HCE Ratio = Healthy Life Expectancy / % GDP Spent on Healthcare
Healthy Life Expectancy (HALE) is a statistic devised by the World Health Organization, defined as the "average number of years that a person can expect to live in 'full health' by taking into account years lived in less than full health due to disease and/or injury." HALE is always less than full life expectancy, typically by 7-9 years. (To read more about HALE, click here.)
For example, Norway spends 8.4% of its GDP on health care, and Norwegians have a HALE of 73:
HCE = 73/8.4 = 7.8
In Norway, each per cent of GDP spent on health care purchases 7.8 years of healthy life.
The following ratios are taken from 2006 statistics; because of population aging and medical inflation, each is likely lower now.
- Singapore 21.5 (73/3.4)
- Republic of Korea 10.9 (71/6.5)
- San Marino 10.6 (75/7.1)
- Luxembourg 10.1 (73/7.2)
- Ireland 9.7 (73/7.5)
- Japan 9.6 (76/7.9)
- Finland 9.5 (72/7.6)
- Israel 9.4 (73/7.8)
- Spain 9.1 (74/8.1)
- United Kingdom 8.6 (72/8.4)
- Norway 8.4 (73/8.7)
- Sweden 8.3 (74/8.9)
- Italy 8.2 (74/9.0)
- Iceland 8.0 (74/9.3)
- Netherlands 7.8 (73/9.3)
- New Zealand 7.8 (73/9.3)
- Australia 7.6 (74/9.7)
- Belgium 7.6 (72/9.5)
- Denmark 7.6 (72/9.5)
- Canada 7.3 (73/10.0)
- Germany 7.1 (73/10.3)
- Portugal 7.1 (71/10.0)
- France 6.6 (73/11.1)
- Switzerland 6.6 (75/11.3)
- United States 4.6 (70/15.3)
Apart from Singapore's astonishingly efficient delivery of care, the most salient point is the high costs associated with having no model at all: It's no accident that the United States is at the bottom of the list.
Next, HealthMatters will examine what the top rated systems do to ensure efficient use of their health care dollars.
I am glad that Obama Care is following in the footsteps of Singapore's health care system.
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