Health outcomes are determined by more factors than the quality of medical care. Obesity (and it's bed fellow diabetes), sedentary lifestyles, drinking & drugs

Health outcomes are determined by more factors than the quality of medical care. Obesity (and it's bed fellow diabetes), sedentary lifestyles, drinking & drugs, etc. Given current medical knowledge and technology, no medical system can undo the harm caused by those cultural factors. Doctors' advice is just that, advice that you are free to ignore. Even more specific metrics can be misleading. E.g. we know that cancer patients are more likely to be cured in the US than in Europe, but there's enough confounding factors to muddle any conclusions. It could be that earlier detection in the US leads to treatment for a cancer that would have gone into remission on its own and never been detected by doctors in another country. Or it could be that US cancer care is superior.