Thread by @EricTopol

A reflection back on the #NHS review (topol.hee.nhs.uk) and some differences between #US and #UK #healthcare:
1. The #1 source of jobs in both countries is from healthcare, which continues to rise with a steep slope (mostly non-physicians)

The #US now spends more than $11,000 per person for healthcare, while the #UK ~$4,000. Yet life expectancy has declined in the #US for each of the past 3 years, while it continues to increase in the #UK (graph adopted from @OurWorldInData)

3. The @commonwealthfnd ranks the #UK first and the #US last of 11 countries overall, with differences in 5 sub-categories charted here
commonwealthfund.org/press-release/…

4. The #NHS is perceived by UK citizens as the #1 most revered institution in the country, above the @BBC and the Royal Family economist.com/britain/2018/0…
(I'll leave it to you as to the general view of healthcare in the US)

5. Major investments by the #UK in #genomics ~15 years ago led to the @uk_biobank and @GenomicsEngland -> the UK's current status as the global leader in this field.

6. Unlike the US, #NHS has a major division for education and training of its workforce—@NHS_HealthEdEng—which took on #genomics, and is now starting to implement the digital and #AI recommendations from our review.

From the Intro to my recent #AI @NatureMedicine review, applies to both countries:
Medicine is at the crossroad of two major trends. The first is a failed business model, with increasing expenditures and jobs ... but with deteriorating key outcomes.....
nature.com/articles/s4159…

Unlike the #UK, which is deliberately planning their #healthcare strategy for the next 20 years and investing heavily in #AI and digital tools, the #US has no national planning or dedicated resources whitehouse.gov/presidential-a…

In both countries, there is an exceptionally high rate of burnout among doctors, estimated to be ~50%, and across all clinicians. Peak depression, too. massmed.org/News-and-Publi…

#DeepMedicine (out 12 March) maps out a path for #AI to give clinicians the "gift of time," improve the patient-doctor relationship, restore the care in #healthcare. Using the future to bring back the past. It won't be easy & requires planning & activism drerictopol.com

Out today @Bllomberg 2019 ranking of 169 countries for health index
bloomberg.com/news/articles/… by Lee Miller and Wei Lu. US is #35 (and slipping)