"Spending on medical care provides a reasonably good measure of input, but, unfortunately, there is no remotely satisfactory objective measure of output." Seri

"Spending on medical care provides a reasonably good measure of input, but, unfortunately, there is no remotely satisfactory objective measure of output." Seriously? An economist, of all people, is trying to convince me that we can't estimate the effectiveness of a health care system? At the same time he thinks he can estimate the effectiveness of a theoretical economic model for paying for a health care system? I call B.S. His comment about Physicians earning much less in Canada than in the U.S. is also disingenuous. Canadian doctors spend the vast majority of their 40-hour workweek being doctors. In the U.S. doctors have to deal with both patients and insurance companies equally, raising the time they spend working and lowering the overall efficiency of providing care. Besides, lawyers also make much less in Canada than in the U.S., as do senior executives. Is this also because of the health care system? I like his thesis. I find it elegant and simple. It's too bad that any time he approached presenting a real fact in the article he did so dishonestly.