Хитачик wrote:Качество healthcare определяется не одним походом к доктору. Недавно видал статистику (в Washington Examiner) - в UK смертность от одного вида рака на 60% больше, чем в USA, от другого - на 604%... там же было написано, что если убрать accidental deaths, то в USA самая большая продолжительность жизни.
Washington Examiner wrote:"Currently the United States leads the world in treating breast cancer. " ...(therefore our health care is da best)...
Вообще цифры впечатляют, но с ними надо быть щетильнее и вот почему:
(речь идет о раке простаты, но сути это не меняет)
For one thing, according to the American Cancer Society, many more men are screened for prostate cancer in the U.S. than in Britain. This leads to more cases being diagnosed. And many who have prostate cancer live for years, without treatment, whether they are diagnosed or not. Thus, a higher number of diagnoses leads to a higher official survival rate. But this tells us nothing about the quality of treatment available to those who have the disease. A spokesman for the ACS told us that comparing rates in the two countries is "misleading."
On top of that, Eisner, with the National Cancer Institute, told us we would need to find numbers that are standardized to a world standard, not just compare rates given by the two countries' government agencies. He referred us to Cancer Mondial, a Web site of the International Agency for Research on Cancer, which maintains databases of such standardized numbers. We were not able to find prostate cancer survival rates for all of the U.S. and all of England (the data is broken down into smaller regions). The best figures we could find were comparable mortality rates in an IARC/World Health Organization database. For 2002, those rates (per 100,000 men) were 15.6 and 12.0, in the U.K. and the U.S., respectively.
Что касается вышеупомянутого Washington Examiner...
Various websites and e-mails are reporting that cancer survival rates are much higher in the U.S. than in various European countries. Some quote Mark Tapscott in the Washington Examiner, who quotes Jim Hoft in the American Issue Project, who quotes Michael D. Tanner of the Cato Institute, who quotes ... well, quite a group of conservative pundits and politicians are involved. They appear to be using the same set of statistics to argue that national health care results in dramatically increased mortality rates from breast, prostate, and other cancers.
•The United States ties with Italy for the lowest cancer mortality rate of all six countries. Interestingly, the U.S. and Italy also have the lowest smoking rates. The Netherlands and the U.K. have the highest smoking rates and also the highest death rates from cancer. The cancer mortality rate in the Netherlands is 15% higher than that of the United States and Italy.
•However, cancer accounts for fewer than a quarter of all deaths in the United States. Heart disease is an even bigger killer, and statistics on cardiovascular mortality are not so good in America. Of the six countries, the U.S. has the second highest mortality rate, with 59% more heart-related deaths than France.
•The U.S. also has the second highest death rate from injuries. American mortality in this category is more than 100% higher than that of the Netherlands.
•In the largest category, non-communicable diseases ( hypertension, diabetes, cardiovascular disease, cancer, and mental health problems, asthma, atherosclerosis,allergy etc.), the United States has the highest mortality rate of all six countries, with 25% more deaths than France.
•The adult mortality rate--that is, the probability of dying between the ages of 15 and 60--is highest in the United States. The next runner-up, France, is 20% lower, and Italy is 70% lower.
В общем упираться в одно заболевание, использовать несколько сомнительную методологию сравнения и на этом основании заявлять, что социалистическая медицина в Европе хуже потому, что она социалистическая - это мягко говоря лукавство.
Of the six countries I compared, the United States is at the bottom in terms of healthy life expectancy: 69 years here compared to 71 in the Netherlands and the U.K., 72 in France and Germany, and 73 in Italy.
The U.S. is also at the bottom in terms of total life expectancy: 78 years here compared to 79 in the U.K., 80 in Germany and the Netherlands, and 81 in France and Italy.
Please, when you get an e-mail or see a web page giving statistics to argue that the United States already has excellent health care and doesn't need to revamp the system, stop and ponder. We currently spend roughly twice as much per capita on health care (counting both public and private sources) as these European countries.
What lots of Americans don't realize is this: the U.S. government already spends more per capita on health care than do the governments of these other countries--over 50% more than the Italian government spends, for example. And yet the Italians manage cancer just as well as we do, and their health-care outcomes are better than ours in every other category.
Да, в США смертность от рака несколько ниже, чем в Европе - и это замечательно, никто не спорит (может разве кроме тех 50 млн. лузеров, кто не имеет регулярный доступ к медицине). Но кроме рака существуют и другие заболевания, которые успешнее лечатся в Европе, существует и понятие продолжительности жизни. Пока что никто не представил достоверную статистику, подтверждающую, что медицина социальная уступает медицине профитной.
