to explain the level of healthcare in the U.S.A. in comparison with the rest countries of the world. Greene placed special emphasis on the countries that are considered to have a high-developed healthcare.
In 2000, the World Health Organization published the World Health Report, where 191 countries were ranked in the list of the best health care systems. The topic was carefully examined by using all the criteria of W.H.O. As a result, the clear and critical view on this position can be seen. The main goals that should be attained by the countries are the following: 25% for health inequality, 25% for health (DALE), 12.5% for the distribution of responsiveness, 12.5% for the level of responsiveness, and 25% for fairness in financing. The overall comparison of efficiency in healthcare gave W.H.O. the possibility to rank 191 countries. There is a statement that the U.S.A ranks the 37th place among the countries with the best health care that were analyzed by Greene.
William Greene made some research analyzing the World Health Report to assure whether the ranking was an objective one and found out a lot of misinterpretations and mistakes. What is more, it was discovered that some W.H.O’s steps were based on the lie in order to distort the real results. Trying to answer some questions, Greene discovered all the politicians’ lie. Why did W.H.O. focus on efficiency and not on the goal attainment? “The results have long been debated, with critics arguing that the data was out-of-date, incomplete and that factors such as literacy and life expectancy were over-weighted” (Taylor & Blackstone, 2012). What is more, “W.H.O. made a political decision not to base the study on cost efficiency of delivering health goal attainment” (Taylor & Blackstone, 2012). For example, W.H.O. used its own statistics that could play a great role in the ranking. However, this data was not included, which created this distorted list. There were also different researches that doubted the results of World Health Report, and Greene mentioned them either.
The research conducted by Greene is marvelous because it shows the politicians’ games aiming at creation the delusion about the authority. He found out and rationally explained why the U.S.A. cannot have the 37th best healthcare in the world and what is its real place.
Comparison of economic steps of countries to make their healthcare more efficient was made by Greene to establish the wrongness of the results showed by W.H.O. He says that “ignoring heterogeneity does not make it go away” (Taylor & Blackstone, 2012). It means that the real state of affairs can be clearly known only with the help of some economic analyses. Greene uses some economic data of different countries connected with the health programs, especially the U.S.A., UK and Canada, to realize what is wrong with the place of the U.S.A. in the World Health Report.
Greene made formulas to check the World Health Report ranking and created graphics (Overall Goal Attainment vs. Inputs to Overall Goals, Life Expectancy vs. Composite Index, A Model of the Best a Country Could Do vs. What They Actually Do, and so on) to show how W.H.O are mistaken. It was also discovered for what real purposes and why these specific mistakes can be worked out.
Greene’s discovering taught how to analyze what is proclaimed as standard, even if it is done by a trustworthy organization, what features should be mentioned, what details should be included, what mistakes should be corrected, and what work should attract a special attention.