Macdoctor starts by noting the international reaction to how we do things in our health system, including not funding 12 month courses of herceptin, is “are you crazy”.
He concludes with:
You may notice from the above list that the only thing our hospitals excel at is quality assurance. I point out that one of the finest quality assurance programs in the world is run by Macdonalds. They make sure that the quality of their burgers is the same the world over. Universally horrible.
At least our excellent QA systems help us to ensure that the quality of our health system is consistently crap. International standards indeed.
The bits in between make interesting reading too, you’ll find it all here.
[Update: Macdoctor left a comment clarifying, for anyone who doesn’t follow the link and read his whole post, that: ” the first sentence of the quote is made in the context of international standards. I am not suggesting that hospitals do not practice good medicine, given our under-resourced system!”