Is health care quality a problem?
Quality could be improved, but it is not a critical problem. There are many areas where the U.S. health care system provides the best quality in the world. The U.S. has, at 78, one of the highest life expectancies in the world. U.S. cancer survival rates are better in the United States than in virtually every other country; for example, U.S. women have a 63% chance and men a 66% chance of living at least 5 years after a cancer diagnosis, compared with 56% of women and 47% of men in Europe. Preventive screening and management of chronic health care problems is also better in the U.S.; for example, U.S. women are more than twice as likely as Canadian women to have had a mammogram and more than three times as likely to have a Pap smear, only one in ten Canadian men have had a colonoscopy as compared to one third of U.S. men, and high blood pressure in diabetics is controlled in 36% of U.S. men but only 9% of Canadian men. Technology and medical advances are also superior in the U.S.; this