Tag Archives: Age

News

Evaluating common criticisms of American health care

3 Comments

Here is a must-read article from my friend Matt Palumbo at the American Thinker. It’s extremely high quality. (I removed the links in my excerpt – but he linked all the sources in his post)

Excerpt:

The oft-cited “46 million uninsured” is breathtakingly easy to break down to size.  Keep in mind that there is overlap in the following statistics, as many people listed in them belong to multiple categories.  Around 10 million of the uninsured aren’t even citizens.  Another 8 million are aged 18-24, which is the group least prone to medical problems.  The average salary of a person in this age group is $31,790, so affording health care would not be a problem.  Seventeen million of the uninsured make over $50,000 a year, and within that group, 8 million make over $75,000.  These people are usually referred to as the “voluntarily uninsured.”  Another large group of these 46 million are uninsured in name only, as they are eligible for government programs that they haven’t signed up for.  Estimates on how large this group is vary, the range being from 5.4 million as estimated by the Kaiser Family Foundation to as large as one third of all the uninsured, as estimated by BlueCross BlueShield.  The number of people without care because they cannot afford it is around 6 million — still a large number, but a fraction of 46 million, and no reason to restructure the entire health care system.

Then comes the issue of lifespan.  Of all attempts to discredit the American system, lifespan has been the worst.  Although lifespan gives a good indicator of a nation’s health at a glance, it does have its problems under analysis.  We get a strange paradox when examining two statistics: life expectancy and cancer survival rates.  Estimates vary on how we rank exactly; the World Fact Book showing that we rank as poorly as 50th worldwide.  Even the best estimates in our favor place us far behind most developed nations.  Despite this, the United States excels at cancer survival.  Of the 16 most common cancers, the United States has the highest survival rate for 13 of them.  Overall, the five-year cancer survival rate for men in the States is 66.3%, and 47.3% in Europe.  Women have an advantage too, with a survival rate of 62.9% in the States, and 55.8% in Europe.  So that said, how is it that our system takes better care of us, and doesn’t grant added lifespan to boot?  Quite simply, the lifespan measurement commonly cited doesn’t factor in many variables which shorten lifespan, many of which medical care cannot prevent.  Among these factors are murders, suicides, obesity, and accidents.

He looks at the uninsured number, the infant mortality rate, and other interesting things in the article, showing how the statistics that impugn the US health care system have been misused. There are some good articles linked, like this post from Commentary magazine by Scott Atlas, entitled “The Worst Study Ever?”. Atlas is the same guy who listed out how the US health care system compares to others, which I blogged about before.

You can check out Matt’s blog “The Conscience of a Young Conservative“. Not sure how scalable that blog name is. Because of the “young” part, not because of the conscience or conservative part.

News

Answering some silly objections to the fine-tuning argument

5 Comments

Review: In case you need a refresher on the cosmological and fine-tuning arguments, as presented by a professor of particle physics at Stanford University, then click this link and watch the lecture.

If you already know about the standard arguments for theism from cosmology, then take a look at this post on Uncommon Descent.

Summary:

In my previous post, I highlighted three common atheistic objections to to the cosmological fine-tuning argument. In that post, I made no attempt to answer these objections. My aim was simply to show that the objections were weak and inconclusive.

Let’s go back to the original three objections:

1. If the universe was designed to support life, then why does it have to be so BIG, and why is it nearly everywhere hostile to life? Why are there so many stars, and why are so few orbited by life-bearing planets? (Let’s call this the size problem.)

2. If the universe was designed to support life, then why does it have to be so OLD, and why was it devoid of life throughout most of its history? For instance, why did life on Earth only appear after 70% of the cosmos’s 13.7-billion-year history had already elapsed? And Why did human beings (genus Homo) only appear after 99.98% of the cosmos’s 13.7-billion-year history had already elapsed? (Let’s call this the age problem.)

3. If the universe was designed to support life, then why does Nature have to be so CRUEL? Why did so many animals have to die – and why did so many species of animals have to go extinct (99% is the commonly quoted figure), in order to generate the world as we see it today? What a waste! And what about predation, parasitism, and animals that engage in practices such as serial murder and infant cannibalism? (Let’s call this the death and suffering problem.)

In today’s post, I’m going to try to provide some positive answers to the first two questions: the size problem and the age problem.

Here’s an excerpt for the size argument:

(a) The main reason why the universe is as big as it currently is that in the first place, the universe had to contain sufficient matter to form galaxies and stars, without which life would not have appeared; and in the second place, the density of matter in the cosmos is incredibly fine-tuned, due to the fine-tuning of gravity. To appreciate this point, let’s go back to the earliest time in the history of the cosmos that we can meaningfully talk about: the Planck time, when the universe was 10^-43 seconds old. If the density of matter at the Planck time had differed from the critical density by as little as one part in 10^60, the universe would have either exploded so rapidly that galaxies wouldn’t have formed, or collapsed so quickly that life would never have appeared. In practical terms: if our universe, which contains 10^80 protons and neutrons, had even one more grain of sand in it – or one grain less – we wouldn’t be here.

If you mess with the size of the universe, you screw up the mass density fine-tuning. We need that to have a universe that expands at the right speed in order to form galaxies, stars and planets. You need planets to have a place to form life – a place with liquid water at the surface.

And an excerpt for the age argument:

(a) One reason why we need an old universe is that billions of years were required for Population I stars (such as our sun) to evolve. These stars are more likely to harbor planets such as our Earth, because they contain lots of “metals” (astronomer-speak for elements heavier than helium), produced by the supernovae of the previous generation of Population II stars. According to currently accepted models of Big Bang nucleosynthesis, this whole process was absolutely vital, because the Big Bang doesn’t make enough “metals”, including those necessary for life: carbon, nitrogen, oxygen, phosphorus and so on.

Basically, you need heavy elements to make stars that burn slow and steady, as well as to make PEOPLE! And heavy elements have to be built up slowly through several iterations of the stellar lifecycle, including the right kinds of stellar death: supernovae.

Read the rest! These arguments come up all the time in debates with village atheists like Christopher Hitchens and Richard Dawkins. It’s a smokescreen they put up, but you’ve got to be able to answer it using the scientific evidence we have today.

By the way, the first post in that series got over 1200 views and over 100 comments. It’s worth reading as well.

UPDATE: Lenny from Come Reason has an article answering similar questions here.

News

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

4 Comments

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!