Learning From the Best
We're publishing our annual ranking of America's Best Hospitals at a moment when America's entire health industry is under the microscope. President Obama has decided that now is the opportunity to change the way the country gets its healthcare. He has opened up a trunkful of arguments, most notably about cost, effectiveness, and fairness. The debate will be with us for months to come, if not longer.
Our hospital rankings have long provided some important benchmarks at the top end of the quality spectrum. We looked in depth at nearly 5,000 of the nation's hospitals and selected the top performers in key specialties, as well as those rare few that do many things with excellence. We have also continued the separate rankings of children's hospitals that we began two years ago.
Besides the numbers, we look at some of the people and technologies that are improving medical care. The surgical robot is just one example of what we're starting to see in regular use. Laser surgery, body scans, and indestructible replacement parts for aging bodies are all becoming common. Many of the improvements have to do with communication, long a shortcoming in medical institutions. Patient data can be sent where they are needed more quickly. Doctors and equipment can be tracked in hospital hallways. Telemedicine, which allows specialists to diagnose patients far away, is gaining critical mass. Big investments by the best hospitals are cutting error rates and improving patient outcomes.
We also know, as we've reported for years, that technology alone won't solve our problems. For every "best hospital" there are plenty of not-so-good hospitals. And even the best are criticized for often being among the costliest. After all, the cost of a life is what so much of this debate comes down to—and why it's so difficult to resolve. Healthcare is infinitely perfectible and therefore infinitely costly. How do you put a limit on it? Should you? Does someone at some point have to say, "No, that's all the care you are entitled to?" And who would that person be?
Of course, there are other factors. Our aging population creates unforeseen challenges, to say nothing of our gross national obesity epidemic. Medicare has changed the nature of doctors' practices, while malpractice suits have imposed stiff costs on them. Many Americans lack health insurance, though the reasons aren't always simple.
I'd like to hear your thoughts on the healthcare debate. What is on your list of the best ways to make the system more effective and efficient? Join the discussion below.
We want to add your voice to this crucial and complicated debate.
Tags: healthcare | hospitals | rankings
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Reader Comments
Learning from the Best
Whatever system we arrive at, let us make it one where all Americans are in the same boat: members of Congress, retired Congressional members, all federal employees, veterans, former Presidents, retired military, all but the President and active duty military (for obvious reasons). Then I will believe we have done the best we can, found the best, and not simply surrendered to "get something done."
Health Care
I believe we need major changes in our present health care system. I previously resided in Canada for ten years and received excellent health for my family and myself care with no cost.
I would urge an open health plan so people may chose between government and private insurance. No question, we need coverage for everyone, and continued coverage when one leaves a job. If indeed, everyone would be assured of health care, the whole program and cost of workman's compenstion insurance would be drastically lowered by trillions of dollars.
Obviously, our government has run many successful health care programs via Medicare, Federal Health,and Kaiser Health Foundation works well. If this Congress does not make significant changes to assure coverage for every citizen, it will be a shame for America.
Our Health care system looks SICK compared to many other countries.
Doctors are the problem
I Have no faith in the doctors as we have today, I my self would do better with a witch doctor, Because I have epilepsy and doctors will not listen and insist that I have to be on what they call a therapeutic level of drugs which starts my seizers over again. If I end up in a hospital for any reason I have to be careful not to mention my epilepsy and hope they do not find out so that they will not try to push there drugs on me.
I have been needing A Doctor for a long time But I Do Not Need A Drug Pusher
I say fire the phonies you know the ones that are in it for the money, Then get rid of the drug lords who call themselves doctors, You will save lives and save a lot of money and do me a personal favor since I took myself off the drug lords drugs and have had no seizers for over four years now.
Doctors working for insurance companies, lawyers and pharmaceutical companies instead of the patient destroy lives rather than help them. We would be better off with a shortage of doctors than with those phonies
Don D Brock
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