Tag Archives: Research

MUST-READ: How does health care in the USA compare with other countries?

Story from the Hoover Institute at Stanford University, via ECM.

The article compares American health care to health care in other places like Canada, the UK and Europe.

I am particularly interested in prostate cancer rates, because that is a cancer that will necessarily be neglected by states that have single-payer systems. Why, you ask? Because only men get prostate cancer. And in a welfare state where leftist politicians are always catering to their special interest victim groups, men will definitely be discriminated against.

The full article. I almost never cite the full article, but this is a must read.

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!

Animal rights activists oppose research that can save millions of lives

It is an axiom of my profession (software engineering) that “there is no silver bullet”. Every design decision represents a compromise – a trade-off – between two competing goals. As someone who loves animals very much, I think that it is important that my readers understand the benefit that we get when we allow medical researchers to experiment on animals to develop new cures.

The story is here. (H/T Secondhand Smoke via ECM)

Excerpt:

A new malaria vaccine has been shown to provide 100% protection in mice. If it can approach that level in people, it could slash the toll from one of the world’s worst scourges, according to Stefan Kappe of Seattle Biomedical Research Institute (SBRI). “We’re shooting for 90%-plus protection,” said Kappe, who is the leader of the international collaboration behind the vaccine. “I am extremely optimistic this will work. The initial trials on Kappe’s vaccine are tentatively scheduled to start in January at Walter Reed Army Medical Center. U.S. Food and Drug Administration approval is required.

Either we are going to save many human lives or save a few animal lives. It’s that simple. We cannot do both.

Understanding how concealed carry laws save lives

The Richmond Times-Dispatch has this story. (H/T John Lott)

Excerpt:

A gunman who had wounded a shopkeeper and opened fire on several customers was stopped yesterday when another man shot him at the store in South Richmond, authorities said.

…The man who shot the robber is a friend of the store owner, and he was wearing a holster with a Western-style revolver, said Managing Deputy Commonwealth’s Attorney Tracy Thorne-Begland.

After the suspect shot the store owner and opened fire on patrons, the owner’s friend shot the suspect once in the torso, took his gun and called police, Thorne-Begland said.

How many times are legally-owned firearms used to prevent crimes, as occurred in this story?

Consider this interview with Florida State University criminology professor Gary Kleck.

Excerpt:

“In 2006, about 11,600 homicides were committed by criminals armed with guns, claiming 68 percent of all homicides,” he says. Based on data from the National Criminal Victimization Survey (NCVS), as many as 500,000 violent crimes were committed in the United States in 2006 by offenders armed with guns, and around 26 percent of robberies and 7 percent of assaults were committed by gun-armed offenders.

These facts have led many people to conclude that America’s high rate of gun ownership must be at least partially responsible for the nation’s high rates of violence, or at least its high homicide rate, says Kleck, adding that this belief in a causal effect of gun levels on violent crime rates has, in turn, led many to conclude that limiting the availability of guns would substantially reduce violent crime, especially the murder rate.

“What’s not so widely known, though, is that large numbers of crime victims in America also use guns in the course of crimes (but) in self-defense,” says Kleck.

Based on 16 national surveys of samples of the U.S. population, he continues, the evidence indicates that guns are used by victims in self-protection more often than crimes are committed by offenders using guns. Victims used guns defensively two to two-and-a-half million times in 1993, for example, compared to about 850,000 crimes in which offenders possessed guns.

Maybe guns are not as scary as we had been led to believe!