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The brutal truth about America’s healthcare

37 点作者 blogimus将近 16 年前

9 条评论

martythemaniak将近 16 年前
I have to say, it is quite bizarre, watching the US health "debate" from up here in Canada.<p>At the end of the day, it's a philosophical difference. I see people in Sicko, or read any of the thousands upon thousands of horror stories (like the ones in the article) and my stomach turns. I find situations like that downright amoral, so I think having to pay higher taxes for UHC is great value.<p>OTOH, opponents look at the same people and start to get mad that these people should get "something for nothing", that their tax dollars are used to help people that may have made bad choices.<p>Call me a pessimist, but I don't think this will turn out well for you guys. Any bill that is passed will be very watered-down and if the republicans get back into power before American UHC gets ingrained in the social fabric, then they'll do their best to kill it or cripple it.
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jimbokun将近 16 年前
"Health spending as a share of GDP<p>US 16%<p>UK 8.4%<p>Public spending on healthcare (% of total spending on healthcare)<p>US 45%<p>UK 82%"<p>The most interesting thing about this, is that the U.S. government is spending about the same percentage of GDP on healthcare as the U.K. government. So, throw out the entire private health insurance system in the U.S., and we would still be spending roughly the same amount of GDP on health care as the U.K.<p>So the real question then becomes, why can we not get the same health care system as the U.K. for the money our government is already spending?<p>That's a good starting point for this whole discussion, I think.
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chasingsparks将近 16 年前
This article was shit, but not worse than most on either side of the argument.<p>One thing that has been frustrating me most is the persistent argument that Americans have treatment outcomes that are subpar. Infant mortality rates and life expectancy measures are of limited utility when comparing wealthy countries.<p>Concerning infant mortality, different countries count infant deaths differently, leading to over and under statements. Concerning life expectancy, Americans live lives that are relatively unhealthy when compared people in other countries. It is not a giant intellectual leap to conclude life style can account for the life expectancy gap.<p>Concerning actual treatment outcomes, America typically leads they way. We have a higher incidence rate of many diseases but the best treatments if you view the outcome-to-incidence rates.<p>Furthermore (anecdote warning), as someone who had a rare disease that still lacks any curative treatment, I have personally met a lot of foreigners. They were all seeking treatment in the US because we are pioneering most of the advances. Why? Because there is good money in it.
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ars将近 16 年前
Ignore the article, look instead at the numbers at the end:<p>Health spending per head<p><pre><code> US $7,290 UK $2,992 </code></pre> Practising physicians (per 1,000 people)<p><pre><code> US 2.4 UK 2.5 </code></pre> U.S. doctors earn more than twice as much as UK doctors.<p>This is the only real problem. It will cost the US twice as much as it costs other countries to provide healthcare for everyone.<p>The US can't, or can barely, afford that.<p>Reduce the cost to be on par with the UK and watch the entire debate fall away. I think something like 80% of people in the US have health insurance. If you dropped the costs just a little, it would be easy to cover the final 20%.
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DocSavage将近 16 年前
Here's a very interesting article about Stan Brock, the Brit and former Wild Kingdom star who has taken a vow of poverty and runs the Remote Area Medical organization.<p><a href="http://women.timesonline.co.uk/tol/life_and_style/women/ariel_leve/article6015125.ece" rel="nofollow">http://women.timesonline.co.uk/tol/life_and_style/women/arie...</a>
ojbyrne将近 16 年前
Interesting thing about this article. Most of it is about dental care, which isn't covered in Canada. Not sure about other places with nationalized health care.
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kiba将近 16 年前
Free healthcare will never survive one fact: The fact that scarcity exists.<p>The fact that healthcare are so expensive in America are numerous. The limited supply of doctors due to medical cartels, patents on drugs, overusage of the system by medicaid users, insurance companies being used for paying everyday medical cost, and more.<p>But in Canada and other places where social medicine or universial health care exists, there has been rationing of improtant services. It is also where capital structures simply rot.<p>I believe wealthy nations' medical system are going to crash and burn decades from now because government deemed healthcare too improtant to regulate or control, never mind the consquences of unintended effects from regulations.<p>The only solution is to return control of the healthcare to individuals, which are embodied in a free market. Only individuals have any chance to find a solution where centralized regulatory power and decision makers fails miserably.
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cubicle67将近 16 年前
What the hell is up with your country, people?<p>And what the hell is up with your fellow Americans? Why are the very people who suffer so much under the utter crap that passes for a healthcare system so eager to defend it. Seriously, I just don't understand.
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DanielBMarkham将近 16 年前
This subject area (and story) are littered with anecdotal data. Makes for great reading, but I'm not so sure it makes for good material for public debate.<p>Most interesting were the life expectancy numbers, which if I remember correctly, are skewed in the U.S. due to violent death. Taking out the chance that you're going to get shot in a liquor store holdup, the life expectancy numbers are very close, perhaps even showing an edge for the U.S. (I don't have a link closeby, sorry)<p>In fact, looking at life expectancy worldwide and spending, it looks like people are living to about the same age in the industrial world regardless of the type of health care program they have. This, of course, doesn't address quality-of-life issues.<p>If people live about the same amount everywhere, then why does the U.S. spend twice as much? And that money spent across the board. In other words, it's not that public health care has any cost effectiveness to it, Americans everywhere are spending twice as much.<p>If I had to guess, I'd say it comes at the end of life -- a huge amount of medical expenses go into that last six months. If you cut those expenses off and made them more managed (rationed?) I bet you'd end up with very similar figures.<p>At the end of the day, if you make health care into something that you go to a politician to fix, you do a lot of interesting things to a democracy. Now might be a good time to think those through, instead of just pointing out how broken things are (they are broken) I favor an immediate, simple solution without government control that tries a few simple changes instead of a complex, intricate solution that few understand and fewer could fix if it didn't work. Do simple things repeatedly and fail often. Don't engineer a paperwork version of a nuclear submarine and then expect to be sailing it around the world next week.
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