Re: CABG costs 80 percent higher in U.S. than CANADA



Hawki63@xxxxxxxxxxxxx wrote:
> "zee" <outrider@xxxxxxxxxxxxx> wrote in message
> news:1120944062.001361.166630@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
> > Hospital Costs of Coronary Artery Bypass Graft Surgery in U.S. More
> > Than 80 Percent Higher in U.S. Than in Canada
> >
> >
> >
> > CHICAGO - Although there are no differences in clinical outcome, the
> > in-hospital cost of coronary artery bypass graft surgery (CABG) in the
> > U.S. is 82.5 percent higher in the U.S. than in Canada, according to a
> > study in the July 11 issue of Archives of Internal Medicine, one of the
> > JAMA/Archives journals.
> >
> >
> >
> > Cardiovascular disease is a leading cause of illness and death in the
> > U.S. and Canada, with an estimated direct cost in the U.S. of $209.3
> > billion in 2003, including $94.1 billion in in-hospital costs alone,
> > according to background information in the article. In 2000, more than
> > 500,000 CABGs were performed in the U.S.
> >
> >
> >
> > Mark J. Eisenberg, M.D., M.P.H., of Jewish General Hospital, Montreal,
> > and colleagues compared the outcomes and costs of treatment of 12,017
> > consecutive patients (4,698 U.S. and 7,319 Canadian patients)
> > undergoing CABG at five U.S. and four Canadian hospitals.
> >
> >
> >
> > "In-hospital costs of treatment were substantially higher in the United
> > States than in Canada [an average cost of $20,673 vs. $10,373]," the
> > authors report. "After controlling for demographic and clinical
> > differences, length of stay in Canada was 16.8 percent longer than in
> > the United States; there was no difference in in-hospital mortality
> > [death]; and the cost in the United States was 82.5 percent higher than
> > in Canada."
> >
> >
> >
> > "Coronary artery bypass graft surgery requires substantial resources
> > in Canada and the United States," the authors conclude. "However,
> > patients undergoing CABG at U.S. hospitals incur approximately twice as
> > much cost compared with those at Canadian hospitals, with little
> > difference in clinical outcome and despite shorter average LOS [length
> > of stay]. The difference in total in-hospital costs is almost equally
> > attributable to differences in direct and overhead costs between the
> > Canadian and U.S. hospitals. This cost differential primarily reflects
> > higher resource prices for products and labor and higher overhead costs
> > in the United States resulting from a nonsocialized medical system.
> > However, U.S. hospitals also appear to streamline services better to
> > reduce LOS, a strategy Canadian hospitals might emulate to further
> > reduce treatment costs."
> >
> > (Arch Intern Med. 2005; 165:1506-1513.)
> >
> > Editor's Note: This study was supported by an unrestricted research
> > grant from Pfizer, Inc., Groton/New London, Conn. Dr. Eisenberg is a
> > Senior Physician-Scientist of the Quebec Foundation for Health
> > Research, Montreal. Co-author Kristian B. Filion, B. Sc., was supported
> > by a Canadian Cardiovascular Outcomes Research Team Summer Studentship.
> > Co-author Louise Pilote, M.D., M.P.H., Ph.D., is a Physician-Scientist
> > of the Canadian Institutes of Health Research, Ottawa, Ontario.
> >
> Canadian docs are paid by the government...thus..at a fixed rate...
>
> not so in the US
>
> not to mention how many Canadians have their surgeries here in the US rather
> than face a long wait in Canada...




Perhaps you should read the article(s) before you jump in with your
all-purpose knee-jerk and bigoted reply.

zee

.

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