Its weird.
Canada ranks 9th in life expectancy, the US ranks 34th.
Imagine what the Canadian life expectancy would be if they had adequate healthcare...
I'm not necessarily arguing against single-payer care, but let's not pretend that the life expectancy figures are an apples-to-apples comparison. For instance, just remove deaths by auto accident and homicide (neither of which is related to quality of health care), then see what the stats say.
Its a pretty good proxy.
World Health Organization Ranking; The World’s Health Systems
1 France
...
37 USA
Ditto for the WHO rankings. It's not an apples-to-apples comparison.
If you want to argue for single-payer, that's great. I just think you should argue based on the merits, not based on some rankings that really have little to do with quality of care.
WHO ranks every countries health system using several metrics - how much more apple-to-apple do you need?
Its also not about single payer. Single payer is simply one alternative to improving our health care system in a meaningful way - driving the cost down. We spend far too much national wealth on healthcare, and by that measure, we should have the highest healthcare rankings - but we do not.
The US health care system lags behind must industrialized nations by any objective measure - other than in per capita spending, where the US is first. SO we spend the most, and get the least (yes "least" is an exaggeration to make a point).
Major Findings
Quality: The indicators of quality were grouped into four categories: effective care, safe care, coordinated care, and patient-centered care. Compared with the other 10 countries, the U.S. fares best on provision and receipt of preventive and patient-centered care. While there has been some improvement in recent years, lower scores on safe and coordinated care pull the overall U.S. quality score down. Continued adoption of health information technology should enhance the ability of U.S. physicians to identify, monitor, and coordinate care for their patients, particularly those with chronic conditions.
Access: Not surprisingly—given the absence of universal coverage—people in the U.S. go without needed health care because of cost more often than people do in the other countries. Americans were the most likely to say they had access problems related to cost. Patients in the U.S. have rapid access to specialized health care services; however, they are less likely to report rapid access to primary care than people in leading countries in the study. In other countries, like Canada, patients have little to no financial burden, but experience wait times for such specialized services. There is a frequent misperception that trade-offs between universal coverage and timely access to specialized services are inevitable; however, the Netherlands, U.K., and Germany provide universal coverage with low out-of-pocket costs while maintaining quick access to specialty services.
Efficiency: On indicators of efficiency, the U.S. ranks last among the 11 countries, with the U.K. and Sweden ranking first and second, respectively. The U.S. has poor performance on measures of national health expenditures and administrative costs as well as on measures of administrative hassles, avoidable emergency room use, and duplicative medical testing. Sicker survey respondents in the U.K. and France are less likely to visit the emergency room for a condition that could have been treated by a regular doctor, had one been available.
Equity: The U.S. ranks a clear last on measures of equity. Americans with below-average incomes were much more likely than their counterparts in other countries to report not visiting a physician when sick; not getting a recommended test, treatment, or follow-up care; or not filling a prescription or skipping doses when needed because of costs. On each of these indicators, one-third or more lower-income adults in the U.S. said they went without needed care because of costs in the past year.
Healthy lives: The U.S. ranks last overall with poor scores on all three indicators of healthy lives—mortality amenable to medical care, infant mortality, and healthy life expectancy at age 60. The U.S. and U.K. had much higher death rates in 2007 from conditions amenable to medical care than some of the other countries, e.g., rates 25 percent to 50 percent higher than Australia and Sweden. Overall, France, Sweden, and Switzerland rank highest on healthy lives.