Ranking National Environmental Regulation and Performance: A Leading Indicator of Future Competitiveness?

Daniel  Esty; Michael E. Porter

Chapter | The Global Competitiveness Report 2001–2002 | 2002

Ranking National Environmental Regulation and Performance: A Leading Indicator of Future Competitiveness?

Abstract

This chapter from The Global Competitiveness Report analyzes the differences among countries in environmental performance and the link between environmental outcomes and national environmental policy choices. The chapter reveals the findings from an exploration of the question: must environmental quality come at the expense of competitiveness and economic development?

Keywords: Society; Strategy;

Format: Print

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Esty, Daniel, and Michael E. Porter. "Ranking National Environmental Regulation and Performance: A Leading Indicator of Future Competitiveness?" In The Global Competitiveness Report 2001–2002, by Michael E. Porter, Jeffrey D. Sachs, Peter K. Cornelius, John W. McArthur, and Klaus Schwab, 78–101. New York: Oxford University Press, 2002.

As the diffusion of value-based health care efforts accelerates globally, the need for interoperable information technology systems that support value-based care is essential. Such systems are needed to facilitate dramatic improvements in patient outcomes and efficiency and, importantly, to end an era in which health IT has entrenched the status quo, perpetuated silos, and blocked reimbursement reform. A value-enabling IT platform must organize data around conditions and must enable integrated practice units to integrate care both within and across health systems. In addition, the electronic health record should be the sole source of costing information so that accurate costs for every encounter can be tracked, aggregated, shared, and used for improvement. This is the next generation of health care IT.

Since its establishment in 2005, Hamburg’s Martini Klinik had single mindedly focused on prostate cancer care with a commitment to measure long-term health outcomes for every patient. A wholly owned subsidiary of the University Hospital Hamburg, Martini Klinik was a “hospital in a hospital” in close proximity to other medical departments and services. By 2019, Martini Klinik had become the largest prostate cancer treatment program in the world with 8,000 outpatient cases and more than 2,500 surgical cases annually. Patients came from all over Germany and from around the world. A new and expanded facility was under construction to have the capacity to manage more patients with prostate cancer.

In this report, the authors synthesize their views on U.S. competitiveness and unveil the findings of the 2019 HBS surveys on U.S. competitiveness. Specifically, this report—built on the survey findings and eight years of prior research on the competitiveness of the United States—highlights a disturbing pattern: despite a decade of steady economic growth since the Great Recession, America has done remarkably little to address underlying structural weaknesses in the country’s economy and society. The nation has squandered the recovery.

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Ranking National Environmental Regulation and Performance: A Leading Indicator of Future Competitiveness?

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