The return on investment (as evidenced by morbity and motality statistics) isn't very good for the consumers.
Aside from that it's a perfect system.
U.S. health care: Better than most
By The Times-Union
Health care in the United States still has impressive results, a study in a respected British medical publication has revealed.
Lancet is a much-quoted journal of medicine. The publication just released an ambitious comparison of health outcomes worldwide by the Concord working group.
The study includes data from one or more countries on all five continents. It may be the first attempt at a global comparison of cancer survival rates, Concord reported.
In the United States, the study included analyses of cancer survival in 16 states, covering 42 percent of the population.
Americans have excellent chances of surviving cancer when compared to people in most other nations.
Cuba ranked higher in some cases, but the researchers flagged the results due to concerns with the quality of the data.
Comparisons of cancer survival between Europe and the United States since 2000 have identified wide differences, with survival usually higher in the United States, the Concord study revealed.
For example, the five-year relative survival rate for women diagnosed with breast cancer from 1985 to 1989 was 73 percent in Europe and 84 percent in the United States.
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The improved results for cancer survival in the United States may have more to do with aggressive diagnosis, for instance, with screening for colon cancer starting at age 50 as opposed to later ages overseas
There still are variations in outcomes among African-Americans, such as lower survival rates for black men with prostate cancer.
The insurance system does make a difference. "
Survival was highest in patients who had private insurance, intermediate with federal insurance and lowest with no insurance," Concord reported.
There still is a difficult balancing act to integrate wide access, high quality and low cost of health care.
So far, the American system, for all of its access issues, still compares well to the rest of the world.
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cancer survivAl
U.S. leads: U.S. leads industrialized nations in survival of breast cancer and prostate cancer.
Near the top: U.S. also is high in rates of colon cancer survival.Source: Concord study in Lancet, British health publication
Not all is bad with healthcare, the major problem with our system is accessability. We need to make insurance portable between jobs. I would even support tax credits for the self employed. There are many things that we can do to shore up the world's leader in medical innovation. By instilling a Universal Healthcare System, we would be taking money away from medical breakthroughs and better treatments.
I am Jreeves and I approved this message....
U.S. still leader in medical innovation
According to Cowen, supporters of a national health care system cite the fact that, although the U.S. "spends more of its gross domestic product on health care than any nation in the world," U.S. residents "do not live longer than Western Europeans or Japanese."
However, Cowen writes that this "apparently devastating fact" does not account for the 15 Nobel Prizes in medicine that U.S. scientists and foreign-born scientists who work in the U.S. have received or the development of some of the "most important medical innovations of the last 25 years" by U.S. hospitals or companies.
He adds that "[e]ven when the initial research is done overseas, the American system leads in converting new ideas into workable commercial technologies."
This "innovation-rich environment stems from the money spent on American health care and also from the richer and more competitive American universities," and the "gains from medical innovations are high," Cowen writes.
The U.S. "could use its size, or use the law, to bargain down health care prices, as many European governments have done," Cowen writes, adding, "In the short run, this would save money but in the longer run it would cost lives."
He concludes, "The American health care system, high expenditures and all, is driving innovation for the entire world" (Cowen, New York Times, 10/5).