Re: CABG costs 80 percent higher in U.S. than CANADA
- From: "zee" <outrider@xxxxxxxxxxxxx>
- Date: 9 Jul 2005 18:46:55 -0700
Hawki63@xxxxxxxxxxxxx wrote:
> "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
So please explain to me how it works for the hospitals...which is what
the story is about.
Zee
.
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