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Aug 29, 2009 | Posted by: Iria

Money-Driven Medicine: Why Our Health Care is So Expensive, and So Ineffective

Full story: www.pbs.org

DR. DONALD BERWICK: It is, I guess, politically correct, widely believed, that to say that American health care is the best in the world. It's not. There's a much more complicated story there. For some kinds of care my colleague Brent James calls it rescue care. Yes, we're the best in the world. If you need very complex cardiac surgery or very advanced chemotherapy for your cancer or some audacious intervention with organ transplantation, you're pretty lucky to be in America. You'll get it faster and you'll probably get it better than in at least most other countries. Rescue care we're great. But most health care isn't that. Most health care is getting people with diabetes through their illness over years or controlling the pain of someone with arthritis or just answering a question for someone who is worried or preventing them from getting into trouble in the first place. And on those scores: Chronic disease care, community-based care, primary care, preventive care. No no, we're no where near the best. And it's reflected in our outcomes. We're something like the ... We're not the best health care system in the world in infant mortality rates. We're like number 23 . There is an index that is used in rating health care systems, which is the rate of mortality that could have been prevented by health care. There are at least a dozen countries with lower rates of preventable mortalities than the United States and not one of those countries spends 60 percent of what we do on health care .

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Since: Apr 07

United States

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#1
Aug 29, 2009
 

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LOL! Obama's cronies are the ones Cashin' In!

Since: Apr 07

United States

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#3
Aug 29, 2009
 

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Routine GI health needs not met

- ACCESS TO GOV CARE LACKING -

July 31, 2009
26 of the 36 major Army hospitals don't meet standards for providing access to routine health care for soldiers and their families within seven days

Source: Army

By Gregg Zoroya, USA TODAY
WASHINGTON — The number of Army medical centers and clinics that provide timely access to routine medical care has hit a five-year low, Army records show, often forcing soldiers and their families to seek treatment off base.

About 16% of Army patients, particularly family members, can't get appointments with their primary physicians and are sent to doctors off the installation, according to the results of a nine-month Army review finished late last year.

Some of those patients end up in emergency rooms or urgent care centers, says the study, which the Army provided to USA TODAY.

Army records show that 26 of its medical centers, hospitals and clinics are unable to meet the Pentagon standard requiring that 90% of patients get routine care appointments within seven days.
Those are the worst results since the start of the wars in Iraq and Afghanistan. That's a 13% increase from 2005 in the number of medical facilities unable to meet the standard.

Although 85% of patients get in to see their doctors, Canestrini says, Army officials understand the others are unhappy about not receiving the access they want.

Some of the worst problems for access to care are at installations that house units doing some of the heaviest fighting in Iraq and Afghanistan, Army records show.

Six in 10 patients received on-time routine care in 2008 at the Fort Bragg, N.C., hospital, which has not met the routine care standard since 2005. Bragg is home to the 82nd Airborne Division and special operations forces that have been fighting in the two wars consistently.

http://www.usatoday.com/news/military/2009-07...

NO THANKS OBAMA

- You can't even run 36 Hospitals.
I'm not about to let an idiot like U run 300 Million into the ground.

Since: Apr 07

United States

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#4
Aug 29, 2009
 

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Ezekiel Emanuel: Deny Coverage to Elderly and Disabled for the Greater Good

July 26, 2009

Betsy McCaughey brings to our attention the Dr. Ezekiel Emanuel's views regarding universal health care. Dr. Emanuel is a health policy advisor to President Obama and brother of Obama Chief of Staff Rahm Emanuel, so what he thinks may impact all of us.

As Betsy points out, Dr. Emanuel has some very radical views regarding the rationing of health care. Take for example Emanuel's comments in a 2008 article in which he says cutting costs won't be easy:

ZE: "Vague promises of savings from cutting waste, enhancing prevention and wellness, installing electronic medical records and improving quality are merely 'lipstick' cost control, more for show and public relations than for true change.

In other words, these procedural changes aren't really change at all. Instead, he thinks we need change in how we apply health care coverage.

As Betsy notes, Dr. Emanuel believes doctors try too hard to apply the Hippocratic Oath to everyone as equally as possible, which is what drives up costs.

Instead Emanuel thinks we need to ration basic, guaranteed care to only those who can fully participate in society. Betsy points out a 1996 Hastings Center article in which Emanuel wrote this:

ZE: This civic republican or deliberative democratic conception of the good provides both procedural and substantive insights for developing a just allocation of health care resources. Procedurally, it suggests the need for public forums to deliberate about which health services should be considered basic and should be socially guaranteed. Substantively, it suggests services that promote the continuation of the polity-those that ensure healthy future generations, ensure development of practical reasoning skills, and ensure full and active participation by citizens in public deliberations-are to be socially guaranteed as basic.--- "Conversely, services provided to individuals who are irreversibly prevented from being or becoming participating citizens are not basic and should not be guaranteed." ---

An obvious example is not guaranteeing health services to patients with dementia. A less obvious example is guaranteeing neuropsychological services to ensure children with learning disabilities can read and learn to reason."

So, according to Dr. Ezekiel Emanuel, health care advisor to President Obama, the elderly with dementia and the young who have neurological disorders should be sacrificed for the common good.

I can tell you that as a mom to a four year old girl with severe speech apraxia that prevents her from being able to speak intelligibly, this scares the living hell out of me.

If you have a child with autism, cerebral palsy, Downs syndrome, or any other neurological disorder or chromosomal defect that prevents him or her from participating in society in the manner Dr. Emanuel or the government thinks they should, that neurological care would not be guaranteed as basic and would, therefore, not be covered in a government takeover of health care.

http://wizbangblog.com/content/2009/07/26/eze...
CHECK SIX

North Port, FL

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#5
Aug 29, 2009
 

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BLONEY!!.....the world comes here...Americans do not gothere...Except for experiential stuff for the desperate,,Quack type cures for the rich and gullible,.or to get Exorcised,All who can come here..the ultimate pilgrimage for the worlds best health care...Nograss hut stuff with a witch doctor,but rather a John Hopkins faculty.

If you like ,go toCuba,venezulia,columbia,mexi co..or any far eat country...have Fun!!

this craps just more propaganda put forth by the loons in government in an effort to distort,destroy ,discredit our suburb Health care system.

To day in the US,the majority are saying ,go away..leave us alone..get out of my life..you done Enough damage Already..this time its my ass your playing with...Of course they are correct.

These listed below are the best in the world...can't afford them??just go to their clinics..the best care in The world!

Hospitals are listed by total points. A hospital got 2 points if ranked at or close to the top in a specialty and 1 point if ranked slightly lower.

Rank
Hospital Points Specialties
1 Johns Hopkins Hospital, Baltimore 30 15
2 Mayo Clinic, Rochester, Minn. 28 15
3 Ronald Reagan UCLA Medical Center, Los Angeles 26 15
4 Cleveland Clinic 26 13
5 Massachusetts General Hospital, Boston 25 13
6 New York-Presbyterian University Hospital of Columbia and Cornell 24 13
7 University of California, San Francisco Medical Center 21 11
8 Hospital of the University of Pennsylvania, Philadelphia 19 12
9 Barnes-Jewish Hospital/Washington University, St. Louis 17 12
10 Brigham and Women's Hospital, Boston 17 10
10 Duke University Medical Center, Durham, N.C. 17 10
12 University of Washington Medical Center, Seattle 16 8
13 UPMC-University of Pittsburgh Medical Center 13 8
14 University of Michigan Hospitals and Health Centers, Ann Arbor 12 8
15 Stanford Hospital and Clinics, Stanford, Calif. 11 7
16 Vanderbilt University Medical Center, Nashville 11 6
17 NYU Medical Center, New York 10 7
17 Yale-New Haven Hospital, New Haven, Conn. 10 7
19 Mount Sinai Medical Center, New York 9 7
20 Methodist Hospital, Houston 8 7
21 Ohio State University Hospital, Columbus 7 6
Michelles Deformed Eye

Monroeville, NJ

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Aug 29, 2009
 

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LOL!! We have the best healthcare in the world. Hang it up libtards.
Halito

Henderson, NV

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Aug 29, 2009
 

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The laughing liberal wrote:
LOL! Obama's cronies are the ones Cashin' In!
Contract labor does not know what the right hand is doing?Or the left...
Halito

Henderson, NV

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#8
Aug 29, 2009
 
And a Miracle if you survive it..
Halito

Henderson, NV

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#9
Aug 29, 2009
 
Hep or too much carrot juice?

“"I'm A Great American!"”

Since: Sep 08

USA

ISP: Bartlett, IL

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#10
Aug 29, 2009
 

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There are problems with health care that must be addressed. It does no good to beat on our chests and shout USA!!! USA!!!

Cutting and pasting fright wing propaganda from blogs is a fool's errand. What is needed is access to routine health care for all Americans, not just those presently insured. Health care must be regarded as a right, not a privilage.

Anything less is unworthy of a true great nation.
Halito

Henderson, NV

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#11
Aug 29, 2009
 
Stick your head under water if you want to hear your heart beat...
Halito

Henderson, NV

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#12
Aug 29, 2009
 
Or would that be called water boarding?
Seeking truth

Dearborn, MI

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It's time for CHANGE. We voted for it. It's time to demand it.
Algernon Sidney

Lakewood, OH

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Aug 29, 2009
 

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PooPoo Platter wrote:
Health care must be regarded as a right, not a privilage.
Health care is neither. Health care is an individual choice. Health care can be established as a right only if slavery is allowed. You can do both with a Constitutional Amendment.
Rockford

United States

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Aug 29, 2009
 

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WE HAVE THE BEST HEALTHCARE IN THE WORLD!

PEOPLE FLOCK TO THE US FOR THEIR HEALTHCARE!

Who are the assholes that keep saying we have crap for healthcare? They are insane!

Different standards!

INFANT MORTALITY RATES:
“Official World Health Organization statistics show the U.S. lagging behind France in infant mortality rates — 6.7 per 1,000 live births vs. 3.8 for France. Halderman notes that in the U.S., ANY infant born that shows ANY SIGNS of life for ANY length of time is considered a LIVE birth.

In France — in fact, in MOST of the European Union — ANY BABY BORN before 26 weeks’ GESTATION is not considered ALIVE and therefore doesn’t count in reported infant mortality rates.”

http://blogs.dailymail.com/donsurber/2009/08/...

So, stop being sucked in by the lies, the propaganda that the US has high infant mortality rates. PASS THE TRUTH ALONG!!!!!!!!!! Fight back, the disinformation Obama throws the public's way. LIARS!

STOP the LIES....THE UNITED STATES OF AMERICA HAS THE BEST HEALTHCARE IN THE WORLD!

Why the hell do you think Congress exempted themselves from the crap plan they want for us and OUR children.

But for Congress and THEIR children....the best, only the best healthcare!

Congressional Healthcare=American Healthcare
CHECK SIX

North Port, FL

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PooPoo Platter wrote:
There are problems with health care that must be addressed. It does no good to beat on our chests and shout USA!!! USA!!!
Cutting and pasting fright wing propaganda from blogs is a fool's errand. What is needed is access to routine health care for all Americans, not just those presently insured. Health care must be regarded as a right, not a privilage.
Anything less is unworthy of a true great nation.
Read this POO POO half brain..and lay off the dam Obama prune juice....sorry if offends you that some of us are still believers in America,and the fact we are the best in the world1..tell us POO POO where ,or what in the would would you rather be..??..the only fools are on here,like you ,with your eyes wide shut ,your watching the destruction of America...soon,these waning days of the past 20yrs will be considered the good old days,and it will your generation,the WORST Generation!,who will reap what they are sowing1..you my friend will yell like a stuck pig when your wonderful life becomes to be in Obamas image.Soon a Socialist pipe dream, where we are all brothers,Trouble is I don't want you for my brother in law!..but there is hope yet,first you gotta suffer,like generations before you ,to know the difference,then it becomes clear...you just may be too fat,too comfortable, to much time on you hands,to wealthy,too taken care off,and never woke up in the AM wondering!!whats to happen to my country.and what can I do to help it!!..so lets indulge in our moronic exercise in self gratification..for POO POO, for nobody is listening to us...Its all bullshit my Boy!

Mexico has great Dentists//look at the Frito Bandito!..POOP POOP your hopeless!!
katydid

San Jose, CA

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#17
Aug 29, 2009
 

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Does "change" mean Obama cuts a deal with Big Pharma to keep their drug costs high? Big Pharma agreed to spend $150,000,000 on advertising dollars pushing Obamacare. What a deal and some "change"! I'll keep my own insurance thank you.
Bob Burns

Kunming, China

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#18
Aug 29, 2009
 

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If medical personal and institutions didn't have to pay such a huge proportion of their income to defend against phony malpractice lawsuits, health care prices would plummet. Ask democrats why they don't address that issue. They will not tell you that the trial lawyers assn is their biggest source of money
harhar

Clearlake, CA

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#19
Aug 29, 2009
 
katydid wrote:
Does "change" mean Obama cuts a deal with Big Pharma to keep their drug costs high? Big Pharma agreed to spend $150,000,000 on advertising dollars pushing Obamacare. What a deal and some "change"! I'll keep my own insurance thank you.
That $150m would have been better put to use in the existing healthcare senario.

“"I'm A Great American!"”

Since: Sep 08

USA

ISP: Bartlett, IL

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CHECK SIX wrote:
<quoted text>
Read this POO POO half brain..and lay off the dam Obama prune juice....sorry if offends you that some of us are still believers in America,and the fact we are the best in the world1..tell us POO POO where ,or what in the would would you rather be..??..the only fools are on here,like you ,with your eyes wide shut ,your watching the destruction of America...soon,these waning days of the past 20yrs will be considered the good old days,and it will your generation,the WORST Generation!,who will reap what they are sowing1..you my friend will yell like a stuck pig when your wonderful life becomes to be in Obamas image.Soon a Socialist pipe dream, where we are all brothers,Trouble is I don't want you for my brother in law!..but there is hope yet,first you gotta suffer,like generations before you ,to know the difference,then it becomes clear...you just may be too fat,too comfortable, to much time on you hands,to wealthy,too taken care off,and never woke up in the AM wondering!!whats to happen to my country.and what can I do to help it!!..so lets indulge in our moronic exercise in self gratification..for POO POO, for nobody is listening to us...Its all bullshit my Boy!
Mexico has great Dentists//look at the Frito Bandito!..POOP POOP your hopeless!!
A little angry today...

Believe what you want. 47 million people without health care? Lose your coverage with your job and pre existing conditions are not covered? The insurance company rations your treatment and your treatment needs compete with the corporation's bottom line?

A great nation does not permit that. And no nation that tolerates it is great. The solution is not to cut and run, but to change the system to something that is just, that cares for all citizens, and puts people before profits.

That's far more important than some wild west vision of every man for himself. Nations grow and evolve as time passes. Social Security did not destroy America, nor did Medicare and Medicaid (as Ronald Reagan feared on that record the fright wingers dug up last week). Health care reform will not destroy it either.

You might not like it, and differences are understandable. Change can be traumatic. I'm confident your grandchildren will thank us for getting this reform done.
sue

Middletown, CT

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#21
Aug 29, 2009
 

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We have the best care in the world. Preventive care, thats nuts. Americans are the best educated people in the world. Preventive care is for third world nations who have to be taught to wash their hands and brush their teeth. People in this country know about preventive care and some CHOSE not to do it. To compare our health care system to other countries is not a good judge of our system.
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