Tuesday, January 19, 2010
Saturday, January 9, 2010
Where U.S. Health Care Ranks Number One.
Last August the cover of Time pictured President Obama in white coat and stethoscope. The story opened: "The U.S. spends more to get less [health care] than just about every other industrialized country." This trope has dominated media coverage of health-care reform. Yet a majority of Americans opposes Congress's health-care bills. Why?
The comparative ranking system that most critics cite comes from the U.N.'s World Health Organization (WHO). The ranking most often quoted is Overall Performance, where the U.S. is rated No. 37. The Overall Performance Index, however, is adjusted to reflect how well WHO officials believe that a country could have done in relation to its resources.
The scale is heavily subjective: The WHO believes that we could have done better because we do not have universal coverage. What apparently does not matter is that our population has universal access because most physicians treat indigent patients without charge and accept Medicare and Medicaid payments, which do not even cover overhead expenses. The WHO does rank the U.S. No. 1 of 191 countries for "responsiveness to the needs and choices of the individual patient." Isn't responsiveness what health care is all about?
Data assembled by Dr. Ronald Wenger and published recently in the Bulletin of the American College of Surgeons indicates that cardiac deaths in the U.S. have fallen by two-thirds over the past 50 years. Polio has been virtually eradicated. Childhood leukemia has a high cure rate. Eight of the top 10 medical advances in the past 20 years were developed or had roots in the U.S.
The Nobel Prizes in medicine and physiology have been awarded to more Americans than to researchers in all other countries combined. Eight of the 10 top-selling drugs in the world were developed by U.S. companies. The U.S. has some of the highest breast, colon and prostate cancer survival rates in the world. And our country ranks first or second in the world in kidney transplants, liver transplants, heart transplants, total knee replacements, coronary artery bypass, and percutaneous coronary interventions.
We have the shortest waiting time for nonemergency surgery in the world; England has one of the longest. In Canada, a country of 35 million citizens, 1 million patients now wait for surgery and another million wait to see specialists.
Friday, January 8, 2010
Saturday, January 2, 2010
capitalism as a fiend.
"On the last day of 2009, that awful year, I was listening to a report on National Public Radio (yes, I’m a listener). Reporter Tamara Keith presented a by-now-familiar recap of the worst financial and corporate scandals of the decade, from Enron and Martha Stewart to Tyco and Bernie Madoff. It was a depressing slog of greed, venality, and theft. When the report was over,Morning Edition host Steve Inskeep summarized the report with a tart: “The decade in capitalism.” I don’t want to single out Inskeep, since he was doing what pretty much the entire media establishment has done, particularly of late: reducing “capitalism” to its alleged sins. And that’s the point. There are few areas of life where a thing responsible for so much good gets so little credit for it." |
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