Not sure how many were #1 - I do recall alot of #1's even within the lists that had the Top 5 filled with international ones.
Oh and remembered one we sucked even worse than genetics in - Gastroenterology was all international, two in the UK, one in EU, Singapore and Hong Kong from the list I'd jotted down. Found my (handwritten though - not great as "evidence" I can photo it though, as worthless as that would be) note from when I was there since I've got some chronic GI issues that have never been solved. With a big ole star I added next to Singapore, since I'd love to visit and frankly would love a firsthand account of their system - since to me, their system looks to be the best one we could adapt ours into.
Don't get me wrong though, I like US healthcare as a Maryland resident - it scares the shit out of me to think about moving out of this state though if I'm not going to Washington, California or Boston though - since it seems like there's enormous wastelands of shitty hospitals. The idea of getting sick and having to fly someplace I'd feel comfortable being treated seems.... unfun.
Stuff like death rates on some hospitals are frankly terrifying - there's plenty of states where a 20-22% chance of death with heart attack treatment is the NORM! (Harford County General is on there, if you ever consider getting taken to a MD hospital somewhat close to you at 18.6% chance of mortality on a heart attack call) International average is 14%, whereas our best gets to the 10-11% range... with 20-22% being a much larger band for us.
[
Hospital death rates unveiled for first-time comparison - USATODAY.comhas a link to the tool I was playing with inside it to quote the national numbers - international was from WHO]
Don't get me wrong though, I think the ACA was only a tiny improvement in things could even potentially thanks to some of the bullshit loopholes be even worse in the longrun - and would ideally prefer to see a Singapore model which no one really has pitched over here (if you're not familiar they basically do a mandatory HSA that once you go past you get your coverage taken care of by the state - personal responsibility with a safety net - and it includes dental apparently!) although single payer would be a form of improvement as well.
Either way, I want to see the health insurance industry gone though as it stands - secondary policies perhaps, but never primary policies as it stands today - I've felt that way since I was a kid at my first real job doing records for my mother's doctor's office (she was the lead RN, not doc) when I realized I was putting together records to send to the same insurance company for the same claim from Dr. Ruz's office for literally from one of my first days until I left when college started about 18-24 months later because the insurance company wanted to refuse to pay Dr. Ruz the money that it owed him for treatment of their patient on some stupid contingency they were claiming or misfiled paperwork or whatever else, that kept being a moving goalpost for Dr. Ruz to get reimbursed the ~$400 he was owed for the procedure.
Something like that should NEVER happen - much less multiple times (although that was the worst example I saw in his ~40 patient a day practice there were a few that finally got paid after 12-15 months, Medicare in comparison paid consistently at the 2 month point + however many days till next day on the payment schedule at that point... [Medicare only pays on set days - so could add 2 weeks sometimes, a day others]... and Medicaid here was generally 1-4 weeks - but they are privately run, but they wouldn't play the same games, I guess since they've got the State baking the plans they don't bother or something...) - and then later dealing with COBRA and my PEC that cropped up - I got to see a $500/mo plan balloon to $931/mo then to $2000/mo when there was no way I would ever use anywhere near that amount of services, literally became cheaper for me to pay for MRIs and shit out of pocket every TWO MONTHS than it was to keep the plan.
The insurance industry is and remains pretty damn fucked up - it either needs tons of regulations (which I'm not a huge fan of) or needs a reset button where it's only a side benefit.
Their current method of running the industry like a casino while using a stacked deck is a terrible thing when it's an item with inelastic demand that everyone needs at some point to varying degrees.