The Journey

In a groundbreaking new project, Dr. Jha, a practicing physician, and his team at HGHI will take their expertise to the front lines. 200+ research papers into the quest to provide better evidence for decision making in healthcare, they want to know: Beyond the numbers, what is it like to have a disease such as Cystic Fibrosis in the UK, a single payer system, versus Netherlands, which has a large role for private insurance? What are the experiences of a woman with a hip fracture and her care team in Germany, where social insurance is common versus Singapore, where out of pocket spending is common? And across these systems, to what extent do people feel treated with dignity and respect? Are delays in care a real problem? Is access to high-cost medicines and other therapies difficult? And how do health systems interface with social care systems to meet social needs, especially those of the poor?

By traveling to eight countries from January through June 2020 and engaging with patients, families, physicians, nurses, administrators and policy makers, Jha and his team will explore how a diverse set of high-income nations comparable to the United States chooses to care for their people, and what the outcomes created by those decisions feel like for both patients and providers of care. In podcasts, short videos, perspective pieces in medical journals, public talks and social media conversations, this project will weave together numbers and narratives, and make visible the values, customs, hardships and trade-offs that are at the heart of healthcare systems everywhere.