czwartek, 1 października 2009

Amerykańskie healthcare jednak najlepsze

(...) Samuel H. Preston, has taken a closer look at the growing body of international data, and he finds no evidence that America’s health care system is to blame for the longevity gap between it and other industrialized countries. In fact, he concludes, the American system in many ways provides superior treatment even when uninsured Americans are included in the analysis. (...)

(...) Americans pay more for health care partly because they get more thorough treatment for some diseases, and partly because they get sick more often than people in Europe and other industrialized countries(...)

(...) For four decades, until the mid-1980s, per-capita cigarette consumption was higher in the United States (particularly among women) than anywhere else in the developed world. Dr. Preston and other researchers have calculated that if deaths due to smoking were excluded, the United States would rise to the top half of the longevity rankings for developed countries. (...)

(...) If you reach 80 in the United States, your life expectancy is longer than in most other developed countries. (...)

(...) Jessica Y. Ho, looked at mortality rates in 1965, before Medicare went into effect, they found an even more pronounced version of today’s pattern: middle-aged people died much more often in the United States than in other developed countries, but the longevity gap shrunk with age even faster than today. (...)

(...) Dr. Preston says he saw no evidence for the much-quoted estimates that poor health care is responsible for more preventable deaths in the United States than in other developed countries. (...)

(...) Americans are more likely to be screened for cancer, and once cancer is detected, they are more likely to survive for five years. (...)

(...) Americans also do relatively well in surviving heart attacks and strokes, and some studies have found that hypertension is treated more successfully in the United States. Compared with Europeans, Americans are more likely to receive medication if they have heart disease, high cholesterol, lung disease or osteoporosis. (...)

(...) “The U.S. has had one spectacular achievement in preventive medicine,” he says. “It has had the largest drop in cigarette consumption per adult of any developed country since 1985.” (...)

Przy czym wśród demografów istnieje spór o to, czy wzrost długości życia w ciągu Rewolucji Przemysłowej był spowodowany większą dostępnością jedzenia, czyli bezpośrednio przez wzrost gospodarczy (McKeown, Fogel), czy może interwencjami państwowymi, w postaci czyszczenia wodociągów, promocji higieny, obowiązkowych szczepień (Preston). Więc w żadnym wypadku Preston nie jest jakimś przypadkowym prokapitalistycznym demografem. To facet z pierwszej ligi i to raczej z lewej strony.

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