Kindness Deficit

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Postby Selma in Sandy Eggo » Thu Apr 05, 2007 3:30 pm

The AvMed Website (Feb 07) wrote:“AvMed has always focused on delivering the highest quality healthcare and completely satisfying our members,” said Doug Cueny, AvMed’s president and CEO. “The iHealth system will help our members to save time and money, and will enable them to better manage their healthcare needs.”


They're putting all the patients' medical records online. It's a secure website. (And you can believe as much of that as you like.)

I spent longer than 4 days in the hospital for an uncomplicated hysterectomy, in '95. Gil spent much longer than that in two separate hospitals, with his heart attack. And I don't think California law allows the HMO to discharge anybody, administratively or otherwise - a physician on the hospital staff has to do it.

Hooray for Nancy and Peg.
>^..^<
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Postby jamiebk » Thu Apr 05, 2007 9:56 pm

analog wrote: "From the pit of Hell I curse at thee, with my last breath I strike at thee....."



Also quoted in "The Wrath of Kahn" as Kahn attempted to blow-up Kirk with the Genesis devise he spoke the same words. (OK...I am a Trekkie at heart) I wonder how many in the audience actually knew where it came from?
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Postby Shapley » Tue May 29, 2007 3:21 pm

Quod scripsi, scripsi.
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Postby OperaTenor » Tue May 29, 2007 6:00 pm

Why is that posted on this thread?
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Postby Shapley » Tue May 29, 2007 9:15 pm

Because it reflects a lack of kindness.
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Re: Kindness Deficit

Postby Shapley » Thu Jun 05, 2008 2:21 pm

Hartford, CT man slammed by hit-and-run driver, pedestrians and passers-by leave in the street 'like a dog'.

Not to pick on Hartford. It could (and does) happen anywhere. It just shows where we, as a society, stand.

:(

V/R
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Re: Kindness Deficit

Postby Shapley » Thu Aug 28, 2008 9:55 am

Florida Faces Another Right-To-Die Battle.

Hopefully, they won't make a Federal case out of this one. The Supreme Court weighed in on the Schiavo case, stating that they lack the authority to weigh in on the case.
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Re: Kindness Deficit

Postby Haggis@wk » Sun Jul 05, 2009 9:59 am

haggis wrote:OT,

” The rest of the industrialized world operates with socialized medicine, and we never hear of instances of judgemental injustice, if you will, where someone is denied some treatment based on some administrator's decision, or as a consequence of the system.”

Australia

Operating theatres shut to save cash as thousands wait for surgery

” Hospitals are closing operating theatres to doctors wanting to perform planned surgery for up to a third of the year to save money, despite there being almost 70,000 people on NSW waiting lists.”

"There are currently 65,348 people waiting for elective surgery in NSW. More than 9000 have been waiting over a year…"

Great Britian

Waiting list row blights Brighton

” The official waiting list statistics for England, published yesterday, showed 281 patients had been waiting more than nine months for an operation - the maximum allowed under government targets. The department said 234 of them were Brighton patients absent from previous figures.

Because of the Brighton discovery, the national total of patients waiting between nine and 12 months rose from 19 at the end of June to 183 at the end of July. The number waiting more than a year rose from 61 to 98.”


But there’s good news

” Earlier this year the NHS chief executive, Sir Nigel Crisp, said the government had reached its target that no patient should wait more than nine months for an operation by April 1.”

a nine month wait is a six sigma target??

[url=http://www.rsm.ac.uk/new/pdfs/jmay04.pdf] Study finds British hospitals are still
austere, cold, smelly and poorly maintained[/url]

”Previous surveys of UK hospitals have highlighted many deficiencies in the standards of hospital inpatient washing and bathing facilities—especially inadequate access for wheelchair users, insufficient bathing equipment, and unsatisfactory cleanliness and privacy.

A recently conducted qualitative survey in three hospitals in the North of England was undertaken to see whether these facilities have improved. There have been some improvements, particularly in the provision of bath hoists, adapted taps, alarm call systems, shower seats and wheelchair access to bathrooms. But many basic problems remain—absent locks and signs, inadequate heating, poor standards of privacy, insufficient bath aids, wet floors, and the inappropriate use of bathrooms as storerooms.

The overall condition of hospital bathrooms and showers remains unsatisfactory. Too many hospital bathrooms are austere, cold, smelly and poorly maintained.”


Canada

HOSPITAL WAIT LISTS TO GET WORSE, CARRIERE SAYS

” A recent report by the Ontario Association of Radiologists predicts 94 per cent of MRI patients, 89 per cent of CT scan and 72 per cent of ultrasound patients are waiting longer than "medically appropriate".

The report contends 90 per cent of radiologists have seen little or nor progress in reducing waiting lists a year after the Ontario Liberal government was elected to trim medical wait times.”


Private medical clinic opens in Montreal

” According to a statement announcing the clinic's grand opening, it answers, "an ever-increasing demand from the public for greater accessibility and quality of health services."

But there is a fix; the government is moving to prevent privatized health care

” Raising the issue in the House of Commons daily question period on Tuesday, NDP Leader Jack Layton accused the Liberals of sitting idly by, while a "hurricane" of health-care privatization blew across the nation.
"This perhaps wouldn't be a surprise, except that when they're seeking votes, they're promising to stop privatization," Layton said. "When is this minister... going to actually take some action to stop it?"


Canada's Once-Proud Public Health System in Crisis

”OTTAWA (Reuters) - Canada often boasts its universal health care program shows it is more caring than the United States, but the system is creaking alarmingly, with long wait lists for treatment, and shortages of cash and doctors.

And far from criticizing the United States, some people are choosing to go south of the border to pay for operations in private hospitals -- institutions that are forbidden in Canada by the law that set up the publicly funded system.”


Canadians losing faith in health system: poll

"Canadians really have given very low marks to the health care system. And as a practising physician, I see that every day. The care that we are able to give to patients is not as good as it was four years ago or 10 years ago."

New Zealand

[url=http://www.nzherald.co.nz/latestnewsstory.cfm?storyID=3586166&thesection=news&thesubsection=general] Hundreds on waiting list as
hospital pleads for help[/url]

” Hundreds of Hawke's Bay people are waiting for gastroenterology procedures as the health board desperately appeals for general surgeons to help with the hospital's sole specialist's gruelling [sic] workload.

Hawke's Bay Regional Hospital's only gastroenterologist and part-time general physician, Malcolm Arnold, said there were 458 patients were on his waiting list alone, with 180 still awaiting a definite time to have their procedures performed.”


OT, I could go on, but I suspect most won’t read what I’ve linked to already and I wanted to keep to current events, None of these articles are older than this year and most are dated within the last three months.

Socialized medicine – medicine run by the government – doesn’t work. The evidence has been overwhelmingly clear for decades.

I know you have some personal reasons to believe so, but do you of all people trust politicians to make your medical decisions?

A good example of a free market medical procedure is Laser eye surgery surgery.

Of the approximately 3 million Americans who underwent laser eye surgery since 1995, more than 85 percent said the surgery improved their overall quality of life and 93 percent of patients said they were satisfied with the results.

Laser eye surgery has the highest patient satisfaction ratings of any surgery, it has been performed more than 3 million times in the past decade, it is new, it is high-tech, it has gotten better over time and laser eye surgery has fallen in price.

In 1998 the average price of laser eye surgery was about $2200 per eye. Today the average price is $1350, that's a decline of 38 percent in nominal terms and slightly more than that after taking inflation into account.

Why the price decline in this market and not others? Laser eye surgery is one of the few health procedures sold in a free market with price advertising, competition and consumer driven purchases. Its not covered by insurance, Medicaid or Medicare, and not heavily regulated.

Maybe we need to move more medical care into a free market and see where the benefits would be.



And we're still having this argument
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Re: Kindness Deficit

Postby jamiebk » Sun Jul 05, 2009 10:51 am

Health care is not something where I award my business to the "Low Bidder". Quality and expertise are the reasons for chosing a doctor or hospital. I realize that not everyone can afford this philosophy. That is where the issue lies. Everyone feels that they are entitled to the very finest, most thorough health care available. There isn't enough to go around and it is cost prohibitive to most anyway.
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Re: Kindness Deficit

Postby dai bread » Sun Jul 05, 2009 9:51 pm

The link to the "Herald" article just gave me today's front page, Haggis.

Your quote from it reads as though the problem is a shortage of specialists, not a badly-run health system.

As a side issue, the Hawkes Bay Hospital Board was sacked by the Govt. last year (or the year before) for bad management revolving, if I remember rightly, around problems of conflict of interest. The private sector certainly isn't immune from that.
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Re: Kindness Deficit

Postby OperaTenor » Sun Jul 05, 2009 11:11 pm

Yup, it's been what, two years, and still those dastardly socialist countries' economies haven't collapsed.

They're just not cooperating with you, dude...
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Re: Kindness Deficit

Postby Haggis@wk » Wed Jul 08, 2009 9:07 am

OperaTenor wrote:Yup, it's been what, two years, and still those dastardly socialist countries' economies haven't collapsed.

They're just not cooperating with you, dude...


13: The number of teeth that British veteran Ian Boynton pulled out himself with pliers “because he couldn’t find an NHS (National Health Service) dentist… [he] could not afford to go private for treatment so instead took the drastic action to remove 13 of his teeth that were giving him severe pain.”

14: The percentage of all patients in Britain who wait more than one (1) year to receive treatment after a referral by a general practitioner. Half of all National Health Care patients in Britain wait between 18 and 52 weeks for treatment.


443,849: The number of British patients of the National Healthcare Service (NHS) who waited four or more weeks for inpatient admittance into a hospital (Excel file) in May of 2009 (more than 75% of all patients).

1,500,000: The number of Canadians who do not have — and cannot find — a general practitioner/primary care physician due to shortages in medical staff: “In Norwood, Ontario, 20/20 videotaped a town clerk pulling the names of the lucky winners out of a lottery box. The losers must wait to see a doctor… Shirley Healy, like many sick Canadians, came to America for surgery. Her doctor in British Columbia told her she had only a few weeks to live because a blocked artery kept her from digesting food. Yet Canadian officials called her surgery ‘elective.’ …’The only thing elective about this surgery was I elected to live,’ she said.”
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Re: Kindness Deficit

Postby OperaTenor » Wed Jul 08, 2009 9:54 am

Okay the first statistic is useless, but you knew that.

The second two, a couple of things:
1) There's no differentiation as to what kind of surgery/inpatient admission these people are waiting for, and from what I read, virtually all of it is elective(I only say "virtually" to give the benefit of doubt), and:

2) You fail to make any comparisons to waits for these types of situations here in the US. It's amazing how one-sided conditions look when you only present one side. I know for a fact equivalent numbers of Americans wait similar amounts of time, but in our case it's because the insurance industry is doing the rationing.

I'll let one of my Canadian piano nerd friends speak for her system. I'd bet money Mary E would second what this woman has to say down the line:

Here's what I posted in the other place in regards to Health care. I, too, get tired of defending my thoughts on it. American's don't want or like our system - and I'm ok with that. You don't have to like it. I'm not sure why every discussion about your medical system has to revolve around attacking ours, but whatever.

Now, from my other post:

Thanks for the information. I knew it wasn't an easy road for us, either, but most of my knowledge on the topic is about Tommy Douglas, who brought universal health care to Saskatchewan - the father of Canadian health care. He's also remarkably well known for a Canadian politician, especially considering he didn't get involved in politics at the federal level. It shows how much we value our health care system, on the whole, since Canadians don't tend to know a whole lot about political history.

As far as our health care system goes, it is one of the things that I think defines Canada. It is consistently listed as one of the high priority items among Canadians at election time. Most Canadians are very proud of our system. It has flaws, of course, but I think a lot of the things that people blame on our universal health care model are actually functions of other things (geography being the big one).

When I was pregnant with Liam, the OB I was referred to had his offices in one of the finest hospitals in the country. Googling his name provided site after site referencing him in research studies. When I went to my first appointment, I noticed something interesting. One woman was there, hugely pregnant with another young child in tow, and obviously wasn't very well off. To the other side of me was a woman that I recognized - the daughter of a well-known and very successful Toronto business man. I recognized her because she and her father had been on the cover of a Canadian news magazine a couple weeks before when the daughter had launched a new company. Both of these women were seeing the same doctor and getting the exact same level of care, despite the fact that their annual incomes had a 7 figure difference between them. The same thing happened when I gave birth - the maternity floor was a complete cross-section of society. All of them were given the same level of care - and the care was excellent. That's important to me.

There's some grumbling about wait-times. In Toronto (and other urban areas), the grumbling is less. Doctors want to work there, and there are a lot of them. In my area, there's a doctor shortage. The entire area is declining in population and relies heavily on manufacturing and other industrial jobs. Doctors don't want to work here, and so they don't come here. To make it worse, until very recently, we didn't have a medical school here. So doctors had to make a conscious decision to move here. Recently, a local university, in partnership with the provincial government and another university with a med school, started a med school here. The thought is that if people come here to attend med school, it increases the odds that they will practice here when their training is complete. People talk about the fact that getting a family doctor here is nearly impossible - but that has nothing to do with universal health care. It's geography. And they are working to fix that. As a temporary solution, they are offering financial incentives to doctors who want to move to this area to practice - one of my students this year moved into the area because his dad took one of these offers.

Sick Kids in Toronto is one of the best childrens hospitals in the world. And they offer a couple of procedures that aren't offered at other hospitals - or only in one or two other hospitals in Canada. If a child in Manitoba, for example, needs one of these procedures, they fly the family to Sick Kids and put the family up in a residence designed for the purpose. And everything - from the procedure to the accommodations and living expenses of the family - is covered by our universal health care. If there is a procedure that isn't offered in Canada, but is offered at hospitals in the States, then they'll do the same thing. And it doesn't matter if you can afford it - it's covered if it is a necessary procedure. (Edit to add: I know that the idea of using and paying for care from another state or province is a bad thing in a lot of eyes, but I'd much rather everyone have access to the necessary care than not, regardless of income).

Even in this area, with the doctor shortage, the wait times for most procedures isn't horrible. I had a strange mass on my leg a couple years ago. I called my family doc and got in within a few days. He scheduled an ultrasound for a couple weeks later. He was pretty confident that it was nothing, but just wanted to check and be sure. From me calling to make the appointment to confirmation that it was, indeed, "nothing", was about 3 weeks. Liam had an issue that was more of an emergency situation. I called for an appointment, went straight to the doc, and had him in ultrasound a couple hours later.

My friend is going through a wait time issue right now. Her family has been quick to blame our system for it. Her cousin (in her mid-20s) had an aneurysm a couple months back, so the entire family went for tests to see if they also had existing aneurysm lying in wait (notice - the entire family went for these tests - anyone of 1st cousin or closer in relationship - as a preventative and on the universal health care dime). My friend does have one - in the same spot. There's a second test that she needs to go for, and it's been scheduled for the fall. She's livid that she has to wait for so long. But here's the thing - the aneurysm is so small that they wouldn't do anything except monitor it. It's half the size of what they consider operable. The test is simply to find out a bit more about it. It's not going to lead to surgery or treatment because it's just not big enough. She'll have another test before that to make sure that it hasn't grown. She'll have tests every 3 months to monitor it for the rest of her life, or until the risk increases. Her brother, on the other hand, has the same aneurysm. But his is very close to operable size. He got scheduled for the second test within a month of the first one, and already has a tentative surgery date for less than a month after that. It's not an issue of universal health care extending the wait time - the docs are making decisions based on level of risk. And her brother will get brain surgery done at no cost to him - as a preventative. The entire family was screened - as a preventative. And at no cost to them. While I understand that she's scared and she wants answers now, she's not waiting because the system is broken. She's waiting because medically, she can wait. Her brother can't wait as long, because his is more advanced, so he's getting in much faster. (Edit to add: they had a cancellation at the hospital where she was scheduled for this test - she got it done two weeks ago)

I guess the point of all this is that our doctors and hospitals provide excellent care - and they provide it to everyone, regardless of income. As I said, that's important to me. We also provide a lot of preventative treatment. Many of these preventatives wouldn't happen under a pay system for most people, because they wouldn't spend the money. I like knowing that when a little kid in a poor family is sick, that parents can take them to the doctor without thinking about whether or not they'll be able to pay the bill. And I like that they will have the same treatment options available to them as the multi-millionaire who COULD pay the bill. I get that this is the very reason that some people don't want universal health care in the US. But I've been on the other side of this - I've stayed in hospital and had surgery done at a time when I didn't have much money and wouldn't have had medical insurance if I lived in the US. Under medicare in the US, I would have had to wait until it became a medical emergency to get it dealt with because I couldn't afford to pay for it. I think medical care should be based on need - not on whether or not the patient can afford it.


This "shortage" you cite is more a problem of locale; most of the doctors are in urban centers. The Canadian government is working to create incentives for doctors to follow the need more. BFD.
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Re: Kindness Deficit

Postby Haggis@wk » Wed Jul 08, 2009 4:06 pm

OperaTenor wrote:Okay the first statistic is useless, but you knew that.

The second two, a couple of things:
1) There's no differentiation as to what kind of surgery/inpatient admission these people are waiting for, and from what I read, virtually all of it is elective(I only say "virtually" to give the benefit of doubt), and:

2) You fail to make any comparisons to waits for these types of situations here in the US. It's amazing how one-sided conditions look when you only present one side. I know for a fact equivalent numbers of Americans wait similar amounts of time, but in our case it's because the insurance industry is doing the rationing.

This "shortage" you cite is more a problem of locale; most of the doctors are in urban centers. The Canadian government is working to create incentives for doctors to follow the need more. BFD.



virtually all of it is elective Hip replacement surgery is elective? I'm sure thay'll come as a surprise to Selma.

Okay, here's a harder number

443,849: The number of British patients of the National Healthcare Service (NHS) who waited four or more weeks for inpatient admittance into a hospital (Excel file) in May of 2009 (more than 75% of all patients).

OT, how many stories have you heard about Americans going to Canada to get health treatments?

As for comparisons, do you know of anyone that had to wait two years for surgery??

Can you identify 1.5MIL Americans looking for doctors in their area? What would your reaction be if you were told that the health plan you use only provide medical treatment based on a pulling your name out of a hat?

60% Average cancer survival rate (all types) for patients in the United States. both insured and uninsured. Canada’s survival rate is significantly lower at 55%, while Europe’s is a dismal 48%.

81% Average percentage of those who survive a diagnosis of prostate cancer in the United States versus 43% in Britain under their National Health Service. Did you know that you and me are almost guaranteed to get prostate cancer if we live to be 75??

Once again, other than the military, name me one branch of the U.S. Government you admire because they do such a great job?
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Re: Kindness Deficit

Postby Shapley » Wed Jul 08, 2009 4:50 pm

60% Average cancer survival rate (all types) for patients in the United States. both insured and uninsured. Canada’s survival rate is significantly lower at 55%, while Europe’s is a dismal 48%.


That, at least, is one thing President Obama has specifically targeted. Apparently, the cost of treating many of the 40% that don't survive is too high, so he wants to target the spending we do on patients near the end of their lives. "Maybe you're better off not having the surgery, but taking the painkiller," he tells us. Of course, we often don't know which of those receiving the treatment are going to be in the 60% and which in the 40%, so some system will be set up to guess at it, and dispense treatment accordingly.

More painkillers, fewer surgeries, fewer survivals. Change you can believe in.
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Re: Kindness Deficit

Postby OperaTenor » Wed Jul 08, 2009 5:49 pm

Haggis@wk wrote:
OperaTenor wrote:Okay the first statistic is useless, but you knew that.

The second two, a couple of things:
1) There's no differentiation as to what kind of surgery/inpatient admission these people are waiting for, and from what I read, virtually all of it is elective(I only say "virtually" to give the benefit of doubt), and:

2) You fail to make any comparisons to waits for these types of situations here in the US. It's amazing how one-sided conditions look when you only present one side. I know for a fact equivalent numbers of Americans wait similar amounts of time, but in our case it's because the insurance industry is doing the rationing.

This "shortage" you cite is more a problem of locale; most of the doctors are in urban centers. The Canadian government is working to create incentives for doctors to follow the need more. BFD.



virtually all of it is elective Hip replacement surgery is elective? I'm sure thay'll come as a surprise to Selma.


By the clinical definition, since it's not life-threatening, it is considered "elective"

Straight from Medicine.net:
Elective surgery: Surgery that is subject to choice (election). The choice may be made by the patient or doctor.

For example, the time when a surgical procedure is performed may be elective. The procedure is beneficial to the patient but does not need be done at a particular time.

As opposed to urgent or emergency surgery.


Next?

Okay, here's a harder number

443,849: The number of British patients of the National Healthcare Service (NHS) who waited four or more weeks for inpatient admittance into a hospital (Excel file) in May of 2009 (more than 75% of all patients).


Once again, you're comparing apples to deep space. How many Americans have to wait four or more weeks for admittance?

OT, how many stories have you heard about Americans going to Canada to get health treatments?


Zero, zip, nada. I know no one who has had to come from Canada to the US for a treatment.

As for comparisons, do you know of anyone that had to wait two years for surgery??

Can you identify 1.5MIL Americans looking for doctors in their area? What would your reaction be if you were told that the health plan you use only provide medical treatment based on a pulling your name out of a hat?

60% Average cancer survival rate (all types) for patients in the United States. both insured and uninsured. Canada’s survival rate is significantly lower at 55%, while Europe’s is a dismal 48%.


Even though overall average life expectancies are higher.

81% Average percentage of those who survive a diagnosis of prostate cancer in the United States versus 43% in Britain under their National Health Service. Did you know that you and me are almost guaranteed to get prostate cancer if we live to be 75??


I have a good feeling this analogy is just as perforated as your others, but I have to do some research.

Once again, other than the military, name me one branch of the U.S. Government you admire because they do such a great job?


Let's say I'll call them the lesser of evils compared to the health insurance industry. Why are you so quick to trust large corporations with your life? Oh, wait, you don't have to, you're covered.

But then let's talk about the elephant in the room. How many Canadians go without health care at all? How many British? How many western Europeans?

Shall I hold my breath?
Last edited by OperaTenor on Wed Jul 08, 2009 5:54 pm, edited 1 time in total.
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Re: Kindness Deficit

Postby OperaTenor » Wed Jul 08, 2009 5:51 pm

Shapley wrote:
60% Average cancer survival rate (all types) for patients in the United States. both insured and uninsured. Canada’s survival rate is significantly lower at 55%, while Europe’s is a dismal 48%.


That, at least, is one thing President Obama has specifically targeted. Apparently, the cost of treating many of the 40% that don't survive is too high, so he wants to target the spending we do on patients near the end of their lives. "Maybe you're better off not having the surgery, but taking the painkiller," he tells us. Of course, we often don't know which of those receiving the treatment are going to be in the 60% and which in the 40%, so some system will be set up to guess at it, and dispense treatment accordingly.

More painkillers, fewer surgeries, fewer survivals. Change you can believe in.


Citations for this unmitigated crap?
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Re: Kindness Deficit

Postby piqaboo » Wed Jul 08, 2009 6:10 pm

81% Average percentage of those who survive a diagnosis of prostate cancer in the United States versus 43% in Britain under their National Health Service. Did you know that you and me are almost guaranteed to get prostate cancer if we live to be 75??


Am curious. We screen more agressively than Europe. We do biopsies more often. We therefore diagnose more low grade prostate cancer. Probably not enough to account for that entire difference tho. I'll try to read up on it.
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Re: Kindness Deficit

Postby dai bread » Wed Jul 08, 2009 7:03 pm

This table is interesting in this context. It's deaths from cancer rather than survivals, but I notice that we are next to the U.S., notwithstanding our Socialised Medicine.

http://www.nationmaster.com/graph/hea_dea_fro_can-health-death-from-cancer

The stats are from the OECD.
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Re: Kindness Deficit

Postby OperaTenor » Wed Jul 08, 2009 7:09 pm

And the dreaded NHS British are significantly below us.
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