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- #21
Lordy, lordy, what fools you people are! Do you actually think that the Cato Institute has any credibility with anybody other than the most braindead of Conservatives?
The Japanese, Germans, French, and even Costa Ricans have a much better average life span than we do here in the US. All have far lower infant mortality. All spend far less on their health care system, and cover all citizens, which we do not.
So we are paying a Cadillac price and getting a Yugo. And you people are perfectly happy with that.
And then there is the matter of hundreds of thousands of American families going bankrupt every year because of medical bills. And none doing so in the rest of the industrial nations. Not in even little Costa Rica, most definately not an industrial nation.
Silly stuff. First, no one doubts the quality of health care delivered in the US is as good or better than that available anywhere else in the world. Second, there are no studies that link the kind of health insurance system a country has to its mortality statistics - you may want to believe there is but you have no reason to think so - but there is abundant research that links other factors, such as mortality and smoking, to mortality. As it happens, we in the US are the most obese among the wealthy nations and until a few years ago, we were the heaviest smokers, so naturally we would suspect our average life span might be lower than that of other wealthy nations.
http://www.nytimes.com/2009/09/22/science/22tier.html
Furthermore, studies here in the US have had mixed results, some showing little connection between life expectancy and insurance status and others showing no connection.
The Effects of Lack of Being Uninsured on Mortality and Morbidity
Other studies have shown other interesting results. For example,
Suggesting that in at least some areas they US health care system is superior to the Canadian system if you have insurance and at least as good as the Canadian system if you are uninsured.
John Ayanian, et al. find that uninsured women as well as women with Medicaid had more advanced breast cancer than women with private
insurance when the condition was initially diagnosed. They also find that the survival outcomes of both the Medicaid and uninsured
women were worse than those of privately insured women. The authors note that higher socioeconomic status is a possible explanation for
the better survival of privately insured women.
In fact, educational levels and socioeconomic class are more closely associated with mortality rates in the US than insurance status. For example, in a group followed from 1992 through 2006, those who were involuntarily uninsured, presumably low income but not poor enough for Medicaid, had better survival rates than those on Medicaid when surveyed every two years from 1998 to 2006; those who were voluntarily uninsured, presumably with higher incomes that the involuntarily uninsured and those on Medicaid, had much better survival rates than either of these groups and only slightly worse than those with private insurance. (From table 11 from the link below)
http://www.epionline.org/studies/oneill_06-2009.pdf
When you put the facts from these studies together, a few things become clear that might not otherwise have been apparent. First, affordable health care is available to the vast majority of the uninsured. Second, educational levels, socioeconomic class and lifestyle factors such as obesity and smoking are strong determinants of mortality and insurance status has little on no effect on mortality.
If affordable health care is available for the vast majority of the uninsured, then who are the millions of people that have had to file for bankruptcy due to medical costs?
And why do those without insurance have a higher death rate than those with it?
Are only the people without insurance the obese and smokers?
Let me fill in some of the lacuna in your understanding on this subject:
. Free-Market Innovations
• a) Walgreens has retail health clinics staffed by board-certified Family Nurse Practitioners and Physicians Assistants, and expects to have 400 open by 2010, and CVS plans on about 500. Anyone can walk in and get treatment for about 1/6 the cost of an emergency room, plus about 2/3 are paid for by insurance. Treatment includes: Respiratory Illnesses
• Additional Treatments
• Skin Conditions
• Minor Injuries
• Diagnostic Testing
• Wellness
• Vaccinations
• About Us - Take Care Clinic - Convenient, Affordable Health Care
b) Wal-Mart offers some 400 different prescription drugs @ $10 for a 90 day supply. CVS, Target, Kroegers, Food Lion, and a number of others have similar plans.
c) eHealthinsurance.com allows you to find health insurance in your zip.
d) Healthcarebluebook.com tells the costs of various procedures and treatments, allowing the consumer to negotiate prices with practitioners.
e) Teledoc gets you on the phone with a licensed physician in 3 hours or less, for $35- or it’s free!
f) American Well will let you talk to a doctor by webcam, text, phone, or IM for $45. And some Wal-Marts have virtual clinics where they can actually look into eyes, ears, and throat by webcam. American Well - FAQs
g) For an annual fee of just $480 for singles ($580 for couples and $680 for families) The No Insurance Club offers affordable pre-paid health care plans that cover basic medical services from a participating board-certified physician, with no deductibles, no additional premiums, and no co-payments and either 12 or 16 visits per year. NoInsuranceClub
h) Cosmetic surgery is the closest thing we have to a true free-market system in American. No insurance coverage, and the consumer shops around among practitioners: the price has been falling over time in real terms — despite a huge increase in volume and considerable technical innovation (which is blamed for increas- ing costs for every other type of surgery).
Solving what ever weaknesses there are in this wonderful healthcare systmem should be far less onerous than destroying what works.
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