Zeke Emanuel Profile picture
Jun 17, 2020 7 tweets 4 min read Read on X
My new book is out! Which country has the best #healthcare system? After studying 11 systems across 22 criteria in 7 categories...my answer is in the book; buy it! But here are some thoughts: amazon.com/Which-Country-…. 1/
First and foremost, it depends on which criteria you prioritize:

Choice of physicians and hospitals? Check out #France.

Universal coverage and excellent primary care? #UnitedKingdom.

Low drug prices? #Australia.

Chronic-care coordination? #Netherlands. 2/
What is clear that there is a top tier of the 11 health systems I studied: #Germany, #Netherlands, #Norway, and #Taiwan.

And two clear poor performers: #UnitedStates and behind us, #China. 3/
The US is the most expensive country overall BY FAR, both at the point of care & on #pharmaceuticals. Ironically, the choice of physician is much more limited in the US than in most other countries — not by the government, but by private insurers. 4/
And the complexity in the financing of US health care is an incomprehensible mess that has grown up over time devoid of design and rationality – and now justification. 5/
The Chinese system is overly focused on hospitals, w/ a poorly developed ambulatory care sector, very low patient trust, & little innovation esp in care delivery. There’s a structural problem w/ how doctors are licensed & public perceptions, neither of which are easily altered 6/
There’s a lot more, of course, in the book “Which Country Has the World’s Best Healthcare” – and I’ll be tweeting more of it in the coming days too. amazon.com/Which-Country-… /end

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More from @ZekeEmanuel

Apr 25
Here are some things that I think we get wrong in our increasing obsession with longevity 1/🧵👇 @NewYorker @DhruvKhullar
newyorker.com/magazine/2024/…
Living a long time is not an end in itself. If it becomes the focus of your life, that is one of the worst mistakes you can make. It’s not that we shouldn’t exercise or eat well—but everyone goes through a decline. Spending your life worried about all these tiny things is a waste of time.
Doctors should focus more on improving health in communities where people die young rather than getting the wealthy from 90-years-old to 100-years-old.
newyorker.com/magazine/2024/…
Read 5 tweets
Jan 24, 2023
Great talking with @smerconish about my 2014 @theatlantic piece. Here are 3 key points I find often get lost in the discussion 🧵...

cnn.com/videos/health/…
1. Not everyone can be an outlier. By the time we reach 75, creativity, originality, & productivity are beginning to wane for the majority of us. There are exceptions to the rule, but too many ‘American immortals’ assume that they’ll be the anomaly.
theatlantic.com/magazine/archi…
2. Death is a loss but living too long is also a loss. It leaves most of us debilitated and unable to contribute to society. We are no longer remembered as being vibrant and engaged, but instead as feeble and ineffectual.
thetimes.co.uk/article/zeke-e…
Read 4 tweets
Aug 5, 2022
Drug companies claim that drug price negotiations in the #InflationReductionAct will prevent as many as 100 drugs from being developed. PROBLEM: the person making that claim — Tomas Philipson — is a hired gun for big pharma. 🧵 1/4
yahoo.com/news/donald-tr…
The nonpartisan @USCBO estimates that this bill will have a VERY SMALL impact on drug innovation. Maybe reducing the number of drugs approved by 8 out of 300 drugs in the next 10 years. That is a small price to ensure necessary drugs are affordable for Americans. 2/4
Drugs only work if Americans can afford them. As a cancer doctor, it is heartbreaking when patients say they stopped taking their chemotherapy--or never started--because it was too expensive. 3/4

npr.org/sections/healt…
Read 4 tweets
Aug 5, 2022
Here they go again….Pharma is scaring everyone that regulating the prices on just 20 drugs will kill innovation especially for cancer. As an oncologist, let me say this as clear as I can: this is ridiculous.
Making drugs affordable for Americans will not kill innovation. The independent @USCBO predicts that one—YES ONE—drug will not come to market in the next 10 years because of this bill & 9 more in the next 20 yrs—all while 1300 drugs will be approved. thehill.com/policy/healthc…
Drug companies are screaming that when governments set prices “breakthrough cures start slipping away.” Yet in this bill, only prices on drugs that have been sold for 9 yrs or more can be negotiated. By that time, drug companies have already earned a lot of money on their R&D.
Read 4 tweets
May 13, 2022
While America retires its masks, fills restaurants, & treats COVID like it's in the past, I'm still masking & running HEPA filters. Here's why and a 🧵:
washingtonpost.com/opinions/2022/…
I'm not a worrywart, I take more risks than my family would like! I ride an electric motorcycle 🏍️. But I desperately fear getting #LongCOVID. It's shockingly common in COVID patients, between 3-17% of all cases. Symptoms range from uncomfortable to life-altering or -threatening.
Vaccines reduce incidence, but a failure of @NIH and others is that the research has yet to be done to understand how #LongCOVID works & whether symptoms are reversible.
medrxiv.org/content/10.110…
Read 4 tweets
May 13, 2021
Let’s bust five common #COVID19 #vaccine myths in one thread:

Myth #1: “I already had COVID19, so I don’t need a vaccine.”

FACT: Vaccines provide better, more durable immunity from COVID19 than prior infection.
news.yahoo.com/fact-vs-fictio…
Myth #2: Long-term side effects are a reason to avoid the #COVID19 #vaccine.

FACT: With over 1.3 billion doses administered, side effects are extremely rare & occur shortly after vaccination. Infection from COVID19 can cause long term health issues. cnet.com/health/what-is…
Myth #3: The #COVID19 #vaccine harms women’s fertility.

FACT: Vaccines are a natural way to create immunity, and they do not affect fertility -- more than 100k pregnant women have received the vaccine w/ no ill effect. COVID19 infection, however, can harm a pregnancy.
Read 5 tweets

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