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


"zee" <outrider@xxxxxxxxxxxxx> wrote in message
news:1120951042.242910.312840@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
>
>
> 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.


NON socialized medical system=====increased salary paid to surgeons...etc in
the US...=====higher costs


>> > 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
>

I did

bigoted??? oh...you mean my comment on how many Canadians come across the
border??

fact fact fact



.

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