I read the original report and I don't feel it is objective. First, there are a lot of benchmarks about patient communication. While it is important, it is not

I read the original report and I don't feel it is objective. First, there are a lot of benchmarks about patient communication. While it is important, it is not necessarily the only way to deliver information. For example, while my kids doctor don't talk to kids about health eating, they receive a lot of information at school and constantly talk about it at home (yeah, I do like a good and unhealthy steak :) ). Plus, some benchmarks are completely arbitrary: "Out-of-pocket expenses for medical bills more than $1,000 in the past year, US$ equivalent" - of course US will get lower scores than Canada or any other country with government run healthcare which is paid from taxes. It doesn't make any sense to ask this question. P.S. My wife works in Stanford ER and I hear a lot of stories (good and bad) from her and her colleagues. The kind of stuff they do and the tools they have today is just magic.