I'm talking about developing countries... which I think should be praised for figuring out how to maximize efficiency and value to serve very poor populations a

I'm talking about developing countries... which I think should be praised for figuring out how to maximize efficiency and value to serve very poor populations at low cost. I was around in the 1990s (in the US) and at the time I thought the healthcare system did a pretty good job. A decade or two later and for most diseases, little has changed about the treatments/practices. So for 95% of healthcare issues, 1990s medicine is just as good as 2013 medicine. The fallacy upon which much of the cost bloat is built is the idea that all costs should be increasing b/c quality is increasing in some key areas (like cancer treatment). Ironically, the areas in the US that offer the biggest area for improvement are things like basic systems and process improvements... things like being sure someone helps the 70 year old patient walk the hall twice a day to retain mobility during a hospital stay (even if the reason for the hospital stay is something like a bad cold, a fall, or dehydration from vomiting). Most of the things that can offer significant outcome improvements are very low tech.