Tag Archives: Medicine

Why didn’t the media cover the new CDC study on HIV transmission?

Here’s the Center for Disease Control press release.

Excerpt:

A data analysis released today by the Centers for Disease Control and Prevention underscores the disproportionate impact of HIV and syphilis among gay and bisexual men in the United States.

The data, presented at CDC’s 2010 National STD Prevention Conference, finds that the rate of new HIV diagnoses among men who have sex with men (MSM) is more than 44 times that of other men and more than 40 times that of women.

The range was 522-989 cases of new HIV diagnoses per 100,000 MSM vs. 12 per 100,000 other men and 13 per 100,000 women.

The rate of primary and secondary syphilis among MSM is more than 46 times that of other men and more than 71 times that of women, the analysis says. The range was 91-173 cases per 100,000 MSM vs. 2 per 100,000 other men and 1 per 100,000 women.

While CDC data have shown for several years that gay and bisexual men make up the majority of new HIV and new syphilis infections, CDC has estimated the rates of these diseases for the first time based on new estimates of the size of the U.S. population of MSM. Because disease rates account for differences in the size of populations being compared, rates provide a reliable method for assessing health disparities between populations.

I noticed an analysis by Marcia Segelstein of why these numbers are not communicated more widely here. (H/T RuthBlog)

She writes:

In an effort to look at these figures from a purely scientific and public health perspective, let’s substitute smoking and cancer for homosexual sex and HIV.  If the CDC released information which made a direct correlation between smoking and extremely high rates of getting cancer, people would take notice.  The media would write about it.  Public health organizations would make sure the news was spread.  Campaigns would be launched to save lives by discouraging smoking.  Public funds would be spent to deter people from engaging in such dangerous behavior.  Schools would teach children about the dangers of smoking.

Of course, as we all know, that scenario is real.  Because of the now-known dangers of smoking, a warning from the Surgeon General appears on every pack of cigarettes.  Public service ads saturated the airwaves over a period of years discouraging smoking.  The dangers of smoking are a standard part of most health classes in schools.

I really recommend that everyone who is concerned about this issue read Jeffrey Satinover’s “Homosexuality and the Politics of Truth“, which talks about the health risks of certain behaviors. Dr. Jeffrey Satinover has practiced psychoanalysis and psychiatry for more than nineteen years. He is a former Fellow in Psychiatry and Child Psychiatry at Yale University and a past president of the C. G. Jung Foundations. He holds degrees from MIT, the University of Texas, the Harvard University. If you want to change your mind – and your will – on a topic, you study that topic by looking at the evidence from the experts in the field. Dr. Satinover’s book is compassionate and measured. It is a great place to start learning.

No one is trying to make anyone else feel bad by telling them the truth. On the contrary – by telling people the truth and by setting appropriate boundaries, we can protect others from harm. And that’s why everyone needs to be told the truth. We aren’t helping people by hiding numbers like these from them. Speak the truth in love, and let people decide for themselves.

How is socialized medicine working out in the UK and Canada?

First, this one from ECM, which appeared in the leftist UK Guardian. (H/T Secondhand Smoke)

Excerpt:

Blunders by GPs, hospital doctors and nurses jeopardised the health of thousands of patients when cancer was misdiagnosed or not spotted soon enough, according to an NHS report.

Over a period of a year, doctors failed to spot key signs of cancer, tissue samples were mixed up, some patients were wrongly given an all-clear and vital diagnostic tests were delayed because of staff and equipment shortages, the study, undertaken by the NHS’s National Patient Safety Agency (NPSA), found.

[…]When 508 cases were examined in detail, it was found that 177 patients were harmed. Two died, 25 suffered severe harm, 52 moderate harm and 88 low harm. Of a sample of 150 patients, 37% experienced delays of up to three months, 38% of more than three months and some had delays of three years. The government estimates that 10,000 die each year because of late diagnosis of cancer. The UK is poor by international standards at diagnosing cancer, studies have shown.

The post features tons of alarming examples. There’s socialism. When you don’t have your money in your hand, you cannot expect to be treated properly. You need a choice among providers to negotiate the best deal for your dollars.

Next, also from ECM, this one from the UK Telegraph.

Excerpt:

The Ambulance service is being paid bonuses for not taking patients to hospital in a bid to help the NHS hit controversial targets.

Patients’ groups expressed horror at the “sick experiment” in which NHS managers have agreed to pay £38 for every casualty that ambulance staff “keep out of Accident and Emergency” (A&E) departments after a 999 call has been made.

The tactic is part of an attempt to manage increasing demand for emergency care amid failings in the GP out-of-hours system.

[…]The bonuses are among dozens of schemes being tried out by ambulance trusts across the country as they attempt to improve their emergency response times and help A&E departments meet controversial targets to treat all patients within four hours of arrival.

Another plan uncovered would see thousands of 999 calls currently classed as urgent downgraded so that callers receive telephone advice instead of an ambulance response.

But we’ll soon surpass them, I’m sure.

But wait! Maybe Canada’s single-payer system is better!

The left-wing Montreal Gazette reports.

Excerpt:

Health Minister Yves Bolduc said Friday over-crowding in Quebec’s hospital emergency rooms would be resolved in “four or five years.”

“We have the best health care system in the world,” Bolduc said, while admitting that patients sometimes have to wait for that care.

“All the patients are well treated,” he said.

[…]Quebec still has a shortage of doctors and nurses, he said…

[…]Bolduc announced his newest timetable in response to reports patients are kept for 48 hours and longer in emergency.

As well, relatives are blaming deaths in their families on emergency-room congestion.

From the communist CBC, here’s more:

Guy Morisette, head of the Outaouais health agency, told CBC News that the hospital has worked hard to fix the situation, but recruiting and retaining enough staff remains a problem, and additional solutions such as training personnel and developing new programs are longer-term efforts.

Hospital Average ER Wait Time
Buckingham 20 h 30 min
Gatineau Hospital-Hull campus 20 h 06 min
Gatineau Hospital-Gatineau campus 25 h 36 min
Gatineau-Memorial 17 h 00 min
Maniwaki 10 h 24 min
Pontiac 13 h 12 min
Outaouais average 20 h 42 min
Quebec average 16 h 30 min

Taxing and regulating doctors and treating patients for paper cuts for FREE doesn’t create a shortage of health care at all. Oh, no. And anyway, the politicians just get treated in the USA anyway.

Last, Quebec, Canada’s most liberal province, proposes massive user fees.

Excerpt:

Quebeckers are bracing themselves for sweeping increases in taxes, rates and fees after a provincial budget that also proposes a controversial user fee for health-care services.

By proposing a fee for medical appointments, the 2010-11 budget tabled Tuesday represents a shift in how the province addresses spiralling health-care costs, and could trigger a national debate over conflicts with the Canada Health Act.

[…]The user fee would take the form of a deductible that, according to one proposal, would be capped so that total charges do not exceed 1 per cent of a family’s annual income. It would involve charging $25 per medical visit and be paid on a fee-for-service basis. It was estimated under one proposal that a couple with two children making 10 medical visits a year would pay a maximum of $250 annually.

The government of Premier Jean Charest also announced a new health tax to commence in June, 2010, that will be levied on individuals when they file their income taxes. The “health contribution” will cost adults $25 this year and eventually climb to $200 in 2012. Lower-income families will be exempt. When fully implemented, the new tax will generate $945-million a year.

Ontario already has massive income tax rates, property taxes, surtaxes, sales taxes, municipal taxes and health care surcharges of hundreds of dollars a year. It’s not just that they have no freedom of speech, but they die waiting for health care. (This isn’t the Conservative Party’s fault – they don’t have a majority yet to bring in market reforms to lower the cost of health care, and they don’t have a majority of the Senate and not even close to a majority in the Supreme Court).

How psychology medicalizes character flaws to remove personal responsibility

Story from Town Hall from moderate conservative George Will. (H/T Muddling Towards Maturity)

Excerpt:

The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM), psychiatry’s encyclopedia of supposed mental “disorders,” is being revised. The 16 years since the last revision evidently were prolific in producing new afflictions. The revision may aggravate the confusion of moral categories.

[…]This DSM defines as “personality disorders” attributes that once were considered character flaws. “Antisocial personality disorder” is “a pervasive pattern of disregard for … the rights of others … callous, cynical … an inflated and arrogant self-appraisal.” “Histrionic personality disorder” is “excessive emotionality and attention-seeking.” “Narcissistic personality disorder” involves “grandiosity, need for admiration … boastful and pretentious.” And so on.

If every character blemish or emotional turbulence is a “disorder” akin to a physical disability, legal accommodations are mandatory. Under federal law, “disabilities” include any “mental impairment that substantially limits one or more major life activities”; “mental impairments” include “emotional or mental illness.” So there might be a legal entitlement to be a jerk.

[…]Furthermore, intellectual chaos can result from medicalizing the assessment of character. Today’s therapeutic ethos, which celebrates curing and disparages judging, expresses the liberal disposition to assume that crime and other problematic behaviors reflect social or biological causation. While this absolves the individual of responsibility, it also strips the individual of personhood, and moral dignity.

James Q. Wilson, America’s pre-eminent social scientist, has noted how “abuse excuse” threatens the legal system and society’s moral equilibrium. Writing in National Affairs quarterly (“The Future of Blame”), Wilson notes that genetics and neuroscience seem to suggest that self-control is more attenuated — perhaps to the vanishing point — than our legal and ethical traditions assume.

Related to our recent discussions about personal responsibility and blaming others.