&gt; And the US does it for a much more diverse, much larger, and unhealthy population. Cancer and heart disease outcomes are the best proxy for how well a health care system operates.<p>Since the purpose of a health care system is to maintain the health of the population, overall population health is a much better thing to look to that micro outcomes from two particular events.<p>And by overall health, as you yourself note, the US doesn&#x27;t do particularly well compared to other developed countries, despite spending far more as a share of GDP than most (and <i>much</i> more per capita.)<p>Your claim is a lot like claiming that an organization has a better software quality system than others because it fixes bugs in production slightly faster than others, even though it also allows far more bugs <i>into</i> production than the others.