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Let’s first understand the true meaning of the three terms today!

Dale refers to an average amount of years that person in the respective country can live at prime optimal health.

Responsiveness on the other hand simply considers how all aspects of patient care is administered

Fair financial contribution simply refers to the how efficient and possible is it for one to provide financial aid and security when it comes to dealing with healthcare costs.

When in comparison with Malaysia, the overall means of the differing factors does vary, in ways that may be shocking. Especially with the difference in rankings and scores, despite being right next doors to each other.

Malaysia:
Dale: 89
Responsiveness: 31
Fair Financial Contribution: 122-123
Overall Goal Attainment: 55

Singapore:
Dale: 30
Responsiveness: 20-21
Fair Financial Contribution: 101-102
Overall Goal Attainment: 27

Malaysia does seem to be more well off in terms of all 3 criterias above, when compared to Singapore, However it is worth denoting that Malaysia does still rank lower in terms of healthcare system performance, despite even maintaining and scoring a higher level of overall goal attainment for their country. Why? Well, this is highly due to how expensive the healthcare system in the country is. Coming in at an average of 93 per capita on health expenditure, when compared to the 38 that Singapore racks in. Malaysia also has a lower performance level in terms of health as in on the graph with the score of 86 as compared to Singapore's mere 14. Thus, why despite doing better in Singapore for all 3 performance criterias, they are still ranked much lower than that of Singapore, in terms of healthcare system performance.

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Highest performing countries relative to attainment of goals and health expenditure.
France, Italy and San Marino rank the highest in overall health system performance.

France, Italy and San Marino has a lower level of DALE (average number of years a person can live in full health) correlating to lower overall goal attainment observed for example in France. France has a low level of DALE of 3 corresponding to low level of overall goal attainment of 6.

Health achievements are generally better with higher expenditure on health (how much one spends on healthcare) however this relationship is not in linear proportion as compared to level of DALE and overall goal attainment.

For example, France spends $4 in health expenditure per capita in international dollars and has a level of 3 in DALE (health achievements). France spends little on health expenditure however still has a low level of DALE which is good meaning that the government doesn't spend as much on healthcare expenditures and the population is still relatively healthy (with no disability) with a good amount of years. However, France's level of DALE isn't as good as Japan which is 1, as Japan has the healthiest population.

Italy spends $11 in health expenditure per capita in international dollars and has a level of 6 whereas San Marino spends $21 in health expenditure per capita in international dollars and has a level of 11 in DALE.

What these top-performing country health systems have in common is that they don't have to use a lot expenditure for their population to be healthy for a  long period of time compared to China where their health expenditure per capita in international dollars is $139 but their DALE level is 81, meaning that even if they did spend a lot on healthcare, their overall population still has a short amount of years a person can live in full health.

# data[].attributes.body
~ Dale refers to the average number of years that a person can live in full health.

~ Responsiveness takes into account 3 factors. They are, Respect for autonomy and confidentiality, prompt healthcare attention and quality of ammenities.

~ Fair financial contribution takes into account, the ways of financing healthcare to provide financial protection for an individual against the cost of ill-health.

New Zealand - Here, the DALE/HALE level is 31 years. The responsiveness level is 22-23. The level of fairness is 23-25. The overall goal attainment is 26.

Singapore - However, in Singapore it is only 30 years. The responsiveness level is, 20-21. However, in Singapore it is a high 101-102. The overall goal attainment is 27.

Thus, for the attainment of goals, Singapore did better than New Zealand by only 1 point for the overall goal attainment. This shows that although the overall level of population health of NZ was higher than SG and the responsiveness level of NZ was also better. SG faired better than NZ in terms of the overall goal attainment. This is because, firstly the differences were not so large and Singapore has a much better distribution of the financial burden as compared to NZ.

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As Singapore's DALE is 30, it positively correlates with it overall goal attainment score of 27.

Singapore's healthcare expenditure is 38 per capita in international dollars while the DALE is 30. This shows that Singapore's healthy life expectancy and mortality rate is managed as the healthcare expenditure is targeted to improve the healthy life expectancy of people so that the diseases and disability could be repelled.

Additionally, the fairness in financial contribution is seen as 101 - 102, of which could be seen as the people contributing to their own healthcare monetary needs while the government is helping them. In Singapore, this is done via Medisave, a national medical savings scheme that is targeted to help individuals pay off their own healthcare needs after government subsidies and before the insurances.

When comparing the fairness in financial contribution with France, it is observed that France has only 26-29. This low number can indicate that there is an imbalance of monetary healthcare contribution with the government and its citizens. Hence, in the long run, this might put France at a risk of healthcare fund deficits.