Odd that you make that claim...yet its so flawed.
http://www.ncpa.org/pub/ba649
10 Surprising Facts about American Health Care
Brief Analyses | Health
No. 649
Tuesday, March 24, 2009
by Scott Atlas
Medical care in the United States is derided as miserable compared to
health care systems in the rest of the developed world. Economists,
government officials, insurers and academics alike are beating the
drum for a far larger government r�le in health care. Much of the
public assumes their arguments are sound because the calls for change
are so ubiquitous and the topic so complex. However, before turning
to government as the solution, some unheralded facts about America's
health care system should be considered.
Fact No. 1: Americans have better survival rates than Europeans for
common cancers.[1] Breast cancer mortality is 52 percent higher in
Germany than in the United States, and 88 percent higher in the United
Kingdom. Prostate cancer mortality is 604 percent higher in the U.K.
and 457 percent higher in Norway. The mortality rate for colorectal
cancer among British men and women is about 40 percent higher.
Fact No. 2: Americans have lower cancer mortality rates than
Canadians.[2] Breast cancer mortality is 9 percent higher, prostate
cancer is 184 percent higher and colon cancer mortality among men is
about 10 percent higher than in the United States.
Fact No. 3: Americans have better access to treatment for chronic
diseases than patients in other developed countries.[3] Some 56
percent of Americans who could benefit are taking statins, which
reduce cholesterol and protect against heart disease. By comparison,
of those patients who could benefit from these drugs, only 36 percent
of the Dutch, 29 percent of the Swiss, 26 percent of Germans, 23
percent of Britons and 17 percent of Italians receive them.
Fact No. 4: Americans have better access to preventive cancer
screening than Canadians.[4] Take the proportion of the
appropriate-age population groups who have received recommended tests
for breast, cervical, prostate and colon cancer:
Nine of 10 middle-aged American women (89 percent) have had a
mammogram, compared to less than three-fourths of Canadians (72
percent).
Nearly all American women (96 percent) have had a pap smear,
compared to less than 90 percent of Canadians.
More than half of American men (54 percent) have had a PSA test,
compared to less than 1 in 6 Canadians (16 percent).
Nearly one-third of Americans (30 percent) have had a colonoscopy,
compared with less than 1 in 20 Canadians (5 percent).
Fact No. 5: Lower income Americans are in better health than
comparable Canadians. Twice as many American seniors with
below-median incomes self-report "excellent" health compared to
Canadian seniors (11.7 percent versus 5.8 percent). Conversely, white
Canadian young adults with below-median incomes are 20 percent more
likely than lower income Americans to describe their health as "fair
or poor."[5]
Fact No. 6: Americans spend less time waiting for care than patients
in Canada and the U.K. Canadian and British patients wait about twice
as long - sometimes more than a year - to see a specialist, to have
elective surgery like hip replacements or to get radiation treatment
for cancer.[6] All told, 827,429 people are waiting for some type of
procedure in Canada.[7] In England, nearly 1.8 million people are
waiting for a hospital admission or outpatient treatment.[8]
Fact No. 7: People in countries with more government control of
health care are highly dissatisfied and believe reform is needed.
More than 70 percent of German, Canadian, Australian, New Zealand and
British adults say their health system needs either "fundamental
change" or "complete rebuilding."[9]
Fact No. 8: Americans are more satisfied with the care they receive
than Canadians. When asked about their own health care instead of the
"health care system," more than half of Americans (51.3 percent) are
very satisfied with their health care services, compared to only 41.5
percent of Canadians; a lower proportion of Americans are dissatisfied
(6.8 percent) than Canadians (8.5 percent).[10]
Fact No. 9: Americans have much better access to important new
technologies like medical imaging than patients in Canada or the U.K.
Maligned as a waste by economists and policymakers na�ve to actual
medical practice, an overwhelming majority of leading American
physicians identified computerized tomography (CT) and magnetic
resonance imaging (MRI) as the most important medical innovations for
improving patient care during the previous decade.[11] [See the
table.] The United States has 34 CT scanners per million Americans,
compared to 12 in Canada and eight in Britain. The United States has
nearly 27 MRI machines per million compared to about 6 per million in
Canada and Britain.[12]
Fact No. 10: Americans are responsible for the vast majority of all
health care innovations.[13] The top five U.S. hospitals conduct more
clinical trials than all the hospitals in any other single developed
country.[14] Since the mid-1970s, the Nobel Prize in medicine or
physiology has gone to American residents more often than recipients
from all other countries combined.[15] In only five of the past 34
years did a scientist living in America not win or share in the prize.
Most important recent medical innovations were developed in the United
States.[16] [See the table.]
Conclusion. Despite serious challenges, such as escalating costs and
the uninsured, the U.S. health care system compares favorably to those
in other developed countries.
Scott W. Atlas, M.D., is a senior fellow at the Hoover Institution and
a professor at the Stanford University Medical Center. A version of
this article appeared previously in the February 18, 2009, Washington
Times.
[1] Concord Working Group, "Cancer survival in five continents: a
worldwide population-based study,.S. abe at responsible for
theountries, in s chnologies, " Lancet Oncology, Vol. 9, No. 8, August
2008, pages 730 - 756; Arduino Verdecchia et al., "Recent Cancer
Survival in Europe: A 2000-02 Period Analysis of EUROCARE-4 Data,"
Lancet Oncology, Vol. 8, No. 9, September 2007, pages 784 - 796.
[2] U.S. Cancer Statistics, National Program of Cancer Registries,
U.S. Centers for Disease Control; Canadian Cancer Society/National
Cancer Institute of Canada; also see June O'Neill and Dave M. O'Neill,
"Health Status, Health Care and Inequality: Canada vs. the U.S.,"
National Bureau of Economic Research, Working Paper No. 13429,
September 2007. Available at
http://www.nber.org/papers/w13429.
[3] Oliver Schoffski (University of Erlangen-Nuremberg), "Diffusion of
Medicines in Europe," European Federation of Pharmaceutical Industries
and Associations, 2002. Available at
http://www.amchampc.org/showFile.asp?FID=126. See also Michael
Tanner, "The Grass is Not Always Greener: A Look at National Health
Care Systems around the World," Cato Institute, Policy Analysis No.
613, March 18, 2008. Available at
http://www.cato.org/pub_display.php?pub_id=9272.
[4] June O'Neill and Dave M. O'Neill, "Health Status, Health Care and
Inequality: Canada vs. the U.S."
[5] Ibid.
[6] Nadeem Esmail, Michael A. Walker with Margaret Bank, "Waiting Your
Turn, (17th edition) Hospital Waiting Lists In Canada," Fraser
Institute, Critical Issues Bulletin 2007, Studies in Health Care
Policy, August 2008; Nadeem Esmail and Dominika Wrona "Medical
Technology in Canada," Fraser Institute, August 21, 2008 ; Sharon
Willcox et al., "Measuring and Reducing Waiting Times: A
Cross-National Comparison Of Strategies," Health Affairs, Vol. 26, No.
4, July/August 2007, pages 1,078-87; June O'Neill and Dave M. O'Neill,
"Health Status, Health Care and Inequality: Canada vs. the U.S."; M.V.
Williams et al., "Radiotherapy Dose Fractionation, Access and Waiting
Times in the Countries of the U.K.. in 2005," Royal College of
Radiologists, Clinical Oncology, Vol. 19, No. 5, June 2007, pages
273-286.
[7] Nadeem Esmail and Michael A. Walker with Margaret Bank, "Waiting
Your Turn 17th Edition: Hospital Waiting Lists In Canada 2007."
[8] "Hospital Waiting Times and List Statistics," Department of
Health, England. Available at
http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/HospitalWaitingTimesandListStatistics/index.htm?IdcService=GET_FILE&dID=186979&Rendition=Web.
[9] Cathy Schoen et al., "Toward Higher-Performance Health Systems:
Adults' Health Care Experiences In Seven Countries, 2007," Health
Affairs, Web Exclusive, Vol. 26, No. 6, October 31, 2007, pages
w717-w734. Available at
http://content.healthaffairs.org/cgi/reprint/26/6/w717.
[10] June O'Neill and Dave M. O'Neill, "Health Status, Health Care and
Inequality: Canada vs. the U.S."
[11] Victor R. Fuchs and Harold C. Sox Jr., "Physicians' Views of the
Relative Importance of 30 Medical Innovations," Health Affairs, Vol.
20, No. 5, September /October 2001, pages 30-42. Available at
http://content.healthaffairs.org/cgi/reprint/20/5/30.pdf.
[12] OECD Health Data 2008, Organization for Economic Cooperation and
Development. Available at
http://www.oecd.org/document/30/0,3343,en_2649_34631_12968734_1_1_1_37407,00.html.
[13] "The U.S. Health Care System as an Engine of Innovation,"
Economic Report of the President (Washington, D.C.: Government
Printing Office, 2004), 108th Congress, 2nd Session H. Doc. 108-145,
February 2004, Chapter 10, pages 190-193, available at
http://www.gpoaccess.gov/usbudget/fy05/pdf/2004_erp.pdf; Tyler Cowen,
New York Times, Oct. 5, 2006; Tom Coburn, Joseph Antos and Grace-Marie
Turner, "Competition: A Prescription for Health Care Transformation,"
Heritage Foundation, Lecture No. 1030, April 2007; Thomas Boehm, "How
can we explain the American dominance in biomedical research and
development?" Journal of Medical Marketing, Vol. 5, No. 2, 2005, pages
158-66, U.S. Department of Health and Human Services, July 2002.
Available at
http://fraser.stlouisfed.org/publications/erp/page/8649/download/47455/8649_ERP.pdf
.
[14] Nicholas D. Kristof, "Franklin Delano Obama," New York Times,
February 28, 2009. Available at
http://www.nytimes.com/2009/03/01/opinion/01Kristof.html.
[15] The Nobel Prize Internet Archive. Available at
http://almaz.com/nobel/medicine/medicine.html.
[16] "The U.S. Health Care System as an Engine of Innovation," 2004
Economic Report of the President.
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