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Cost and Quality of US Health Care  

3 members have voted

  1. 1. Why does the US pay 3 times the world average per capita for health care but is ranked lowest for quality in the industrialized world?

    • Medical industry greed is the cause.
      2
    • Medical industry fraud is the cause.
      1
    • Medical industry waste is the cause.
      1
    • It because of all the fat slothful unhealthy people in the Bible belt who are running up the costs.
      1
    • All of the above.
      2


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17 minutes ago, DeepBreath said:

Since how much your labor worth is up to the individual, of course I support more intelligent, more skilled, more educated people getting paid more, duh. 

Clearly you don't work loser. Why don't you round up all the other orderlies, kitchen staff,  housekeeping people, transportation people at your nut house and march into the the administrator's office and demand a minimum wage wage of $17 an hour like they have in Australia and profit sharing and performance bonuses and 2 weeks of vacation?  You will be told to hit the bricks. 

 

I agree educated people should get paid more than a guy flipping burgers but the guy flipping burgers deserves a living wage. Should a surgeon get paid? Salary for spinal surgeons increases as they practice and gain experience. The same survey by Profiles shows a median income of $625,000 for spinal surgeons after six years of practice and that is not counting th kickbacks and perks. The average fast food worker makes $16,000 per year if he is lucky to be working full time. Most only get part time work so that the restaurant doesn't have to pay benefits.  The surgeon with all his benefits and perks make 50 times more than a restaurant worker. You probably think that is fair and equitable but you are an asshole. 

17 minutes ago, DeepBreath said:

 

Only dopified complete losers like yourself think you’re worth physician pay for flipping burgers.....

A veterinarian can do what an American spine surgeon can do and a cabinet maker could probably do it better.  You see dum dum, most people in the US can't afford medical school but in France a country with a reputation of killing people like you, medical school is free and the people who get in get in on their merit and not the ability to pay you stupid turd. As a result, France has the best health care in the world and all the French are covered. 

 

If you actually worked in a hospital you would know this: 

First-Year Residents Could Be Allowed To Work 28 Hours ...

https://www.npr.org/.../medical-interns-could-work-longer-without-a-break-under-new-rule

Nov 04, 2016 · First-Year Residents Could Be Allowed To Work 28 Hours Straight : Shots - Health News A proposed change in work rules would let first-year residents care for patients for as many as 28 hours

 

You, being an Bad word don't care that doctors work sleep deprived. The arrogant Bad word that you work with can are allowed to work 28 hours straight. Because you are a prick licking Bad word you would probably be OK if truckers drove for 28 hours without sleep and pilots flew 28 hours straight with no sleep.

 

You know what dumb fuk, you work in the most corrupt, lawless and homicidal industry in the world. You work for the medical mafia.  Read this dum fuk. Death by Medicine - webdc.com

17 minutes ago, DeepBreath said:

 

Being poor is clearly a lifestyle choice.

Says the loser who works in a hospital and gets paid 100 times less than the CEO and MDs and probably has no health insurance or the cheapest plan from the slimiest insurance.  You probably can't even get laid by the fattest nurse there

 

Being you was clearly a bad choice by your father. He should have pulled out and let you run down your mother's leg. You are poor and not just financially. You are a waste of protoplasm. 

 

This is your industry Medical errors third-leading cause of death in America In your rigged above the law industry the more you idiots screw up the more money you make.

 

Doctors Are the Third Leading Cause of Death in the U.S.

Cause 250,000 Deaths Every Year

 

The U.S. health care system may contribute to poor health or death.  According to Dr. Barbara Starfield of the Johns Hopkins School of Hygiene and Public Health, 250,000 deaths per year are caused by medical errors, making this the third-largest cause of death in the U.S., following heart disease and cancer.

 

Writing in the Journal of the American Medical Association (JAMA), Dr. Starfield has documented the tragedy of the traditional medical paradigm in the following statistics:

 

Deaths Per Year Cause 106,000 Non-error, negative effects of drugs. 80,000 Infections in hospitals,45,000 other errors in hospitals, 12,000 Unnecessary surgery, 7,000 Medication errors in hospitals, 250,000 Total deaths per year from iatrogenic causes.

 

The term iatrogenic is defined as “induced in a patient by a physician’s activity, manner, or therapy.  Used especially to pertain to a complication of treatment.”

Furthermore, these estimates of death due to error are lower than those in a recent Institutes of Medicine report.  If the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.  Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S.

Dr. Starfield offers several caveats in the interpretations of these numbers:

 

First, most of the data are derived from studies in hospitalized patients.

 

Second, these estimates are for deaths only and do not include the many negative effects that are associated with disability or discomfort.

 

Third, the estimates of death due to error are lower than those in the IOM report.1  If the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.  In any case, 225,000 deaths per year constitutes the third leading cause of death in the United States, after deaths from heart disease and cancer.  Even if these figures are overestimated, there

is a wide margin between these numbers of deaths and the next leading cause of death (cerebro-vascular disease).

 

Another analysis11 concluded that between 4 percent and 18 percent of consecutive patients experience negative effects in outpatient settings, with:

  • 116 million extra physician visits

  • 77 million extra prescriptions

  • 17 million emergency department visits

  • 8 million hospitalizations

  • 3 million long-term admissions

  • 199,000 additional deaths

  • $77 billion in extra costs

The high cost of the health care system is considered to be a deficit, but it seems to be tolerated under the assumption that better health results from more expensive care.  However, evidence from a few studies indicates that as many as 20 to 30 percent of patients receive inappropriate care.  An estimated 44,000 to 98,000 among these patients die each year as a result of medical errors.2

 

This might be tolerable if it resulted in better health, but does it?  Out of 13 countries in a recent comparison,3,4 the United States ranks an average of 12th (second from the bottom) for 16 available health indicators.  More specifically, the ranking of the U.S. on several indicators was:

  • 13th (last) for low-birth-weight percentages

  • 13th for neonatal mortality and infant mortality overall14

  • 11th for post-neonatal mortality

  • 13th for years of potential life lost (excluding external causes)

  • 11th for life expectancy, at 1 year for females, 12th for males

  • 10th for life expectancy, at 15 years for females, 12th for males

  • 10th for life expectancy, at 40 years for females, 9th for males

  • 7th for life expectancy, at 65 years for females, 7th for males

  • 3rd for life expectancy, at 80 years for females, 3rd for males

  • 10th for age-adjusted mortality

  • The poor performance of the U.S. was recently confirmed by a World Health Organization study which used different data and ranked the United States as 15th among 25 industrialized countries.

Lifestyle

There is a perception that the American public “behaves badly” by smoking, drinking, and perpetrating violence.  However, the data does not support this assertion.

The proportion of females who smoke ranges from 14 percent in Japan to 41 percent in Denmark;  in the United States, it is 24 percent (fifth best).  For males, the range is from 26 percent in Sweden to 61 percent in Japan;  it is 28 percent in the United States (third best).

The U.S. ranks fifth best for alcoholic beverage consumption.

 

The U.S. has relatively low consumption of animal fats (fifth lowest in men aged 55 to 64 years in 20 industrialized countries) and the third lowest mean cholesterol concentrations among men aged 50 to 70 years among 13 industrialized countries.

Technology

Lack of technology is certainly not a contributing factor to the low ranking of the United States.  Among 29 countries, the U.S. is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population.17

 

Japan, however, ranks highest on health, whereas the U.S. ranks among the lowest.  It is possible that the high use of technology in Japan is limited to diagnostic technology that is not matched by high rates of treatment, whereas in the U.S., the high use of diagnostic technology may be linked to more treatment.

 

Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked.  They are very low in Japan, far lower than can be accounted for by the common practice of having family members rather than hospital staff provide the amenities of hospital care.  Journal of the American Medical Association, Vol. 284, July 26, 2000.

 

It has been known prescription that drugs are the fourth leading cause of death in the U.S.  This makes it clear that the more frightening number is that doctors are the third leading cause of death in this country, killing nearly a quarter million people a year.  These statistics are further confused because most medical coding only describes the cause of organ failure and does not identify iatrogenic causes at all.

Japan seems to have recognized that technology is wonderful, but just because you diagnose something with it, one should not be committed to undergoing treatment in the traditional paradigm.   Their health statistics reflect this aspect of their philosophy, as much of their treatment is not treatment at all, but loving care rendered in the home.

Care — not treatment — is the answer.  Drugs, surgery and hospitals become increasingly dangerous for chronic disease cases.  Facilitating the God-given healing capacity by improving the diet, exercise, and lifestyle is the key.  Effective interventions for the underlying emotional and spiritual wounding behind most chronic disease is critical for the reinvention of our medical paradigm.  These numbers suggest that reinvention of our medical paradigm is called for.

(NaturoDoc comments:  This is a powerful indictment of conventional allopathic medical care.   Articles published in JAMA are circulated in the largest and most respected peer review journal in the world.  The major wire services did not carry this article, which is consistent with whose interests they represent.)

References

  1. Schuster M, McGlynn E, Brook R.  How good is the quality of health care in the United States?  Milbank Q. 1998; 76:517-563.

  2. Kohn L, ed., Corrigan J, ed., Donaldson M, ed.  To Err Is Human:  Building a Safer Health System.  Washington, DC: National Academy Press, 1999.

  3. Starfield B.  Primary Care: Balancing Health Needs, Services, and Technology.  New York, NY: Oxford University Press, 1998.

  4. World Health Report 2000.  Accessed June 28, 2000.

  5. Kunst A.  Cross-National Comparisons of Socioeconomic Differences in Mortality.  Rotterdam, the Netherlands: Erasmus University; 1997.

  6. Law M, Wald N.  Why heart disease mortality is low in France:  The time lag explanation.  BMJ. 1999; 313:1471-1480.

  7. Starfield B.  Evaluating the State Children’s Health Insurance Program: critical considerations.  Annual Rev. Public Health. 2000; 21:569-585.

  8. Leape L.  Unnecessary surgery.  Annual Rev. Public Health. 1992; 13:363-383.

  9. Phillips D, Christenfeld N, Glynn L.  Increase in U.S. medication-error deaths between 1983 and 1993.  Lancet, 1998; 351:643-644.

  10. Lazarou J, Pomeranz B, Corey P.  Incidence of adverse drug reactions in hospitalized patients.  JAMA. 1998; 279:1200-1205.

  11. Weingart SN, Wilson RM, Gibberd RW, Harrison B.  Epidemiology and medical error.  BMJ. 2000; 320:774-777.

  12. Wilkinson R.  Unhealthy Societies: The Afflictions of Inequality.  London, England: Routledge; 1996.

  13. Evans R, Roos N.  What is right about the Canadian health system?  Milbank Q. 1999; 77:393-399.

  14. Guyer B, Hoyert D, Martin J, Ventura S, MacDorman M, Strobino D.  Annual summary of vital statistics, 1998.   Pediatrics. 1999; 104:1229-1246.

  15. Harrold LR, Field TS, Gurwitz JH.  Knowledge, patterns of care, and outcomes of care for generalists and specialists.  J Gen Intern Med. 1999; 14:499-511.

  16. Donahoe MT.  Comparing generalist and specialty care: discrepancies, deficiencies, and excesses.  Arch Intern Med. 1998; 158:1596-1607.

  17. Anderson G, Poullier J-P.  Health Spending, Access, and Outcomes: Trends in Industrialized Countries.  New York, NY: The Commonwealth Fund; 1999.

  18. Mold J, Stein H.  The cascade effect in the clinical care of patients.  N Engl J Med. 1986; 314:512-514.

  19. Shi L, Starfield B.  Income inequality, primary care, and health indicators.  J Fam Pract.1999; 48:275-284.

For reprints of the original JAMA article, contact:   Barbara Starfield, MD, MPH Department of Health Policy and Management Johns Hopkins School of Hygiene and Public Health 624 N Broadway, Room 452 Baltimore, MD 21205-1996 Email:bstarfie@jhsph.edu

 

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1 hour ago, RussianDisinformation said:

Clearly you don't work loser. Why don't you round up all the other orderlies, kitchen staff,  housekeeping people, transportation people at your nut house and march into the the administrator's office and demand a minimum wage wage of $17 an hour like they have in Australia and profit sharing and performance bonuses and 2 weeks of vacation?  You will be told to hit the bricks. 

 

I agree educated people should get paid more than a guy flipping burgers but the guy flipping burgers deserves a living wage. Should a surgeon get paid? Salary for spinal surgeons increases as they practice and gain experience. The same survey by Profiles shows a median income of $625,000 for spinal surgeons after six years of practice and that is not counting th kickbacks and perks. The average fast food worker makes $16,000 per year if he is lucky to be working full time. Most only get part time work so that the restaurant doesn't have to pay benefits.  The surgeon with all his benefits and perks make 50 times more than a restaurant worker. You probably think that is fair and equitable but you are an asshole. 

A veterinarian can do what an American spine surgeon can do and a cabinet maker could probably do it better.  You see dum dum, most people in the US can't afford medical school but in France a country with a reputation of killing people like you, medical school is free and the people who get in get in on their merit and not the ability to pay you stupid turd. As a result, France has the best health care in the world and all the French are covered. 

 

If you actually worked in a hospital you would know this: 

First-Year Residents Could Be Allowed To Work 28 Hours ...

https://www.npr.org/.../medical-interns-could-work-longer-without-a-break-under-new-rule

Nov 04, 2016 · First-Year Residents Could Be Allowed To Work 28 Hours Straight : Shots - Health News A proposed change in work rules would let first-year residents care for patients for as many as 28 hours

 

You, being an Bad word don't care that doctors work sleep deprived. The arrogant Bad word that you work with can are allowed to work 28 hours straight. Because you are a prick licking Bad word you would probably be OK if truckers drove for 28 hours without sleep and pilots flew 28 hours straight with no sleep.

 

You know what dumb fuk, you work in the most corrupt, lawless and homicidal industry in the world. You work for the medical mafia.  Read this dum fuk. Death by Medicine - webdc.com

Says the loser who works in a hospital and gets paid 100 times less than the CEO and MDs and probably has no health insurance or the cheapest plan from the slimiest insurance.  You probably can't even get laid by the fattest nurse there

 

Being you was clearly a bad choice by your father. He should have pulled out and let you run down your mother's leg. You are poor and not just financially. You are a waste of protoplasm. 

 

This is your industry Medical errors third-leading cause of death in America In your rigged above the law industry the more you idiots screw up the more money you make.

 

Doctors Are the Third Leading Cause of Death in the U.S.

Cause 250,000 Deaths Every Year

 

The U.S. health care system may contribute to poor health or death.  According to Dr. Barbara Starfield of the Johns Hopkins School of Hygiene and Public Health, 250,000 deaths per year are caused by medical errors, making this the third-largest cause of death in the U.S., following heart disease and cancer.

 

Writing in the Journal of the American Medical Association (JAMA), Dr. Starfield has documented the tragedy of the traditional medical paradigm in the following statistics:

 

Deaths Per Year Cause 106,000 Non-error, negative effects of drugs. 80,000 Infections in hospitals,45,000 other errors in hospitals, 12,000 Unnecessary surgery, 7,000 Medication errors in hospitals, 250,000 Total deaths per year from iatrogenic causes.

 

The term iatrogenic is defined as “induced in a patient by a physician’s activity, manner, or therapy.  Used especially to pertain to a complication of treatment.”

Furthermore, these estimates of death due to error are lower than those in a recent Institutes of Medicine report.  If the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.  Even at the lower estimate of 225,000 deaths per year, this constitutes the third leading cause of death in the U.S.

Dr. Starfield offers several caveats in the interpretations of these numbers:

 

First, most of the data are derived from studies in hospitalized patients.

 

Second, these estimates are for deaths only and do not include the many negative effects that are associated with disability or discomfort.

 

Third, the estimates of death due to error are lower than those in the IOM report.1  If the higher estimates are used, the deaths due to iatrogenic causes would range from 230,000 to 284,000.  In any case, 225,000 deaths per year constitutes the third leading cause of death in the United States, after deaths from heart disease and cancer.  Even if these figures are overestimated, there

is a wide margin between these numbers of deaths and the next leading cause of death (cerebro-vascular disease).

 

Another analysis11 concluded that between 4 percent and 18 percent of consecutive patients experience negative effects in outpatient settings, with:

  • 116 million extra physician visits

  • 77 million extra prescriptions

  • 17 million emergency department visits

  • 8 million hospitalizations

  • 3 million long-term admissions

  • 199,000 additional deaths

  • $77 billion in extra costs

The high cost of the health care system is considered to be a deficit, but it seems to be tolerated under the assumption that better health results from more expensive care.  However, evidence from a few studies indicates that as many as 20 to 30 percent of patients receive inappropriate care.  An estimated 44,000 to 98,000 among these patients die each year as a result of medical errors.2

 

This might be tolerable if it resulted in better health, but does it?  Out of 13 countries in a recent comparison,3,4 the United States ranks an average of 12th (second from the bottom) for 16 available health indicators.  More specifically, the ranking of the U.S. on several indicators was:

  • 13th (last) for low-birth-weight percentages

  • 13th for neonatal mortality and infant mortality overall14

  • 11th for post-neonatal mortality

  • 13th for years of potential life lost (excluding external causes)

  • 11th for life expectancy, at 1 year for females, 12th for males

  • 10th for life expectancy, at 15 years for females, 12th for males

  • 10th for life expectancy, at 40 years for females, 9th for males

  • 7th for life expectancy, at 65 years for females, 7th for males

  • 3rd for life expectancy, at 80 years for females, 3rd for males

  • 10th for age-adjusted mortality

  • The poor performance of the U.S. was recently confirmed by a World Health Organization study which used different data and ranked the United States as 15th among 25 industrialized countries.

Lifestyle

There is a perception that the American public “behaves badly” by smoking, drinking, and perpetrating violence.  However, the data does not support this assertion.

The proportion of females who smoke ranges from 14 percent in Japan to 41 percent in Denmark;  in the United States, it is 24 percent (fifth best).  For males, the range is from 26 percent in Sweden to 61 percent in Japan;  it is 28 percent in the United States (third best).

The U.S. ranks fifth best for alcoholic beverage consumption.

 

The U.S. has relatively low consumption of animal fats (fifth lowest in men aged 55 to 64 years in 20 industrialized countries) and the third lowest mean cholesterol concentrations among men aged 50 to 70 years among 13 industrialized countries.

Technology

Lack of technology is certainly not a contributing factor to the low ranking of the United States.  Among 29 countries, the U.S. is second only to Japan in the availability of magnetic resonance imaging units and computed tomography scanners per million population.17

 

Japan, however, ranks highest on health, whereas the U.S. ranks among the lowest.  It is possible that the high use of technology in Japan is limited to diagnostic technology that is not matched by high rates of treatment, whereas in the U.S., the high use of diagnostic technology may be linked to more treatment.

 

Supporting this possibility are data showing that the number of employees per bed (full-time equivalents) in the United States is highest among the countries ranked.  They are very low in Japan, far lower than can be accounted for by the common practice of having family members rather than hospital staff provide the amenities of hospital care.  Journal of the American Medical Association, Vol. 284, July 26, 2000.

 

It has been known prescription that drugs are the fourth leading cause of death in the U.S.  This makes it clear that the more frightening number is that doctors are the third leading cause of death in this country, killing nearly a quarter million people a year.  These statistics are further confused because most medical coding only describes the cause of organ failure and does not identify iatrogenic causes at all.

Japan seems to have recognized that technology is wonderful, but just because you diagnose something with it, one should not be committed to undergoing treatment in the traditional paradigm.   Their health statistics reflect this aspect of their philosophy, as much of their treatment is not treatment at all, but loving care rendered in the home.

Care — not treatment — is the answer.  Drugs, surgery and hospitals become increasingly dangerous for chronic disease cases.  Facilitating the God-given healing capacity by improving the diet, exercise, and lifestyle is the key.  Effective interventions for the underlying emotional and spiritual wounding behind most chronic disease is critical for the reinvention of our medical paradigm.  These numbers suggest that reinvention of our medical paradigm is called for.

(NaturoDoc comments:  This is a powerful indictment of conventional allopathic medical care.   Articles published in JAMA are circulated in the largest and most respected peer review journal in the world.  The major wire services did not carry this article, which is consistent with whose interests they represent.)

References

  1. Schuster M, McGlynn E, Brook R.  How good is the quality of health care in the United States?  Milbank Q. 1998; 76:517-563.

  2. Kohn L, ed., Corrigan J, ed., Donaldson M, ed.  To Err Is Human:  Building a Safer Health System.  Washington, DC: National Academy Press, 1999.

  3. Starfield B.  Primary Care: Balancing Health Needs, Services, and Technology.  New York, NY: Oxford University Press, 1998.

  4. World Health Report 2000.  Accessed June 28, 2000.

  5. Kunst A.  Cross-National Comparisons of Socioeconomic Differences in Mortality.  Rotterdam, the Netherlands: Erasmus University; 1997.

  6. Law M, Wald N.  Why heart disease mortality is low in France:  The time lag explanation.  BMJ. 1999; 313:1471-1480.

  7. Starfield B.  Evaluating the State Children’s Health Insurance Program: critical considerations.  Annual Rev. Public Health. 2000; 21:569-585.

  8. Leape L.  Unnecessary surgery.  Annual Rev. Public Health. 1992; 13:363-383.

  9. Phillips D, Christenfeld N, Glynn L.  Increase in U.S. medication-error deaths between 1983 and 1993.  Lancet, 1998; 351:643-644.

  10. Lazarou J, Pomeranz B, Corey P.  Incidence of adverse drug reactions in hospitalized patients.  JAMA. 1998; 279:1200-1205.

  11. Weingart SN, Wilson RM, Gibberd RW, Harrison B.  Epidemiology and medical error.  BMJ. 2000; 320:774-777.

  12. Wilkinson R.  Unhealthy Societies: The Afflictions of Inequality.  London, England: Routledge; 1996.

  13. Evans R, Roos N.  What is right about the Canadian health system?  Milbank Q. 1999; 77:393-399.

  14. Guyer B, Hoyert D, Martin J, Ventura S, MacDorman M, Strobino D.  Annual summary of vital statistics, 1998.   Pediatrics. 1999; 104:1229-1246.

  15. Harrold LR, Field TS, Gurwitz JH.  Knowledge, patterns of care, and outcomes of care for generalists and specialists.  J Gen Intern Med. 1999; 14:499-511.

  16. Donahoe MT.  Comparing generalist and specialty care: discrepancies, deficiencies, and excesses.  Arch Intern Med. 1998; 158:1596-1607.

  17. Anderson G, Poullier J-P.  Health Spending, Access, and Outcomes: Trends in Industrialized Countries.  New York, NY: The Commonwealth Fund; 1999.

  18. Mold J, Stein H.  The cascade effect in the clinical care of patients.  N Engl J Med. 1986; 314:512-514.

  19. Shi L, Starfield B.  Income inequality, primary care, and health indicators.  J Fam Pract.1999; 48:275-284.

For reprints of the original JAMA article, contact:   Barbara Starfield, MD, MPH Department of Health Policy and Management Johns Hopkins School of Hygiene and Public Health 624 N Broadway, Room 452 Baltimore, MD 21205-1996 Email:bstarfie@jhsph.edu

 

No. You don’t deserve a “living wage”. 

 

You deserve exactly what your labor is worth, stupid. 

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