Article,

The US and Cuba Showed Counterintuitive Health Outcomes and Efficiency Measures in 1999-2019 - Reassessment from their Life Support Systems Suggests Research for High-Resolution Health Parameters

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Advances in Preventive Medicine and Health Care (ISSN: 2688-996X), 6 (1): 14 (May 2021)

Abstract

In 1999, the World Health Organization measured the US health efficiency worse than Cuba’s one. In 2019, new measures confirmed it. Both results challenged capitalism’s and socialism’s efficiency standards. I made a scientific and ethical cost-benefit analysis of all their life and health standards, policies, and systems. It assessed physical, mental, and social well-being, health, and cost parameters. It compared them in 1999, 2019, and before/after political-socioeconomic changes occurred around 1960. Health policy evaluation depends on the outcomes’ metrics/analytics used. Controlling the indirect/partial indices’ confounding variables corrected the health and efficiency results. It relocated the US to the world’s first sites while it moved Cuba to the last ones. Americans live longer, freer, wealthier, and healthier than Cubans, without human growth costs. Disability-adjusted life expectancies and education-adjusted health efficiency indexes cannot detect all living standards’ health elements. These are a) the oversupply of living well-being and good health provided by the free US economy and culture, b) the scarcity of living welfare, excess of suffering and bad health produced in oppressed Cuba. Frankfurt’s critical theory of social research stagnated the measure of the patient’s positive and global health outcomes and overall costs. Blocking the US patient’s global health metrics and automation advanced a post-Keynesian healthcare nationalization. Restoring the Hippocratic clinical judgment with a patient’s health equation in a smartphone’s feedback system shall decrease to a minimum his/her uncertain/asymmetric information regarding the physician. It shall re-strengthen the role of the free markets and get the optimal population health and efficiency gradually.

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