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	<title>Comments on: Stossel Hammers WHO</title>
	<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/</link>
	<description>Cleaning the Augean Stables of the Health Care Debate</description>
	<pubDate>Fri, 21 Nov 2008 00:19:15 +0000</pubDate>
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		<title>By: Marius</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5801</link>
		<dc:creator>Marius</dc:creator>
		<pubDate>Fri, 24 Aug 2007 01:31:21 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5801</guid>
		<description>and to argue with Stossel argument ( he asks in his opinion when was the last time anyone has heard of Americans going abroad for care): there are over 200,000 Americans who travel annually to clinics in India, Mexico or Thailand to get medical care - knee and hip replacements, dental care and other procedures.

just google "medical tourism" and one can find plenty about this.</description>
		<content:encoded><![CDATA[<p>and to argue with Stossel argument ( he asks in his opinion when was the last time anyone has heard of Americans going abroad for care): there are over 200,000 Americans who travel annually to clinics in India, Mexico or Thailand to get medical care - knee and hip replacements, dental care and other procedures.</p>
<p>just google &#8220;medical tourism&#8221; and one can find plenty about this.</p>
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		<title>By: Marius</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5797</link>
		<dc:creator>Marius</dc:creator>
		<pubDate>Fri, 24 Aug 2007 00:51:45 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5797</guid>
		<description>why life expectancy is not a measure of a good health system? ideally, what is that anybody expects from his health care providers? that it will help him stay healthy and live longer. if we extrapolate this for a nation then the health care system should help make that nation live longer and healthier lives. 

of course we live in a far from perfect world, and some things are less influenced by the people involved in delivery of health care services. but does denying of the life expectancy (and the infant mortality) importance when judging the outcomes of such a system, excuse the system failure to convince more Americans to eat healthier, exercise more, smoke less, get the appropriate vaccinations and screening for chronic diseases in time?

WHO ratings are fairly accurate and blaming them for not grading the US better seems so un-American ( because it implies more of a sore loser atitude).

I'm not a supporter of ( exclusivelly) the socialized medicine but there are some advantages to it. in principle the capitalistic model alone does not apply very well in health care. 

I can come to countles example when bending to following just the profit does not lead to better care. only 2 examples: excessive testing because the physician can not afford to spend more time with the patient ( or the way he is compensated does not encourage the outcome but the number of billable items). or the insurance companies charging premiums that are unafordable to a 50 year old diabetic who lost his job?

a blanket of social security (including health care security) is needed in any society. if the Americans agreed that people over 65 deserve universal health care coverage ( that's what the Medicare scheme means)why not extend that to everybody? on top of a such a coverage anyone can add a supplemental insurance. the same is true for social security benefits to whom anyone adds their saving and investing.

and it is an illusion that the honest hard working stiff does not pay the care for the poor and uninsured. because these unfortunate (and indeed maybe unwise) people go to the ER's with diseases in advanced stage and get care for free. but the ER's and the hospitals will then charge the honest working insured person more than it should to cover those losses. or it goes bankrupt and closes and moves the burden to the next hospital and ER.</description>
		<content:encoded><![CDATA[<p>why life expectancy is not a measure of a good health system? ideally, what is that anybody expects from his health care providers? that it will help him stay healthy and live longer. if we extrapolate this for a nation then the health care system should help make that nation live longer and healthier lives. </p>
<p>of course we live in a far from perfect world, and some things are less influenced by the people involved in delivery of health care services. but does denying of the life expectancy (and the infant mortality) importance when judging the outcomes of such a system, excuse the system failure to convince more Americans to eat healthier, exercise more, smoke less, get the appropriate vaccinations and screening for chronic diseases in time?</p>
<p>WHO ratings are fairly accurate and blaming them for not grading the US better seems so un-American ( because it implies more of a sore loser atitude).</p>
<p>I&#8217;m not a supporter of ( exclusivelly) the socialized medicine but there are some advantages to it. in principle the capitalistic model alone does not apply very well in health care. </p>
<p>I can come to countles example when bending to following just the profit does not lead to better care. only 2 examples: excessive testing because the physician can not afford to spend more time with the patient ( or the way he is compensated does not encourage the outcome but the number of billable items). or the insurance companies charging premiums that are unafordable to a 50 year old diabetic who lost his job?</p>
<p>a blanket of social security (including health care security) is needed in any society. if the Americans agreed that people over 65 deserve universal health care coverage ( that&#8217;s what the Medicare scheme means)why not extend that to everybody? on top of a such a coverage anyone can add a supplemental insurance. the same is true for social security benefits to whom anyone adds their saving and investing.</p>
<p>and it is an illusion that the honest hard working stiff does not pay the care for the poor and uninsured. because these unfortunate (and indeed maybe unwise) people go to the ER&#8217;s with diseases in advanced stage and get care for free. but the ER&#8217;s and the hospitals will then charge the honest working insured person more than it should to cover those losses. or it goes bankrupt and closes and moves the burden to the next hospital and ER.</p>
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		<title>By: Catron</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5737</link>
		<dc:creator>Catron</dc:creator>
		<pubDate>Thu, 23 Aug 2007 02:01:08 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5737</guid>
		<description>&lt;em&gt;Your sources for this are?&lt;/em&gt;

They’re all over the place. Some can be found &lt;a href="http://www.cato.org/dailys/07-05-00.html" rel="nofollow"&gt;here&lt;/a&gt;, &lt;a href="http://www.thenewatlantis.com/archive/3/menashi.htm" rel="nofollow"&gt;here&lt;/a&gt;, and &lt;a href="http://www.fee.org/publications/the-freeman/article.asp?aid=2579" rel="nofollow"&gt;here&lt;/a&gt;. If you want more, you’re welcome to do your own research.

&lt;em&gt;Higher relative poverty correlates with higher inequality outcomes …&lt;/em&gt;

This is a meaningless tautology.</description>
		<content:encoded><![CDATA[<p><em>Your sources for this are?</em></p>
<p>They’re all over the place. Some can be found <a href="http://www.cato.org/dailys/07-05-00.html" rel="nofollow">here</a>, <a href="http://www.thenewatlantis.com/archive/3/menashi.htm" rel="nofollow">here</a>, and <a href="http://www.fee.org/publications/the-freeman/article.asp?aid=2579" rel="nofollow">here</a>. If you want more, you’re welcome to do your own research.</p>
<p><em>Higher relative poverty correlates with higher inequality outcomes …</em></p>
<p>This is a meaningless tautology.</p>
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		<title>By: Marc Brown</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5725</link>
		<dc:creator>Marc Brown</dc:creator>
		<pubDate>Wed, 22 Aug 2007 21:23:22 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5725</guid>
		<description>'The WHO has definitely stacked the deck to favor countries with socialistic governments.'

And your sources for this are?

'As to the poverty gap, it’s meaningless.'

Higher relative poverty correlates with higher inequality outcomes, especially in health. There is plenty of research on this, but I expect you're not interested.</description>
		<content:encoded><![CDATA[<p>&#8216;The WHO has definitely stacked the deck to favor countries with socialistic governments.&#8217;</p>
<p>And your sources for this are?</p>
<p>&#8216;As to the poverty gap, it’s meaningless.&#8217;</p>
<p>Higher relative poverty correlates with higher inequality outcomes, especially in health. There is plenty of research on this, but I expect you&#8217;re not interested.</p>
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		<title>By: Catron</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5723</link>
		<dc:creator>Catron</dc:creator>
		<pubDate>Wed, 22 Aug 2007 20:32:15 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5723</guid>
		<description>The WHO has definitely stacked the deck to favor countries with socialistic governments.

As to the poverty gap, it's meaningless. It's only being touted because all of the REAL economic indicators (unemployment, inflation, stock market, etc.) are in better shape than they've been in for decades.</description>
		<content:encoded><![CDATA[<p>The WHO has definitely stacked the deck to favor countries with socialistic governments.</p>
<p>As to the poverty gap, it&#8217;s meaningless. It&#8217;s only being touted because all of the REAL economic indicators (unemployment, inflation, stock market, etc.) are in better shape than they&#8217;ve been in for decades.</p>
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		<title>By: Marc Brown</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5720</link>
		<dc:creator>Marc Brown</dc:creator>
		<pubDate>Wed, 22 Aug 2007 19:18:56 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5720</guid>
		<description>'Well, that’s precisely the problem, isn’t it? With such a flexible definition, they can produce any result they like.'

Are you suggesting the WHO is deliberately selecting criteria to make the US look bad? 

It's hard to know where to go now - I suppose you think the huge relative poverty gap in the US (and the UK for that matter) either is a figment of a cabal of left-wing statisticians, or has no effect on health outcomes.</description>
		<content:encoded><![CDATA[<p>&#8216;Well, that’s precisely the problem, isn’t it? With such a flexible definition, they can produce any result they like.&#8217;</p>
<p>Are you suggesting the WHO is deliberately selecting criteria to make the US look bad? </p>
<p>It&#8217;s hard to know where to go now - I suppose you think the huge relative poverty gap in the US (and the UK for that matter) either is a figment of a cabal of left-wing statisticians, or has no effect on health outcomes.</p>
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		<title>By: Catron</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5718</link>
		<dc:creator>Catron</dc:creator>
		<pubDate>Wed, 22 Aug 2007 17:47:47 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5718</guid>
		<description>&lt;em&gt;This report defines a health system to include all the activities whose primary purpose is to promote, restore or maintain health.&lt;/em&gt;

Well, that's precisely the problem, isn't it? With such a flexible definition, they can produce any result they like.</description>
		<content:encoded><![CDATA[<p><em>This report defines a health system to include all the activities whose primary purpose is to promote, restore or maintain health.</em></p>
<p>Well, that&#8217;s precisely the problem, isn&#8217;t it? With such a flexible definition, they can produce any result they like.</p>
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		<title>By: Marc Brown</title>
		<link>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5714</link>
		<dc:creator>Marc Brown</dc:creator>
		<pubDate>Wed, 22 Aug 2007 15:11:33 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/08/22/stossel-hammers-who/#comment-5714</guid>
		<description>You obviously have not a clue what the WHO report is all about - a health system is defined thus: "This report defines a health system to include all the activities whose primary purpose is to promote, restore or maintain health."

That means poverty, inequalities and public health too (which includes accidents etc). This is why the US fares so badly.</description>
		<content:encoded><![CDATA[<p>You obviously have not a clue what the WHO report is all about - a health system is defined thus: &#8220;This report defines a health system to include all the activities whose primary purpose is to promote, restore or maintain health.&#8221;</p>
<p>That means poverty, inequalities and public health too (which includes accidents etc). This is why the US fares so badly.</p>
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