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2/14 A few days ago there was a brief discussion about socialized health care. Walter Williams has a column today that addresses existing problems of Canada and UK health care. -emarkp http://csua.org/u/i1p \_ The Canadian statistics there are interesting. They give numbers like "the median wait for a CT scan across Canada was 4.3 weeks, but in Prince Edward Island, it's 9 weeks". PEI is the smallest and poorest province in Canada, though, so that's not really surprising. All the above-the-median examples they give are from the small, poor provinces -- this suggests that wait times in the major provinces (Ontario, Quebec, BC) are significantly lower than the numbers in the article, which fits with what my friends and relatives have experienced. --mconst \_ Wrong--not "significantly lower" than the median. A little googling turned up the publication: http://www.fraserinstitute.ca/shared/readmore.asp?sNav=pb&id=863 "Alberta, Ontario, Quebec, and Nova Scotia had the shortest wait for computed tomography (4.0 weeks)" -emarkp \_ Oh, and here's the Observer article from 2002: http://observer.guardian.co.uk/nhs/story/0,,661090,00.html "The number waiting a dangerously long time has doubled in two years, says a devastating official study obtained by The Observer." -emarkp \_ BORRRRRING \_ Not necessarily. If the population on PEI and other poor regions is low than their numbers won't have a dramatic impact on the average across the country. I don't have numbers for these places and honestly don't care enough to look them up but your basic logic is flawed. \_ I'd rather wait 9 weeks for a govt paid CT scan than 2 days for one that costs $15,000 out of pocket. \_ What if your condition becomes terminal in that 9 weeks? \_ There's no question that there's a trade off. But in the end I believe that more people would benefit from the service who don't have healthcare than those who would suffer because of wait times. \_ So, it seems like the obvious solution here would be to allow people to pay for fast service if they wish. (I haven't read the article yet.) -jrleek \_ Which is explicitly disallowed, at least in Canada. -emarkp \_ There is a lot of room for debate on whether we should move to socialized medicine. However, I find http://TownHall.com to be distress- ingly partisan. Thank you for the article; please let us know if a more reliable source has something to say. --erikred \_ You attack the messenger because you don't like the message? How about we examine the message itself. Is there a flaw in their data or reporting? \_ http://TownHall.com is a collection for opinions on the right. If you reject a source of debate that you don't like, how can you have a debate? Williams is an economist and from reading his columns, I think he's clearly libertarian (in philosophy if not in party registration). I'm perfectly happy reading opinions from the left on (say) http://moveon.org, etc. and opinions from the right on a different site. Why do you object to that? -emarkp \_ Of course, anytime you ration the use of something, you are going to cause a wait for it. In the US, we just ration by ability to pay, in Canada they do it by the severity of your problem. People die all the time in the US because they can't afford treatment, and Dr. Williams is being disingenuous to pretend otherwise. \_ Ah, but the difference is that when people bid up the cost of something, there is financial incentive to bring more players into the market. The US system, while deeply flawed, does allow government (or charities) to subsidize the cost of care for people who can't afford it, and those who can afford it can get it by paying cash. -emarkp \_ Where do the blood sucking parasites, I mean, insurance companies fit into this equation? \_ Insurance simply spreads risk. We pay them to manage risk for us. However, the current insurance/medical regime is the problem with the system. To some extent we *do* have socialized care, since medical essentially determines reimbursment amounts, and mandates care at emergency rooms. -emarkp \_ Tell me again how "no one dies" due to lack of medical care in America: http://www.csua.org/u/i26 But yes, in many ways we have both the worst of socialism and the worst of capitalism all rolled up in our terrible medical delivery system. \_ I never said it in the first place. Can't you read? -emarkp \_ "I challenge anyone to show me people dying on the streets because they don't have health insurance." So you didn't say it, but your source did. |
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csua.org/u/i1p -> www.townhall.com/columnists/WalterEWilliams/2007/02/14/do_we_want_socialized_medicine Post Your Comments Problems with our health care system are leading some to fall prey to proposals calling for a nationalized single-payer health care system like Canada's or Britain's. There are a few things that we might take into consideration before falling for these proposals. London's Observer (3/3/02) carried a story saying that an "unpublished report shows some patients are now having to wait more than eight months for treatment, during which time many of their cancers become incurable." Another story said, "According to a World Health Organisation report to be published later this year, around 10,000 British people die unnecessarily from cancer each year -- three times as many as are killed on our roads." Health Insurance, Not Health Care The Observer (12/16/01) also reported, "A recent academic study showed National Health Service delays in bowel cancer treatment were so great that, in one in five cases, cancer which was curable at the time of diagnosis had become incurable by the time of treatment." The story is no better in Canada's national health care system. The Vancouver, British Columbia-based Fraser Institute has a yearly publication titled, "Waiting Your Turn." Its 2006 edition gives waiting times, by treatments, from a person's referral by a general practitioner to treatment by a specialist. Canadians face significant waiting times for various diagnostics such as computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound scans. The median wait for a CT scan across Canada was 43 weeks, but in Prince Edward Island, it's 9 weeks. Finally, the median wait for an ultrasound was 38 weeks across Canada, but in Manitoba and Prince Edward Island it was 8 weeks. Despite the long waiting times Canadians suffer, sometimes resulting in death, under federal law, private clinics are not legally allowed to provide services covered by the Canada Health Act. Regardless of this prohibition, a few black-market clinics service patients who are willing to break the law to get treatment. In British Columbia, for example, Bill 82 provides that a physician can be fined up to $20,000 for accepting fees for surgery. According to a Canada News article, "Shortage of Doctors and Nurses Could Hurt Medicare Reforms" (3/5/03), about 10,000 doctors left Canada during the 1990s. According to a Canadian Medical Association Journal article, "US Hospitals Use Waiting-List Woes to Woo Canadians" (2/22/2000), "British Columbia patients fed up with sojourns on waiting lists as they await tests or treatment are being wooed by a hospital in Washington state that has begun offering package deals. A second US hospital is also considering marketing its services." One of the attractions is that an MRI, which can take anywhere from 10 to 28 weeks in Canada, can be had in two days at Olympic Memorial Hospital in Port Angeles, Wash. Some of our politicians hold up the Canadian and British nationalized health care systems as models for us. You can bet that should we ever have such a system, they would exempt themselves from what the rest of us would have to endure. That cure is not to demand more government but less government. I challenge anyone to identify a problem with health care in America that is not caused or aggravated by federal, state and local governments. And, I challenge anyone to show me people dying on the streets because they don't have health insurance. By Walter E Williams Wednesday, February 14, 2007 Problems with our health care system are leading some to fall prey to proposals calling for a nationalized single-payer health care system like Canada's or Britain's. There are a few things that we might take into consideration before falling for these proposals. London's Observer (3/3/02) carried a story saying that an "unpublished report shows some patients are now having to wait more than eight months for treatment, during which time many of their cancers become incurable." Another story said, "According to a World Health Organisation report to be published later this year, around 10,000 British people die unnecessarily from cancer each year -- three times as many as are killed on our roads." The Observer (12/16/01) also reported, "A recent academic study showed National Health Service delays in bowel cancer treatment were so great that, in one in five cases, cancer which was curable at the time of diagnosis had become incurable by the time of treatment." The story is no better in Canada's national health care system. The Vancouver, British Columbia-based Fraser Institute has a yearly publication titled, "Waiting Your Turn." Its 2006 edition gives waiting times, by treatments, from a person's referral by a general practitioner to treatment by a specialist. Canadians face significant waiting times for various diagnostics such as computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound scans. The median wait for a CT scan across Canada was 43 weeks, but in Prince Edward Island, it's 9 weeks. Finally, the median wait for an ultrasound was 38 weeks across Canada, but in Manitoba and Prince Edward Island it was 8 weeks. Despite the long waiting times Canadians suffer, sometimes resulting in death, under federal law, private clinics are not legally allowed to provide services covered by the Canada Health Act. Regardless of this prohibition, a few black-market clinics service patients who are willing to break the law to get treatment. In British Columbia, for example, Bill 82 provides that a physician can be fined up to $20,000 for accepting fees for surgery. According to a Canada News article, "Shortage of Doctors and Nurses Could Hurt Medicare Reforms" (3/5/03), about 10,000 doctors left Canada during the 1990s. According to a Canadian Medical Association Journal article, "US Hospitals Use Waiting-List Woes to Woo Canadians" (2/22/2000), "British Columbia patients fed up with sojourns on waiting lists as they await tests or treatment are being wooed by a hospital in Washington state that has begun offering package deals. A second US hospital is also considering marketing its services." One of the attractions is that an MRI, which can take anywhere from 10 to 28 weeks in Canada, can be had in two days at Olympic Memorial Hospital in Port Angeles, Wash. Some of our politicians hold up the Canadian and British nationalized health care systems as models for us. You can bet that should we ever have such a system, they would exempt themselves from what the rest of us would have to endure. That cure is not to demand more government but less government. I challenge anyone to identify a problem with health care in America that is not caused or aggravated by federal, state and local governments. And, I challenge anyone to show me people dying on the streets because they don't have health insurance. |
www.fraserinstitute.ca/shared/readmore.asp?sNav=pb&id=863 Dominika Wrona, Co-author, Executive Summary: The Fraser Institutes sixteenth annual waiting list survey found that Canada-wide waiting times for surgical and other therapeutic treatments increased slightly in 2006. This small nationwide deterioration in access reflects waiting-time increases in 7 provinces, while concealing decreases in waiting time in Alberta, Ontario, and Newfoundland. |
observer.guardian.co.uk/nhs/story/0,,661090,00.html The Observer Thousands of NHS cancer patients are dying unnecessarily because waiting times for life-saving treatments are growing alarmingly. The number waiting a dangerously long time has doubled in two years, says a devastating official study obtained by The Observer. The unpublished report shows some patients are now having to wait more than eight months for treatment, during which time many of their cancers become incurable. The survey by the Royal College of Radiologists reveals the growing crisis on the cancer wards, with waiting times rising in all parts of the UK apart from Wales and Northern Ireland. The number of patients delayed for more than the Government's target of four weeks has more than doubled. Advertisement The report is acutely embarrassing for the Department of Health because it made reducing waiting times for cancer the top priority for the NHS. Health Secretary Alan Milburn has repeatedly publicised figures showing that urgent cancer cases are seen by a specialist within two weeks of referral by their GP, but has stayed silent about the waits for treatment. Delays are now so long in some hospitals that they could be besieged by compensation claims from patients. Legal precedent suggests damages must be paid if cancer patients suffer due to waiting more than six months. Dr Nick James of the Institute for Cancer Studies at the University of Birmingham, who conducted the survey, said: 'It shows a widespread failure to meet national targets for waiting times or guidelines, which has serious implications both for patient outcomes and for implementation of the National Cancer Plan. Tumours don't get smaller while you wait, they get bigger. A study to be published later this year by the World Health Organisation is expected to show that if cancer treatment in Britain was up to the European average it would save about 10,000 lives a year. The Government's target is for all cancer patients to start radiotherapy within four weeks of their consultant deciding they need it. Medical evidence suggests that if they wait any longer, the cancer could grow, reducing their chances of survival. However, the leaked report shows that the number of patients starting treatment within the target time has fallen from 68 per cent in 1998 to 32 per cent in 2000. The average waiting time for radiotherapy has risen from 51 weeks in 1999 to six weeks in 2000, but there are huge variations. At Brighton and Hammersmith hospitals, waiting times are three months, and in another hospital, not named in the report, one in 10 patients has to wait more than eight months for treatment. However, the main reason for the delays is shortages of radiographers, with about 500 vacancies. A third of people who train as radiographers never enter the profession because the pay is so bad. Many hospitals have to turn their machines off for days each week because they are so short-staffed. The Government has bought 34 new radiotherapy machines in the past two years, but they have mainly been used to replace old ones rather than to increase the number in operation, because there would be no one to staff them. Mike Richards, the Government's Cancer Tsar, said: 'Historically, there has a been a shortage of radiographers but the number of radiographers has gone up by 10 per cent since 1997. |
www.csua.org/u/i26 -> sfgate.com/cgi-bin/article.cgi?f=/c/a/2007/02/15/BAGHBO5CM18.DTL Email This Article (02-15) 12:18 PST REDWOOD CITY -- A Redwood City woman was sentenced today to a year in county jail after pleading no contest to charges that she abandoned her newborn girl in a trash bin shortly after birth. Hilda Figueroa, 30, had faced up to six years in prison if convicted at trial of involuntary manslaughter and other charges in her baby's death. She pleaded no contest to felony child endangerment in January after prosecutors acknowledged that medical evidence showed the baby had a potentially deadly infection and may have taken only a single breath. Superior Court Judge John Runde sentenced Figueroa to the maximum possible under the plea deal. Defense attorney Jonathan McDougall had sought 90 days in jail. Figueroa was arrested in November 2005 after she went to San Mateo Medical Center, where medical staffers concluded there were signs that she had recently given birth to a full-term child, prosecutors said. Police searched the trash bin at her apartment complex on the 600 block of Buckeye Street and found the dead newborn wrapped in plastic bags. Figueroa delivered the baby on her own without her family's knowledge, prosecutors said. The newborn died shortly after birth and there were no signs of trauma, according to prosecutors. Figueroa told investigators the child had been stillborn. Prosecutors maintained that the evidence showed the newborn had taken at least one breath, and that Figueroa had taken no steps to seek medical help during her pregnancy or after the baby was born. "All we could show is that the child took one breath, or possibly more," prosecutor Eric Hove said after the plea deal. "It's almost unimaginable for a parent, in that she turned her back on her child and failed to provide any sort of aid for her baby girl to have life." But the defense argued that the baby could have inhaled during birth and died naturally shortly thereafter. McDougall also pointed to documents indicating that Figueroa had sought prenatal treatment at a Redwood City health clinic days before her baby's death, but that she had been turned away because she didn't have insurance. "It's a difficult sentence when factually it wasn't proven or wasn't even shown that it was her actions that led to death of this infant," McDougall said. "The evidence from the DA's own expert indicated it was an infection and an infection at such a stage that there was nothing she could do to prevent the death." Figueroa did not address the court during today's hearing. She appeared forlorn and sat by herself in the empty courtroom afterward as a bailiff prepared to take her to jail. |
TownHall.com The House GOP Goes Thelma And Louise In the past three weeks I have spoken on air with every member of the GOP leadership: Republican Leader Boehner, Republican Whip Blunt, Republican Deputy Whip Cantor and Chairman of the National Republican Congressional Caucus Tom Cole. And none would utter even the mildest criticism of their GOP colleagues who are in the process of deserting the war effort, "emboldening the enemy," to use Congressman Cole's words, and sending a message to American allies and yes our enemies that the desire to cut and run now has bipartisan support. In your opinion, Global Warming is: Alarmist myth created by liberals wanting more government. A possible concern needing appropriate and balanced attention. An undisputed scientific fact that we must address quickly. Ultimately they are saying that defeat of the president's policies is preferable, unfortunately that means that our troops are the ones who pay the price. |
moveon.org -> www.moveon.org/front/ The Movie the White House Doesn't Want You to See On Memorial Day weekend, Hollywood is releasing a summer blockbuster movie that's making the Bush administration very nervous. Because it's a disaster movie about a potential climate crisis. While "The Day After Tomorrow" is more science fiction than science fact, everyone will be talking about it -- and asking "Could it really happen?" This is an unprecedented opportunity to talk to millions of Americans about the real dangers of global warming and expose President Bush's foot-dragging on the issue. Responding to Torture Reports and photographs of Iraqi prisoners being tortured and abused by US and British troops have shocked the world. We've got to support an immediate, independent, impartial and public investigation into all allegations of torture. To be credible, the investigation should be done by an international body, including representatives of Arab nations. We've got to get to the bottom of this, and we've got to do it now. Censure Bush for Misleading Us In an attempt to evade responsibility for the misleading statements that pushed the nation into war, Bush has announced plans to form an independent inquiry to look into what went wrong. An inquiry would serve the Bush administration well: it would envelop the issue in a fog of uncertainty, deflect blame onto the intelligence services, and delay any political damage until 2005, after the upcoming election. Despite repeated warnings from the CIA and the Defense Intelligence Agency, President Bush and his administration hyped and distorted the threat that Iraq posed. And now that reality is setting in, the President wants to pin the blame on someone else. Congress has the power to censure the President -- to formally reprimand him for betraying the nation's trust. MoveOn's 50 Ways to Love Your Country How to Find Your Political Voice and Become a Catalyst for Change Written by MoveOn members across the country, from Hawaii to Maine, from political figures to teachers, this collection of essays shares compelling personal stories and action items with resources for taking inspiration a step further. Simple ideas are illuminated, such as "His Last Vote," about a dying man's wish to cast a ballot, as are more dynamic actions, such as "Start a Petition," which chronicles a couple's quest to protect wolves from trappers in Alaska. MoveOn's 50 Ways to Love Your Country answers the question that more and more citizens are asking: "What can I do?" Protect our Kids from Mercury Pollution Under energy industry pressure, President Bushs EPA plans to defer controls on mercury emissions by power plants for at least a decade. The Centers for Disease Control and Prevention estimate that 49 million women of childbearing age in the US -- that's 8 percent -- have unsafe levels of mercury in their blood. The people hit hardest will be new-born infants -- every year over 630,000 infants are born with levels of mercury in their blood so high they can cause brain damage. We have just a few weeks to get public comments to the EPA on this plan to defer mercury controls. It's time to tell the EPA and the White House that our kids come first. Al Gore Speaks on Global Warming and the Environment Beacon Theater, New York January 15, 2004, Noon In this, his third major speech sponsored by MoveOn, Mr Gore issued an indictment of the Bush administration's inaction on global warming, linking the issue to national security. He showed that global warming is not a future threat -- it is happening now. And yet, the President is choosing to help his coal- and oil-company supporters rather than advance modern technologies that can affordably solve this critical problem. Support Kerry's call to fire Rumsfeld May 7, 2004 In the wake of revelations of torture and abuse of Iraqi prisoners, John Kerry has launched an important petition calling for President Bush to fire Donald Rumsfeld. Getting rid of Secretary Rumsfeld would be a huge step forward for all of us who oppose the Bush war policy, and Kerry needs to hear our support. Help win the election this Saturday May 3, 2004 This Saturday, we're joining other grassroots groups in the largest day of voter mobilization in American history. MoveOn members will gather at parties across the country to make over 100,000 phone calls in one afternoon to swing state voters. In an election that could be won or lost with a handful of votes, we'll work to turn out every last progressive voter and send George Bush packing. |