Abstract
In its World Health Report 2000 (WHR2000), the World Health Organization published a ranking of its measures of health system performance of its 191 member states. WHO9s performance measurement initiative both stimulated and contributed to debate on an important and neglected topic. This policy forum argues, however, that the WHO algorithm has serious shortcomings in that it neglects potential variables (such as geography) that can affect a country9s performance.
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