Friday, February 19, 2010

Health Information

Health Data and Information–which Tea Baggers should take seriously, as well as those in the House and Senate.

The Kaiser Daily Health Report (put out by the Henry Kaiser Family Foundation) of August 13, 2007 referred to a New York Times editorial (apparently) from the day before, in which it was stated that "a growing body of evidence" indicates that the U.S. is not a "leader in providing good medical care" but a "laggard."
According to the editorial, a comparison of the U.S. and other industrialized nations in several important areas of health care finds that:

"All other major industrialized nations provide universal health coverage" -- most with "comprehensive benefit packages with no cost sharing by the patients" -- but the U.S. "to its shame" has 45 million uninsured residents and millions of residents with inadequate coverage;

U.S. residents receive "prompter attention" than those in most other nations, but "even Americans with above-average incomes find it more difficult than their counterparts abroad to get care on nights or weekends without going to an emergency room";

The U.S. "ranks dead last on almost all measures of equity," with the "greatest disparity in the quality of care given to richer and poorer citizens";

The U.S. ranks "near the bottom in healthy life expectancy at age 60" and 15th among 19 nations in deaths that would not have resulted "if treated with timely and effective care";

The U.S. ranks "first in providing the 'right care' for a given condition" and high for preventive care but performs "poorly in coordinating the care of chronically ill patients, in protecting the safety of patients and in meeting their needs and preferences";

The U.S. in a recent comparison of five nations "had the best survival rate for breast cancer, second best for cervical cancer and childhood leukemia, worst for kidney transplants, and almost-worst for liver transplants and colorectal cancer";

U.S. residents "hold surprisingly negative views of their health care system," and "American attitudes stand out as the most negative" in a recent comparison of five nations; and

The U.S. health care system -- despite "our vaunted prowess in computers, software and the Internet" -- is "still operating in the dark ages of paper records and handwritten scrawls," with many U.S. physicians "years behind doctors in other advanced nations in adopting electronic medical records or prescribing medications electronically."

The editorial states, "With health care emerging as a major issue in the presidential campaign and in Congress, it will be important to get beyond empty boasts that this country has 'the best health care system in the world' and turn instead to fixing its very real defects," adding, "The world's most powerful economy should be able to provide a health care system that really is the best" (New York Times, 8/12).
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LIFE EXPECTANCY AT BIRTH (Source:Frontline)

1. Percentage of Gross Domestic Production Spent on Health Care:
Japan 8 United Kingdom 8.3 Germany 10.7 Switzerland 11.6
United States 15.3

2. Life Expectancy at Birth
Japan 82.1 United Kingdom 79 Germany 79 Switzerland 81.3
United States 77

3. Infant Mortality (Deaths per 1000 Live Births)
Japan 2.8 United Kingdom 5.1 Germany 3.9 Switzerland 4.2
United States 6.8
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AVERAGE HAPPINESS IN 148 NATIONS (Source:R.Veenhoven (10/09) on Internet
(How much people enjoy their life-as-a-whole on scale 0 to 10)

Top Range > 7.9: Costa Rica, Denmark, Iceland, Switzerland, Canada–all between 8.0 and 8.5
Middle Range +/- 6.0: France, China, Iran, India, Phillippines–all between 5.5 and 6.6
Bottom < 4.3: Benin, Burundi, Zimbabwe, Togo, Tanzania–all between 2.6 and 3.0

UNITED STATES 7.4

We’re ranked 20th. But I think this was an average based on the years from 2000 to 2009, meaning that, for the most part, this is calculated before the full impact of the Great Recession. Given the rage expressed at Tea Parties, it’s hard to believe our ranking hasn’t fallen, unless rage makes you happy.

1 comment:

Phil said...

I think lower life expectancy in the US (and the UK) are likely due to reasons not directly related to health care: ethnically heterogeneous populations, dietary habits and obesity rates. I don't think that life expectancy, or "mortality rate" if you're more pessimistic, is a good snapshot or indicator of comparative health care performance.

That being said, I'm certain there are many other metrics that will demonstrate that health care in the US is sub-par for industrialized nations.

I'm just pretty sure this means that I need to stop eating so many bagels and maybe go for a jog if I don't plan on moving to Canada.