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Which health care system is better? Canada or the United States?

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Story from the Hoover Institute at Stanford University.

The article compares (pre-Obamacare) American health care to health care in other places like Canada, the UK and Europe.

The full article. I almost never cite the full article, but this is a must read. Men, pay close attention to the differences in prostate cancer treatment rates in a for-profit system versus a single-payer system, where bureaucrats decide who gets treatment.

MEDICINE AND HEALTH:

Here’s a Second Opinion

By Scott W. Atlas

Ten reasons why America’s health care system is in better condition than you might suppose. By Scott W. Atlas.

Medical care in the United States is derided as miserable compared to health care systems in the rest of the developed world. Economists, government officials, insurers, and academics beat the drum for a far larger government role in health care. Much of the public assumes that their arguments are sound because the calls for change are so ubiquitous and the topic so complex. Before we turn to government as the solution, however, we should consider some unheralded facts about America’s health care system.1. Americans have better survival rates than Europeans for common cancers.Breast cancer mortality is 52 percent higher in Germany than in the United States and 88 percent higher in the United Kingdom. Prostate cancer mortality is 604 percent higher in the United Kingdom and 457 percent higher in Norway. The mortality rate for colorectal cancer among British men and women is about 40 percent higher.2. Americans have lower cancer mortality rates than Canadians.Breast cancer mortality in Canada is 9 percent higher than in the United States, prostate cancer is 184 percent higher, and colon cancer among men is about 10 percent higher.3. Americans have better access to treatment for chronic diseases than patients in other developed countries. Some 56 percent of Americans who could benefit from statin drugs, which reduce cholesterol and protect against heart disease, are taking them. By comparison, of those patients who could benefit from these drugs, only 36 percent of the Dutch, 29 percent of the Swiss, 26 percent of Germans, 23 percent of Britons, and 17 percent of Italians receive them.

4. Americans have better access to preventive cancer screening than Canadians. Take the proportion of the appropriate-age population groups who have received recommended tests for breast, cervical, prostate, and colon cancer:

  • Nine out of ten middle-aged American women (89 percent) have had a mammogram, compared to fewer than three-fourths of Canadians (72 percent).
  • Nearly all American women (96 percent) have had a Pap smear, compared to fewer than 90 percent of Canadians.
  • More than half of American men (54 percent) have had a prostatespecific antigen (PSA) test, compared to fewer than one in six Canadians (16 percent).
  • Nearly one-third of Americans (30 percent) have had a colonoscopy, compared with fewer than one in twenty Canadians (5 percent).

5. Lower-income Americans are in better health than comparable Canadians. Twice as many American seniors with below-median incomes self-report “excellent” health (11.7 percent) compared to Canadian seniors (5.8 percent). Conversely, white, young Canadian adults with below-median incomes are 20 percent more likely than lower-income Americans to describe their health as “fair or poor.”

6. Americans spend less time waiting for care than patients in Canada and the United Kingdom. Canadian and British patients wait about twice as long—sometimes more than a year—to see a specialist, have elective surgery such as hip replacements, or get radiation treatment for cancer. All told, 827,429 people are waiting for some type of procedure in Canada. In Britain, nearly 1.8 million people are waiting for a hospital admission or outpatient treatment.

7. People in countries with more government control of health care are highly dissatisfied and believe reform is needed. More than 70 percent of German, Canadian, Australian, New Zealand, and British adults say their health system needs either “fundamental change” or “complete rebuilding.”

8. Americans are more satisfied with the care they receive than Canadians. When asked about their own health care instead of the “health care system,” more than half of Americans (51.3 percent) are very satisfied with their health care services, compared with only 41.5 percent of Canadians; a lower proportion of Americans are dissatisfied (6.8 percent) than Canadians (8.5 percent).

9. Americans have better access to important new technologies such as medical imaging than do patients in Canada or Britain. An overwhelming majority of leading American physicians identify computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade—even as economists and policy makers unfamiliar with actual medical practice decry these techniques as wasteful. The United States has thirty-four CT scanners per million Americans, compared to twelve in Canada and eight in Britain. The United States has almost twenty-seven MRI machines per million people compared to about six per million in Canada and Britain.

10. Americans are responsible for the vast majority of all health care innovations. The top five U.S. hospitals conduct more clinical trials than all the hospitals in any other developed country. Since the mid- 1970s, the Nobel Prize in medicine or physiology has gone to U.S. residents more often than recipients from all other countries combined. In only five of the past thirty-four years did a scientist living in the United States not win or share in the prize. Most important recent medical innovations were developed in the United States.

Despite serious challenges, such as escalating costs and care for the uninsured, the U.S. health care system compares favorably to those in other developed countries.

This essay appeared on the website of the National Center for Policy Analysis on March 24, 2009. An earlier version was published in the Washington Times.Available from the Hoover Press is Power to the Patient: Selected Health Care Issues and Policy Solutions, edited by Scott W. Atlas. To order, call 800.935.2882 or visit www.hooverpress.org.

Scott W. Atlas is a senior fellow at the Hoover Institution and a professor of radiology and chief of neuroradiology at Stanford University Medical School.

Please forward this article to all of your friends! It’s important!

News

New study finds that cohabitation damages children

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Story here from the UK Daily Mail. (H/T Dina)

Excerpt:

The astonishing speed at which traditional family life has collapsed is laid bare today.

Shocking figures reveal that births outside marriage are at their highest level in two centuries and nearly half of children can expect their parents to separate by the time they turn 16.

Nine out of ten couples now live together before – or instead of – tying the knot. Before the Second World War, it was fewer than one in 30.

From a situation 30 years ago where it was often considered shameful to have a child outside of wedlock, it has now become the norm.

Some 46 per cent of children are born to unmarried mothers, according to research by the Centre for Social Justice.

The think-tank said a child growing up in a one-parent family is 75 per cent more likely to fail at school, 70 per cent more likely to become a drug addict, 50 per cent more likely to have an alcohol problem and 35 per cent more likely to be unemployed as an adult.

Some 48 per cent of children are likely to see their family break up before they are 16. Ten years ago, it was 40 per cent.

Gavin Poole, executive director of the CSJ, which was set up by Work and Pensions Secretary Iain Duncan Smith, said: ‘Current high levels of cohabitation are a key factor in the rise in family breakdown in our country and this paper shows that we have not been here before.

‘Marriage and commitment tend to stabilise and strengthen families and cannot be ignored. The peculiarly high levels of family breakdown found in Britain are at the heart of the social breakdown which is devastating our most deprived communities.

‘We cannot ignore the wealth of evidence showing that the family environment in which a child grows up is key in determining their future life outcomes.’

The report says the decline in the traditional family is a crucial factor in the social decay that is blighting Britain.

It finds that – at around 5 per cent – levels of births outside marriage were the same in the 1950s as in the 1750s.

They remained at low levels through the 19th century and stayed flat until the 1960s. But since then they have soared. By the late 1970s, 10 per cent of babies were born to single or unmarried parents, by 1991 it was 30 per cent and today it is 46 per cent.

The authors of the research point to evidence suggesting that in the 1950s and 1960s, only 1 to 3 per cent of couples cohabited before marriage.

Today, nearly 90 per cent of couples live together before, or instead of, getting married.

Family breakdown, the experts claim, is being fuelled by the growth in the less stable relationship of cohabitation. ‘A child growing up in a fractured, chaotic or fatherless family is far less likely to develop the pro-social skills essential for success later in life,’ Mr Poole said.

The thing to understand about the secular left in Britain is that they are not really against poverty – not if it means telling people to be more responsible and informed about abstinence, courting and marriage. They are willing to “fix” poverty by taking money from one group and giving it to another group. But they are not willing to prevent poverty by holding people accountable to moral standards. That would be so judgmental, divisive and offensive to poor people. And if there is one thing the secular left stands for, it’s not making people feel bad for their own decisions. The secular left would rather have adults doing whatever makes them feel good than to have children grow up healthy and happy in stable environments.

Marriage is the best way to prevent child poverty, so let’s have some policies that promote marriage and discourage cohabitation.

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News

Christian electrician faces termination for displaying cross

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But wearing a burkha is just fine. (H/T Dina)

Excerpt:

An electrician faces the sack for displaying a small palm cross on the dashboard of his company van.

Former soldier Colin Atkinson has been summoned to a disciplinary hearing by the giant housing association where he has been employed for 15 years because he refuses to remove the symbol.

[…]Throughout his time at work, he has had an 8in-long cross made from woven palm leaves attached to the dashboard shelf below his windscreen without receiving a single complaint.

But his bosses at publicly funded Wakefield and District Housing (WDH) in West Yorkshire – the fifth-biggest housing organisation in England – have demanded he remove the cross on the grounds it may offend people or suggest the organisation is Christian. Mr Atkinson’s union representative said he faces a full disciplinary hearing next month for gross misconduct, which could result in dismissal.

The association strongly promotes ‘inclusive’ policies and allows employees to wear religious symbols at work.

It has provided stalls at gay pride events, held ‘diversity days’ for travellers, and hosted a gender reassignment event entitled A World That Includes Transpeople.

[…]Despite the company’s treatment of Mr Atkinson, the boss of the depot where he works in Castleford has been allowed to adorn his office with a poster of the Argentinian revolutionary Che Guevara.Denis Doody, who is WDH’s environmental manager, also has a whiteboard on which are written several quotations by the Marxist guerrilla leader, who was a key figure in the Cuban revolution in the Fifties.Colleagues said staff and even members of the public who were visiting the depot would be able to see the poster and whiteboard through his office window.

[…]But the company’s equality and diversity manager, Jayne O’Connell, who was recruited from HBoS bank in 2009, replied: ‘WDH has a stance of neutrality. We now have different faiths, new emerging cultures. We have to be respectful of all views and beliefs.’[…]At another meeting, Ms O’Connell said Mr Atkinson could express his faith but ‘it is quite clear it cannot be associated with WDH and displaying the cross gives the impression that WDH is a Christian organisation’.She said staff could demonstrate their personal beliefs ‘discreetly’, even adding that the company could provide extra material in its official corporate colours ‘for employees who wish to wear a different style of uniform’.Pressed by Mr Cunliffe on whether a Muslim woman who wore a burka at work would be considered discreet, she said: ‘If they could do their job effectively, then yes.’

Asked whether she would think a burka in WDH corporate colours was discreet, Ms O’Connell replied: ‘Yes, it would be.’

Read the whole story, there are many more alarming details.

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