[Sandokan]

Cuba's Healthcare, a Model for the U.S. Says CNN
http://www.americanthinker.com/2009/08/cubas_healthcare_a_model_for_t.html

by Humberto Fontova

Good thing for us that Rich Noyes of The Media Research Center keeps an eye on CNN. Good thing for CNN too. Given the latest Nielsen ratings (that finds them 17th during prime time) Ted "Fidel Castro is one helluva guy!" Turner's brainchild should be grateful for any and all viewers, whatever their motivation.

Last week, according to Noyes expose', "CNN aired a piece of Communist Party propaganda about how Cuba could serve as 'a model for health care reform in the United States'."

The CNN report included clips from Michael Moore's Sicko as CNN's Morgan Neill, on location in a Potemkin Havana hospital, gushed about Cuban healthcare's "impressive statistics." "Cuba's infant mortality rates" he reported, "are the lowest in the hemisphere, in line with those of Canada!"

"Amazing!" probably gasped the type of person who watches CNN nowadays (Noyes gets a pass here). Perfect proof of "yes we can!" they probably high-fived. No wonder Colin Powell said "Castro had done some good things for his people!" No wonder Michael Moore catches so much grief from those insufferable Miami Cubans! Before Castro only they could afford doctors, as Cuba's huddled masses languished in sickness and poverty!

And indeed, according to UN figures, Cuba's current infant mortality rate places her 44th from the top in worldwide ranking, right next to Canada (the lower the rate the higher the ranking).

What CNN left out is that according to those same UN figures, in 1958 (the year prior to the glorious revolution), Cuba ranked 13th from the top, worldwide. This meant that robustly capitalist Cuba had the 13th LOWEST infant-mortality rate in the world. This put her not only at the top in Latin America but atop most of Western Europe, ahead of France, Belgium, West Germany, Israel, Japan, Austria, Italy, Spain, and Portugal. Today all of these countries leave Communist Cuba in the dust, with much lower infant mortality rates.
And even plummeting from 13th (Capitalist) to 44th (Communist), Cuba's "impressive" infant mortality rate is kept artificially low by Communist chicanery with statistics and by a truly appalling abortion rate of 0.71 abortions per live birth. This is the hemisphere’s highest, by far. Any Cuban pregnancy that even hints at trouble gets "terminated."

Also noteworthy: according to the Association of American Physicians and Surgeons, the mortality rate of Cuban children aged one to four years is 34% higher than the US (11.8 versus 8.8 per 1,000). But these don’t figure into UN and World Health Organization spotlighted "infant-mortality rates," you see. So the pressure is not on Cuban doctors to fudge these figures – yet.
In April 2001, Dr. Juan Felipe García, MD, of Jacksonville, Fla., interviewed several recent doctor defectors from Cuba. Based on what he heard, he reported the following: "The official Cuban infant-mortality figure is a farce. Cuban pediatricians constantly falsify figures for the regime. If an infant dies during its first year, the doctors often report he was older. Otherwise, such lapses could cost him severe penalties and his job."

More interesting (and tragic) still, the maternal mortality rate in Cuba is almost four times that of the US rate (33 versus 8.4 per 1,000). Peculiar how so many mothers die during childbirth in Cuba, and how many one- to four-year-olds perish, – while from birth to one year old (the period during which they qualify in UN statistics as infants) they’re perfectly healthy!

This might lead a few people to question Cuba’s official infant-mortality figures. But such people would not get a Havana bureau for their news agency, much less a visa to film a documentary.

Ninety-nine percent of Cubans have no more experience with hospitals like the one Michael Moore featured in Sicko and CNN's Morgan Neill visited than Moore has with a Soloflex. Most Cubans view these hospitals the way teenage boys used to view Playboy magazine and husbands view a Victoria’s Secret catalog: "Wow! If only. . ."

The Castroite propaganda in Sicko so outraged people cursed by fate to live in Castro's fiefdom that they risked their lives by using hidden cameras to film conditions in genuine Cuban hospitals, hoping they could alert the world to Moore's swinishness as a propaganda operative for a Stalinist regime.

At enormous risk, two hours of shocking – often revolting – footage was obtained with tiny hidden cameras and smuggled out of Cuba to Cuban-exile, George Utset who runs the superb and revelatory website The Real Cuba. The man who assumed most of the risk during the filming and smuggling was Cuban dissident – a medical doctor himself – Dr. Darsi Ferrer, who was also willing to talk on camera, narrating much of the video's revelations. Dr. Ferrer works in these genuinely Cuban hospitals daily, witnessing the truth. More importantly, he wasn't cowed from revealing this truth to America and the world.

Originally, ABC's John Stossel planned to show the shocking videos in their entirety, during a 20/20 show. Alas, on Sept. 12th 2007, the 20/20 show ran only a tiny segment on Cuba's "real" healthcare, barely 5 minutes long and with almost none of the smuggled video footage. What happened?

Well, the Castro regime got wind of these videos and called in ABC's Havana bureau for a little talking-to, stressing that ABC's "bureau permit" might face "closer scrutiny" if they showed the blockbuster videos.

ABC (and yes, Stossel, whom we all otherwise admire) wimped out.

Enter Fox News, and Sean Hannity in particular. Your humble servant here contacted Hannity's producers regarding the smuggled videos and they immediately requested a look. Within hours they jumped on them and produced a blockbuster of a show. Seen here. And here. Fox viewers saw naked patients covered with flies while lying on "hospital beds" consisting of a bare mattress. They saw buildings that would be condemned by the health board of any US municipality serving as "hospitals." They saw and heard Dr. Darsi Ferrer along with other Cubans who described their inability to obtain something so basic as aspirins.

"Greed," was the motif of Michael Moore's Sicko, right? "Greed" is what Obama's plan will abolish, right?
Well, Fox viewers saw footage of Cubans being told (by regime apparatchiks) that aspirins and other medicines just might be available to them – but only if they paid in US dollars, not the Cuban pesos they held out in desperation.

I can believe any trustworthy news organization would take seriously any data provided by Cuban dictatorship. Medical care in Cuba can be good, if you are a foreigner/tourist and pay with hard currency, otherwise is pathetic.

[Vera Politica]

otherwise is pathetic.

compared to the healthcare of other third world countries? If you have to be a common man in any third world country, Cuba is the way to go in all respects.

Your argument doesn't take the relative criteria into account, so it is moot

[excalibur]

Even in that Michael Moore movie didn't he show a list where Cuba's healtcare system was ranked below the US.

[Vera Politica]

Even in that Michael Moore movie didn't he show a list where Cuba's healtcare system was ranked below the US.

I dunno, but the point I am making is that absolute rankings of this type are erroneous for relative comparisons. Rather, one needs to mark the quality of health care against the nation's per capita GDP. In this respect, Cuba has a phenomenal health care system.

[Sandokan]

I dunno, but the point I am making is that absolute rankings of this type are erroneous for relative comparisons. Rather, one needs to mark the quality of health care against the nation's per capita GDP. In this respect, Cuba has a phenomenal health care system.

We can’t trust any statistics concerning Cuba. The simple truth is that communists lie. If they were willing to kill 100 million people to make their commie omelet, they'd certainly be willing to tell convenient lies to the number crunchers. These places do not allow journalists, or anyone else, to simply walk around with cameras or ask people questions. Why would we think we know anything about the place, other than that it is a totalitarian state?

[Kman]

CNN has been under suspicion by me for mucho retardation for a long time and this just proves it.

[Sandokan]

CNN has been under suspicion by me for mucho retardation for a long time and this just proves it.

CNN's story is about how Cuba could serve as a model for health care reform in the United States. CNN is saying that we should emulate Cuba's "universally bad" health care system, but they are lying about it by using propaganda to claim that Cuba's system is excellent. They are probably doing this to "counter" the argument that a single-payer (government only) system is necessarily a bad system. They are saying "Cuba's system is really good. Your fears are irrational."

We might also be a little alarmed at the probability that this is indeed the trajectory that some Americans (including the Congress and the President) want the US to follow.

[Sandokan]

It is impossible for such a small, extremely poor nation to have such good health indices. To make Moore's sick Stalinist fiction even more unlikely is the fact Cuba is a police state. Since the demise of the Soviet Union, horse power (literally) has been a principle mode of transportation.

What person who has a high enough IQ to be an excellent doctor , would stay in Cuba except through coercion. Cuban M.D.s who escaped to USA from Cuba, but were trained in pre-Castro Cuba made 20 times the income had they remained.

Another indicator that Cuba couldn't have a good healthcare system is their former enabler : the Soviet Union was clearly well behind the US , UK and other western nations in the area of health care. Many doctors from the Soviet Union who immigrated to the US had great difficulty meeting the minimal standards to be a practicing M.D. in the US. Since it is very likely the "great" Cuban health care system , is modeled on the former Soviet Union's medical education system, I doubt the doctors in Cuban receive good training.

[Godstud]

The main problems of the Cuban health care system are:
Low pay of doctors
Poor facilities—buildings in poor state of repair and mostly outdated.
Poor provision of equipment.
Frequent absence of essential drugs.
Concern regarding freedom of choice both for patient and doctor.
Challenges include relatively low pay of doctors (physicians are paid only 15 dollars a month[8]), poor facilities, poor provision of equipment, and frequent absence of essential drugs

None of which would be a problem in the US.

The things Cuba does right are:
There appeared to be little evidence of a divide between the prevention/proactive response and the disease management/reactive response within Cuban healthcare.
In Cuba it was one doctor per 175 people, in the UK the figure was one doctor per 600 people.
There is a commitment in Cuba to the triple diagnosis (physical/psychological/social) at all levels.
Extensive involvement of "patient" and the public in decision making at all levels.
Integration of hospital/community/primary care via polyclinics.
Team-work that works is much more evident both in the community and the hospital sector and the mental-health and care of the elderly sites visited were very well staffed and supported.
http://en.wikipedia.org/wiki/Healthcare_in_Cuba

Taking the good parts of the Cuban system and applying it to the US model might not be the worst thing to happen. The main problems with their system appear to be things the US has a handle on.

[Galoredk]

When will the effects of McCartyism ever stop. Just because they have a communist based system ti does not mean that they experiment on their population. I would rather be sick and need hospital care in Cuba than in the US.

[Vera Politica]

Taking the good parts of the Cuban system and applying it to the US model might not be the worst thing to happen. The main problems with their system appear to be things the US has a handle on

The problems with the Cuban system which the United States may 'have a handle on' are due to the size and power of the US economy and the fact that Cuba is very poor and a part of the third world. It has nothing to do with explicit policies, government or otherwise.

[Fasces]

Sandokan, the Cubans do have a higher per capita amount of doctors than any Western nation. Are they as well trained, paid, capable, or do they have the proper facilities? Perhaps not, but simply because it is a communist nation should not preclude mutual learning and application of the positive things they do.

Should the West have ever recognized the PRC?

[Stormsmith]

Look at the stats for Iraq over the last years: they had a reasonably successful social medical system that tanked abysmally after Gulf 1. The downward spiral from sanctions shocked the world, and led to a programme allowing them to swap oil for food and medicine. Cuba has also endure a form of sanctioning.

Cuba has a number of unique medical treatments that are beginning to attract world-wide attention, and, in addition are running world class medical ltouriswm centres that finance the regular national system. They'll be drilling oil, soon too. And Venuzula is offering to help restore the internet service America destroyed. With a little luck, they should achieve excellence in the near future.

[Red_Army]

Anti-communists are so superstitious. Sandokan wouldn't accept a million dollars if the paper it was wrapped in had a sickle and hammer on it

But seriously this is tedious, Cuba has a notoriously good health care system for the region/relative to GDP (as Vera Politica has mentioned). There can be little argument with this, they export doctors and have a higher life expectancy/lower infant mortality than nations of similar means in the area. Of course this model should be applied wherever it would likely succeed, anyone who would be against the program simply because the nation that instituted it has other problems is a sentimentalist, and doesn't seriously want to do whats best for their people.

Are you going to deny the tastiness of Cuban food, while you're at it Sandokan?

While we aren't trusting these commies with their great facade of good health care, why should we trust you, who consistently and really ONLY posts anti-Cuban/Chavez nonsense day in and day out. Are we too expect that your fanatical anti-Castro passion comes from a foundation of unbiased information gathering? Don't be silly, you are an ideologue and you're perspective is trite. There are much worse regimes than Castro's Cuba, for instance, why spare them? Why attack their successes, if you are so sure of their failure, why is it such a point of pride for you to decry every single aspect of their system?

You are the equivalent of the 'red alert commie' that has become an internet stereotype. The ones who call U$A an evil monster regime with soulless tentacles that rape brown babies all day.

[Sandokan]

There appeared to be little evidence of a divide between the prevention/proactive response and the disease management/reactive response within Cuban healthcare

The communist regime did not want to reveal to the world the existence of an epidemic of dengue fever in the spring and summer of 1997 because it was a personal embarrassment to Fidel Castro, who had previously declared that the mosquito responsible for dengue, the Aedes aegypti, had been eradicated long before by the long arm of the Revolution.

The dengue fever epidemic has become endemic in the Island. Castro’s regime has always tried to hide the facts, instead of asking the international community for help to eradicate the epidemic. This excellent article about the Dengue Epidemic is a must read:
“THE DENGUE EPIDEMIC IN CUBA” http://www.lanuevacuba.com/archivo/humb ... o-1eng.htm

In Cuba it was one doctor per 175 people, in the UK the figure was one doctor per 600 people.

Mora than 36,000 Cuban health workers, most of them doctors, who work overseas in 71 countries according to official figures, brought in $2.3 billion last year, more than any other industry, including tourism. Most of them are paid $150 to $375 a month, 10% to 15% only of the cash or trade benefits the Cuban government pockets in exchange for their work.

Physicians in Cuba are forced to work for a salary of $22 per month (530 pesos) which does not cover even their bare necessities. Many doctors quit the profession and seek jobs in the only industry that offers any chance for economic opportunity and access to dollars, the Cuban tourism industry.

Because so many health workers are working overseas, and others have quit the profession, there is a shortage in Cuba. The situation has become so bad that on December 2007 the vice minister of public health, Joaquín García Salaberría, took the highly unusual step of admitting on Cuban television that there were shortages of doctors and nurses.

The physicians serving in those countries are essentially under surveillance all the time and any change in their plans not consistent with the orders given from Havana invariably lead to the involvement of police or paramilitary security forces. It is no wonder that many physicians in such missions defect to freedom. About 6,000 health workers, many of them physicians, have left Cuba in the last six years.

There are a total of 65,000 Cuban doctors. According to MINSAP 25,000 Cuban doctor’s work overseas and another 10,000 have left Cuba. The actual numbers of doctors in Cuba reach 30,000, but 10% quit the profession and work in more lucrative jobs. Only 27,000 doctors are working in Cuba in their profession. The actual per capita of doctors is one doctor per 422 people.

Financially, "doctor diplomacy" is an outstanding source of income for Castro's economy since his MINSAP pays doctors and other personnel only a small fraction of the millions of dollars that are received by Cuba.

[1]Extensive involvement of "patient" and the public in decision making at all levels.[/i]

Many physicians had serious complaints about the intrusion of politics into medical treatment and health care decision-making. There is no right to privacy in the physician-patient relationship, no right of informed consent, no right to refuse treatment, and no right to protest or sue for malpractice. Family doctors are also expected to report on the “political integration” of their patients, and to share this information with state authorities.

Integration of hospital/community/primary care via polyclinics.

Under the Cuban government's health care monopoly, the state assumes complete control. Average Cubans suffer long waits at government hospitals, while many services and technologies are available only to the Cuban party elite and foreign "health tourists" who pay with hard currency. Moreover, access to such rudimentary medicines as antibiotics and Aspirin can be limited, and patients often must bring their own bed sheets and blankets while in care.

Cubans who needed treatment often used social networks or bartered favors to have doctors see them outside the official clinic settings. If people had to go to the hospital, they tried to prepare in advance, getting surgical thread and bandages on their own, even obtaining drugs from the United States if they could.

The increase in transmissible diseases has given rise to an ever increasing state if problems. Most of the population is affected by parasites, anemia and mal nutrition. Pathologies such as tuberculosis have high rate of occurrences and prevalence that are alarming.

Team-work that works is much more evident both in the community and the hospital sector and the mental-health and care of the elderly sites visited were very well staffed and supported.

Cuba still houses their criminals and mentally challenged in squalid jails and disgusting state run asylums. Around 25 years ago Castro released his criminals and mentally deficient people out of jail and institutions and sent them in overcrowded boats to enter America as political escapees.

The book "The Politics of Psychiatry in Revolutionary Cuba," by Charles J. Brown and Armando M. Lago, published in the U.S. in 1991, documented Castro,s use of psychiatry against political dissidents in 31 cases of psychiatric abuses at Mazorra Psychiatry Hospital in Havana. In addition to this book, two addendums to the United Nations Human Rights Commission in Geneva (1992 and 1993) presented 40 more documented cases. The South Florida Psychiatric Association found approximately 100 new cases in 1995 among the rafters detained at Guantanamo. And in 1996, the office of Research at Radio Marti found 200 more documented cases, making a total of 371 known cases.

Said Dr. Lago, one of the authors of the book: "In the former Soviet Union, with a population of three hundred million, there were 300 well documented cases of psychiatric abuse against political dissidents (1 per million). However, Cuba's eleven million inhabitants, with 371 cases is a shocking contrast (1 per 30,000)."

Mazorra Psychiatry Hospital is notorious for punishing political dissidents with heavy doses of psychotropic drugs and electroconvulsive therapy (ECT). On August 2002, Heriberto Mederos was found guilty of lying to Miami's INS officers about his past, denying he tortured political prisoners by administering electroshock treatments as a nurse at the Mazorra Psychiatric Hospital in Havana.

Taking the good parts of the Cuban system and applying it to the US model might not be the worst thing to happen.

The myth of Castro tyranny about the success of the Cuban Health Care System, is debunked by an article titled “Re-examining the Cuban Health Care System” included in the latest edition of the online journal, “Cuban Affairs,” published by the University of Miami’s Institute for Cuban and Cuban-American Studies.

The author, University of Oklahoma Professor Katherine Hirschfeld, spent nine months in the island living with a Cuban family and interviewing family doctors, medical specialists, social workers, nurses and patients as part of her research. Katherine Hirschfeld , http://www.cubanaffairsjournal.org, Vol. 2, Issue 3-July 2007.

Dr. Hilda Molina, a former member the Cuban National Assembly, is one of Cuba's most distinguished scientists. She broke with the government on the issue of medical apartheid, the denial of medical care or medicine to Cubans while the same services are provided to dollar-paying foreign patients. Dr. Molina is founder of Havana's International Center for Neurological Restoration. She and her elderly mother were virtual hostages on the island for15 years, until recently that were permitted to travel abroad. Dr. Hilda Molina report “Cuban Medicine Today”, was smuggled out of the island, and published by Center for a Free Cuba, December 28, 2004
http://www.cubacenter.org/media/archives/1998/summer/medicine_today.php3

Rather, one needs to mark the quality of health care against the nation's per capita GDP. In this respect, Cuba has a phenomenal health care system.

For the quality of health care in Cuba see Katherine Hirschfeld article “Re-examining the Cuban Health Care System”, and Dr. Hilda Molina report “Cuban Medicine Today” referenced above.

Sandokan, the Cubans do have a higher per capita amount of doctors than any Western nation. Are they as well trained, paid, capable, or do they have the proper facilities?

See response above for "doctor diplomacy."

There are enormous differences between medicine in Cuba and in the United States. Aside from old books used in their training, Cuban medical students and doctors must contend with a lack of modern equipment and, often, of drugs and diagnostic tools taken for granted in developed countries.

Foreign doctors trained in languages other than English face immense challenges getting a license to practice in the United States. Not only must they relearn their profession in English, but many must also work to support themselves and their families. Cuban doctors, in particular, tend to be older by the time they arrive in the United States, sometimes too old to dedicate years to studying for exams and finding and completing a residency program.

When will the effects of McCartyism ever stop. Just because they have a communist based system ti does not mean that they experiment on their population.

Dr. Hilda Molina, a former member the Cuban National Assembly: “I opposed the efforts of Dr. José Angel Obeso to perform functional surgery in cases of Parkinson's disease, judging them as too risky for patients and insufficiently studied. In other words, I opposed the use of Cuban patients as laboratory animals.” See Dr. Hilda Molina report “Cuban Medicine Today” reference above.

I would rather be sick and need hospital care in Cuba than in the US.

Good luck. For an accurate picture of what the average Cuban undergoes in healthcare, please visit the harrowing pictures smuggled out of Cuba (at enormous peril) and posted on http://therealcuba.com/. If a picture is normally worth a thousand worth then these are worth a million. The 20/20 program about healthcare in Cuba video: http://www.youtube.com/watch?v=o-8TcpOz6A4. Hannity and Colmes' program about health care in Cuba for regular Cubans video: http://www.youtube.com/watch?v=25_RgM1jHeo&eurl=http://www.babalublog.com/

The man who assumed most of the risk during the filming and smuggling was Cuban dissident Dr. Darsi Ferrer, a medical doctor himself. Dr. Ferrer was also willing to talk on camera, narrating the video’s revelations. Dr Ferrer works in these Cuban hospitals, a daily witness to the truth that some prefer to ignore.

Cuba has a number of unique medical treatments that are beginning to attract world-wide attention, and, in addition are running world class medical ltouriswm centres that finance the regular national system.

For the so call “unique medical treatments” and “health tourism” see reference above of Dr. Hilda Molina report “Cuban Medicine Today”

Cuba is only a medical power in a few hospitals that are adequately equipped and they do not lack anything, and in which only have access the foreigners who pay in dollars, the nomenclature and members of the party. In other words Cuba is an example of the call “medical apartheid.”

There can be little argument with this, they export doctors and have a higher life expectancy/lower infant mortality than nations of similar means in the area.

For "doctor diplomacy" see response above.

In all nations with high emigration rates longevity rates skew high. This occurs because the birth is recorded but the death gets recorded in the nation migrated to. So it seems like fewer people die. A nation with high longevity but with high emigration has little to boast about with regards to longevity figures. During the last 50 years, 2.6 millions Cubans have emigrated/born abroad. The actual island population is 11.4 millions. The 2.6 millions represent 18.5% of the total population, a high emigration rate.. This explains the high life expectancy.

According to UN figures, Cuba's current infant mortality rate places the country 44th from the top in worldwide ranking. According to those same UN figures, in 1958 (the year prior to the revolution), Cuba ranked 13th from the top, worldwide. This meant that pre-Castro Cuba had the 13t lowest infant-mortality rate in the world.

Cuba's infant mortality rate is kept low by the regime’s tampering with statistics, by a
low birth rate of 12.5 births per 1000 population, and by a staggering abortion rate of 77.7 abortions per 1,000 women. Cuba had the lowest birth rate and doubles the abortion rate in Latin America. Cuba's abortion rate was the 3rd highest out of the 60 countries studied. (http://www.guttmacher.org/pubs/journals/25s3099.html)

Another health parameter linked to infant mortality, is the maternal mortality rate. Cuba’s maternal mortality rate is 33 deaths per 100,000 live births. This health statistic is high despite the fact that Cuba has the lowest birth rate in Latin America. The doctors are supposed to suggest abortion in risky pregnancies and, in some occasions, must perform the interruption without the consent of the couple. Cuban pediatricians constantly falsify figures for the regime. If an infant dies during his first year, the doctors often report he/she was older. Otherwise, such lapses could cost him severe penalties and his job.

[Sandokan]

compared to the healthcare of other third world countries? If you have to be a common man in any third world country, Cuba is the way to go in all respects.

The best health care system is in Cuba: for the coma-andante and his family, the second best: for the PCC politburo, the third best: for foreigners, the 4th for members of the repressive apparatus, the armed forces, the PCC central committee, the council of ministries, the national assembly members, and similar cadres. Then, whatever is left, is for the normal Cubans. Michael Moore should live one year in Cuba as a normal Cuban and then talk. Why CNN keeps blatantly ignoring Cuba's reality?

[Red Rebel]

CNN Is in bed with the Castro brothers. CNN is a communist organization.

Besides the healthcare system in the United States is great. I have the freedom to stay sick and die.

[Kman]

Why CNN keeps blatantly ignoring Cuba's reality?

Ignoring truth and reality is a specialty of western media these days.

[Sandokan]

Ignoring truth and reality is a specialty of western media these days.

Does CNN stand for Castro’s News Network? There’s something deeply wrong with journalism that scrutinizes and criticizes the institutions of free and successful nations, but produces puff pieces on the supposed achievements of totalitarian dictatorships. The sound bite in the CNN story about how Cuba could serve as “a model for health care reform”, was from the American medical expert Gail Reed, a longtime admirer of the Cuban revolution, married to the Cuban official who served as ambassador to Grenada in the early 1980s. She's also worked at Granma, Cuba’s official communist party newspaper. Reed also worked as a Havana producer for NBC News in the mid-1990s.

[redcarpet]

France's is the #1 on the WHO list, so France's is the best model to consider emulating in my view