Tag Archives: Mammogram

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Evaluating common criticisms of American health care

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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

Do pro-lifers care about people who are already born?

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From Ruth Blog – a post to answer the objection that pro-lifers don’t care about babies after they are born.

Here’s the challenge:

One of the most frequently repeated truisms of the abortion debate is that pro-lifers really don’t care about life. As much as they talk about protecting the unborn, we are told, pro-lifers do nothing to support mothers and infants who are already in the world. Liberal writers such as Matthew Yglesias are given to observing that pro-lifers believe that “life begins at conception and ends at birth.” At Commonweal, David Gibson, a journalist who frequently covers the abortion debate, asks how much pro-lifers do for mothers: “I just want to know what realistic steps they are proposing or backing. I’m not sure I’d expect to hear anything from pro-life groups now since there’s really been nothing for years.”

And an excerpt from the response:

In the United States there are some 2,300 affiliates of the three largest pregnancy resource center umbrella groups, Heartbeat International, CareNet, and the National Institute of Family and Life Advocates (NIFLA). Over 1.9 million American women take advantage of these services each year. Many stay at one of the 350 residential facilities for women and children operated by pro-life groups. In New York City alone, there are twenty-two centers serving 12,000 women a year. These centers provide services including pre-natal care, STI testing, STI treatment, ultrasound, childbirth classes, labor coaching, midwife services, lactation consultation, nutrition consulting, social work, abstinence education, parenting classes, material assistance, and post-abortion counseling.

[…]The Catholic Church–perhaps the single most influential pro-life institution in the United States–makes the largest financial, institutional and personnel commitments to charitable causes of any private source in the United States. These include AIDS ministry, health care, education, housing services, and care for the elderly, disabled, and immigrants. In 2004 alone, 562 Catholic hospitals treated over 85 million patients; Catholic elementary and high schools educated over 2 million students; Catholic colleges educated nearly 800,000 students; Catholic Charities served over eight-and-a-half million different individuals. In 2007, the Catholic Campaign for Human Development awarded nine million dollars in grants to reduce poverty. And in 2009, the Catholic Legal Immigration Network spent nearly five million dollars in services for impoverished immigrants.

The Catholic Church is far from the only pro-life religious group that assists the needy. At the Manhattan Bible Church, a pro-life church in New York since 1973, Pastor Bill Devlin and his congregation run a soup kitchen that has served over a million people and a K-8 school that has educated 90,000 needy students. Pastor Devlin and other church families have adopted scores of babies, and taken in scores of pregnant women, including some who were both drug-addicted and HIV positive. The church runs a one-hundred-and-fifty bed residential drug rehabilitation center and a prison ministry at Rikers Island. All told, the church runs some forty ministries, and all without a government dime.

[….]If pro-life Americans provide so many (often free) services to the poor and vulnerable–work easily discovered by any researcher or journalist with an Internet connection–why are they sometimes accused of caring only for life inside the womb? Quite possibly, it is the conviction of abortion advocates that “caring for the born” translates first and always into advocacy for government programs and funds. In other words, abortion advocates appear to conflate charitable works and civil society with government action. The pro-life movement does not. Rather, it takes up the work of assisting women and children and families, one fundraiser and hotline and billboard at a time.

People think that abortion providers do a lot for women’s health, but Planned Parenthood doesn’t provide mammograms.

You may be interested in this post by Neil Simpson, who volunteers at a crisis pregnancy center.

Excerpt:

The “Pro-lifers don’t care about kids after they are born” line is one of my favorite arguments to rebut.  I teach people how to do it in pro-life training sessions in a two-step approach.  The tone of the conversation is important.  These arguments are powerful and quite effective if they are laid out in a calm, reasoned approach.  You probably won’t convert the rabid pro-choicers, but most of the middle-grounders will get the point.

First, show that pointing out a moral wrong does not obligate you to take responsibility for the situation.

If your neighbor is beating his wife, you call the police.  The police don’t say, “Hey, buddy, unless you are willing to marry her yourself then we aren’t going to stop him from beating her.”  You can use child or animal abuse as examples as well.  Most people get the point pretty quickly.

Or ask the pro-choicer what they would do if the government decided to reduce the number of homeless people by killing them.  Could he protest that without having to house and feed them all himself?

[…]Second, explain that while we aren’t morally obligated to help after the babies are born to be able to speak out against abortion, Christians do many things with their time and money anyway – orphanages, Crisis Pregnancy Centers (CPCs), food pantries, etc.

When I’m teaching CPC volunteers I remind them of all that they and the center do: Pregnancy tests, ultrasounds, food, clothes, diapers, life skill training, parenting training, post-abortion counseling and more – all for free!  And, of course, we share the Gospel with the clients if they are interested (Saving lives now and for eternity!).

The workers are mostly volunteers and the leaders make below-market wages because they believe in the cause.  Most centers receive no government funding, so all the money comes from donations.  There are far more Crisis Pregnancy Centers than there are abortion clinics.

On a completely different topic, I posted an article by Helen Alvare a while back. She is one of the authors of this article. There was a pretty good dispute with a single mother who disagreed her comments to that article.

Related posts

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!