Tag Archives: Health

News

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!

Commentary

J.P. Moreland on confirming the Bible with scientific evidence

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From J.P. Moreland’s web site. (H/T Thinking Matters NZ)

Excerpt:

The Bible is the greatest source of wisdom for life in all of humanity.  If followed, its teaching regularly and without rival leads to human flourishing.  It is important to keep this in mind, because, since the beginning of the twentieth century in the United States, current after current of alleged thought has told us to jettison scriptural teaching in favor of some recent, more updated findings.  This has especially been true in the sexual revolution, which tells us that traditional biblical morality is stifling and repressive.  However, if the Bible is true, one would predict that. In fact, following its teachings would lead to flourishing, and disobeying its teachings would have a deleterious effect on people.

I just finished reading Joe McIlhaney, MD,  and Freda Bush’s, MD, book, Hooked: New Science on How Casual Sex is Affecting our Children (Northfield Publishing, 2008).  So far as I know, neither author is a believer, and if he or she is, neither’s religious views form a part of his/her arguments.  The thesis of the book is that, given current brain research, is it now beyond reasonable doubt that sexual promiscuity (basically, any intense sexual activity, including, but not limited to, intercourse) has a negative impact on one’s brain chemistry, one’s health, one’s ability to enjoy sex, and one’s ability to connect emotionally and relationally with someone.  They argue that only in the context of traditional marriage can sexual relations be life-giving.

I have the book, and bought explicitly for the reason of being able to confirm and defend my views, which I get from the Bible, with scientific evidence, which I get from scientists. I find that people who don’t believe the Bible are more impressed with the Bible when I start by arguing with the scientific evidence. That’s how you start a conversation that ends with the Bible.

News

Paul Ryan explains why Republicans are doing what they promised to do

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Rep. Paul Ryan - GOP Ideas Man
Rep. Paul Ryan - GOP Ideas Man

Here’s the video from The Blog Prof.

Paul Ryan is going to do it because he said he would do it.

If you would like to understand what consumer-driven health care is, read this post from the Heritage Foundation.

Excerpt:

If policymakers are serious about real patient-centered, consumer-driven health care reform, they should ensure that their legislative proposals embody six key principles:

  • Individuals are the key decision makers in the health care system. This would be a major departure from conventional third-party pay­ment arrangements that dominate today’s health care financing in both the public and the private sectors. In a normal market based on personal choice and free-market competition, consumers drive the system.
  • Individuals buy and own their own health insurance coverage. In a normal market, when individuals exchange money for a good or service, they acquire a property right in that good or ser­vice, but in today’s system, individuals and families rarely have property rights in their health insur­ance coverage. The policy is owned and controlled by a third party, either their employers or govern­ment officials. In a reformed system, individuals would own their health insurance, just as they own virtually every other type of insurance in virtually every other sector of the economy.
  • Individuals choose their own health insur­ance coverage. Individuals, not employers or government officials, would choose the health care coverage and level of coverage that they think best. In a normal market, the primacy of consumer choice is the rule, not the exception.
  • Individuals have a wide range of coverage choices. Suppliers of medical goods and ser­vices, including health plans, could freely enter and exit the health care market.
  • Prices are transparent. As in a normal market, individuals as consumers would actually know the prices of the health insurance plan or the medical goods and services that they are buying. This would help them to compare the value that they receive for their money.
  • Individuals have the periodic opportunity to change health coverage. In a consumer-driven health insurance market, individuals would have the ability to pick a new health plan on predict­able terms. They would not be locked into past decisions and deprived of the opportunity to make future choices.

And if you’re looking for a nice short podcast on consumer-driven health care, go right here.

If you want a book on this, you can get Regina Hertzlinger’s book (interview here), although I read it, and I found it filled with too many case studies and stories and not enough policy analysis.

UPDATE:

More Paul Ryan: (H/T Hyscience)

And some Michele Bachmann: (H/T Gateway Pundit)

And the House votes to repeal Obamacare, with 3 Democrats joining the Republicans, and no Republicans joining the Democrats.

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