HolyCoast: 10 Reasons Why Our Health Care System is Better Than You Might Think
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Saturday, August 01, 2009

10 Reasons Why Our Health Care System is Better Than You Might Think

The Hoover Digest offers this analysis of the U.S. health care system that Obamacare will likely destroy:
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.

Of course, none of this matters to the people trying to take over 1/6th of the U.S. economy.

2 comments:

Goofy Dick said...

You better believe that Obama will get rid of all "10" of the above health reasons. In his view they can save a lot of money by deleting these treatments/screenings from Obamacare. The monetary savings could then be given to the Illegals or to hire additional government workers.

Anonymous said...

I suppose a few things should be pointed out:

1) Three of the 10 points refers to US cancer treatment. An area in which the US is commonly known to lead the world. That is good, but apparently it was impossible to find a full 10 areas where the US did well?

2) The version posted is a reprint. The original article included references. Although possibly not for the pupose of people actually looking them up, as it turns out that they from suspect sources, or do not actually have anything to do with the subject, or just concludes the exact opposite of what the author claims. I am still a tad shocked that the response to critisim was just to delete the responses when it was next published.
(The author interned in 1982, I personally would speculate that he was not quite onboard with the notion that when writing for the internet, his references can be googled in a minute.)


3) The report was originally produced for the NCPA. It can be found here (With the actual references):

http://www.ncpa.org/pub/ba649

The NCPA is a liberal think tank, whose board includes representatives from health insurance and medical malpractice lawfirms. Their latest report can be found here:
http://www.ncpa.org/files/activities_2qrt09.pdf

There are a number of other problems with the report that the average student should be able to spot. Such as the deliberate selection of Canada for comparisons in waiting times. Canada is known to be the only country in the first world with longer waiting times than the US.
Thus "second worst in the first world" becomes something good.

Finding the rest of the issues this report has is left as an excercise for the students. (Hint: How relevant is the authors background?)