SLW - nobody is arguing that starving countries have a higher IMR than the US - that might possibly fall into the “no duh” category. And nobody - least of all me - is arguing that this is not a great country. In fact I would venture to suggest that our system of free market medicine has helped with a lot of great advances in research.
Conversely, I do not believe that anyone should hold our health stats up to the rest of the developed world as superior in any way, as that flies in the face of logic (never mind provinces in Canada, try suburbs in Detroit and the Ozarks - EVERY country has variations, but as long as the same sampling logic is applied universally, the variations are equal). Nor should we solely take claim for all the great advances in medicine as a result of our free market system (which if you understand health care delivery, is clearly not so free market).
Our system of health care is clearly unhealthy in every possible aspect of the system. I doubt you will find too many people who are in the field to disagree with that statement. Nobody has any clue how to fix it to even the partial satisfaction of most of the parties, and most - myself included - are unsure about socialized medicine as a workable aspect for this nation. Still, Houston, we have a problem…
Interestingly enough, that decline in IMR has been almost the sole reason the average age life expectancy has “increased”. Take away IMR deaths and look at the life expectancy, and you will find that we do not live that much longer than we did 75 years ago. Interesting considering how much we spend on trying to live longer.
As for rationing health care, it is indeed an uncomfortable thought, but to be quite honest, right now every American has their health care rationed. For the uninsured, the limits are obvious, for the insured, there are maximums on lifetime or annual coverage, limits on procedures and drugs, certain cutting edge care (experimental) is rarely covered, many optional procedures (cosmetic) are not covered and so on. They are just the limits we are familiar with, rather than the unknown limits.
OK - back to the real subject before Erin comes and beats this post with a big stick