Re: OT: Health care in other countries


"krw" <krw@xxxxxxxxxxxxx> schreef in bericht
news:MPG.240deb6aa6aac4999899fd@xxxxxxxxxxxxxxxxxxxxxx
In article <c30e1e65-4d10-4d08-b2d1-0e8371e7bcc0
@o36g2000yqh.googlegroups.com>, pomerado@xxxxxxxxxxx says...>
On Feb 23, 9:00 pm, Nobody <nob...@xxxxxxxxxxx> wrote:
On Tue, 24 Feb 2009 01:09:31 +0000, Ross Herbert wrote:
:I was reading a book "My Descent into Death" where the author
mentioned,
:in 1985, being in a hospital in Paris, France. He mentioned the
nurses
:were not authorized to give him painkillers, and the sole doctor in
the
:ER was going home for the weekend.
:
:My nephew today over lunch told me he heard on the radio recently
about a
:French-American woman who had lumps on her breast, and the French doc
:wouldn't do a thing for her. She had to fly to America to get a
proper
:diagnosis done and surgery performed, all the while suffering from
pain.
:
:How is health insurance in Europe and elsewhere?
:
:Not looking for a flame war, just would like to know how it is
elsewhere.
:
:Thanks,
:
:Michael

I find that hearsay evidence difficult to believe. France has had an
active breast cancer screening program since the early 90's and women
can
have a mammography as easily as anywhere else in the western world. Up
to
40,000 french women every year have partial or total mastectomy and I
am
sure that early stage breast cancer would be appropriately treated
with
radiation and chemo-therapy in cases not requiring radical surgery.

I'm similarly sceptical (or, more accurately, reminded of the saying
that
"the plural of anecdote is not data").

A WHO survey from a few years back put France in first place for overall
provision of health care; surveys of life expectancy and infant
mortality
invariably put France in or around the top ten. E.g.:

http://en.wikipedia.org/wiki/List_of_countries_by_life_expectancy

CIA World Factbook = 11th territory, 8th nation
UN = 10th

[US = 30th/45th and 38th respectively.]

http://en.wikipedia.org/wiki/List_of_countries_by_infant_mortality_rate

CIA = 6th (217th of 222, in decreasing order of infant mortality).
UN = 12th (184th of 195, ditto)

[US = 43rd and 33rd respectively.]

Now, there are a whole lot of other factors which can affect life
expectancy and infant mortality, aside from healthcare. OTOH, trying to
quantify "healthcare" is far from straightforward.

USA ranks first in per capita cost.

A lot of that cost not anything do to health care and much because
we're subsidizing the rest of the world.

More objective observers talk about complicated and expensive
administration, anti-malpractice insurance and defensive medicine.

I've yet to see any suggestion that the U.S. health care system subsidises
the rest of the world - the New England Journal of Medicine reports the
results of a lot of medical research that takes place outside the United
States of America, funded by non-US sources.

--
Bill Sloman, Nijmegen



.

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