Rikurzhen
Gold Member
- Jul 24, 2014
- 6,145
- 1,292
And where exactly do you think that the extra money we spend in the US is going? Health providers earn about 4% profit. So where do you imagine the extra money is being spent?
Please.
Forbes ran the following story. The US ranked dead last in several healthcare considerations (access, costs, quality, etc.) among 11 industrialized nations rated. Note the graph. Our per-patient expenditures are almost twice what they are in the other 10 countries, yet our overall quality of healthcare sucks. Thank the insurance racket for that sad reality.
US Health System Ranks Last Among Eleven Countries on Measures of Access Equity Quality Efficiency and Healthy Lives - The Commonwealth Fund
You're quoting a flawed study. What we want to know is how effective the health care system is with respect to outcomes. Right? It's the black box that we're looking at - an input goes in, it gets processed in the black box, and an output comes out. A patient goes in, the healthcare system does its thing, and the patient outcome is measured. Do you disagree?
When we do international comparisons we have to control for population variance. This study doesn't. It ranks the US last on infant mortality and life expectancy. Here's what the US has to contend with that other nations don't.
![LifeExpectancy_zps6cd5bbf4.jpg](/proxy.php?image=http%3A%2F%2Fi46.photobucket.com%2Falbums%2Ff125%2FRikurzhen%2FLifeExpectancy_zps6cd5bbf4.jpg&hash=60729efeff7f08cd6ca82707982b0854)
![LifeExpectancy1_zps85e44a24.jpg](/proxy.php?image=http%3A%2F%2Fi46.photobucket.com%2Falbums%2Ff125%2FRikurzhen%2FLifeExpectancy1_zps85e44a24.jpg&hash=ff047b80fcf67750cd4090791349b28e)
Notice how black life expectancy is significantly lower than white life expectancy. Iceland has a homogeneous population, we don't.
We see racial outcomes varying , even when we control for confounding factors like income and access to health care. Here's what is going on with strokes:
![bc02da32fbeb11b4fbe3532f3bb68112_zpsd879b84d.jpg](/proxy.php?image=http%3A%2F%2Fi46.photobucket.com%2Falbums%2Ff125%2FRikurzhen%2Fbc02da32fbeb11b4fbe3532f3bb68112_zpsd879b84d.jpg&hash=37b9fe7b0af9e46a8126dd7809c6795d)
Here's what is going on with breast cancer incidence and mortality when black women are disproportionately developing ER- cancers which are harder to treat, don't respond to drugs which work against ER+ cancers, and have a higher mortality rate:
![2007_breast_race_incidence.jpg](/proxy.php?image=http%3A%2F%2Fwww.cdc.gov%2Fcancer%2Fbreast%2Fimages%2F2007_breast_race_incidence.jpg&hash=aa9056312e3904a5dd46c0a59ba632e6)
![2007_breast_race_death.jpg](/proxy.php?image=http%3A%2F%2Fwww.cdc.gov%2Fcancer%2Fbreast%2Fimages%2F2007_breast_race_death.jpg&hash=7c6dabe415845e97f81719a115980d14)
The same dynamic is taking place with infant mortality. Black women have a higher rate of multiple births, low birth weight and extremely low birth weight babies and these are the babies who are at highest risk of dying. Look at the data and please note the infant mortality rate of Mexican-American and Cuban-American women in relation to non-Hispanic white women.
![Infantmortality_zpsb0611396.jpg](/proxy.php?image=http%3A%2F%2Fi46.photobucket.com%2Falbums%2Ff125%2FRikurzhen%2FInfantmortality_zpsb0611396.jpg&hash=6c2ff9c483889d80e3eab1f8eddfdbbb)
That high black infant mortality rate is not due to lack of medical care or mother's poverty, for Mexican-American women are just as poor as black women and yet have BETTER outcomes, a LOWER infant mortality rate than white women.
So the study you cite is garbage because it doesn't control for population variance. I looked at the data in the Commonwealth study which reported the mean life expectancy at age 60 and placed America in 10th of 11 places with a mean of 17.5 years for both men and women. First place went to Switzerland with mean of 19.0 years. When the CDC does the same calculation but disaggregates the data by race, we see that white men and women, together, have at age 60 a life expectancy of 22.5 years.That kind of turns everything around, doesn't it? From 10th place to 1st place when comparing LIKE TO LIKE, white population to white population.
As for costs, this is what they're buying you.
![waiting_times_elective-thumb-800x553-52_zpsa09ab8f2.png](/proxy.php?image=http%3A%2F%2Fi46.photobucket.com%2Falbums%2Ff125%2FRikurzhen%2Fwaiting_times_elective-thumb-800x553-52_zpsa09ab8f2.png&hash=95fab9a16d76bf8650ee296dbdc5da60)
![waiting_times_specialist-thumb-800x483-54_zps5152ba1c.png](/proxy.php?image=http%3A%2F%2Fi46.photobucket.com%2Falbums%2Ff125%2FRikurzhen%2Fwaiting_times_specialist-thumb-800x483-54_zps5152ba1c.png&hash=bd633bcd97b6980c7cba65a7bbc2fa44)
Convenience and spare capacity cost money to keep functioning. One last point, we live in a very high cost of living nation and that needs to be accounted for.
![healthexpend_oecd_ppp_zpsc114615e.png](/proxy.php?image=http%3A%2F%2Fi46.photobucket.com%2Falbums%2Ff125%2FRikurzhen%2Fhealthexpend_oecd_ppp_zpsc114615e.png&hash=0ed5588ae57f76d7de5ab4463a828762)