"...ranks first" - in *what?
1) No. of biomed techs per 1,000 items of maintainable equipment?
2) Percentage of maintainable items of equipment covered by a PM schedule?
3) Percentage of PM procedures carried out within schedule?
4)
etc., etc. ... and other
metrics that may be of interest to biomeds.
As I said before, we always need to "follow the money"; that is, who paid for the report - and which agenda are they following? Could this be it:-
U.S. Health Care Ranks Last Among Wealthy Countries
And ...
The mission of The Commonwealth Fund is to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, minority Americans, young children, and elderly adults.
Ah yes, now I see it.
*
I would suggest:- box ticking!