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BBC: Health Care Around the World

California

Charter Member
Best health care in the world? Well we clearly have the most expensive.


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Full BBC article.

Also some of the articles and links on that BBC page are interesting.
 
Seems to me by reading the article the other three need to have supplemental payments of some kind (besides employer and their individual cost) to assist in getting appropriate healthcare. Let's do apples to apples please and then see how much their care really cost. I'm sure individual supplements are not computed in their graphs.

The graphs sure are pretty though!
 
Let's do apples to apples please
Seems to me that " Expenditure on health as a percentage of GDP" and Expenditure on health per capita" are impossible to confuse with anything else.

Are you saying there is some sort of mysterious 'other' expenditure that is relevant here?

What did you read, that you conclude that BBC conspired and left something out from the charts in order to trick us??
 
At least in part, because it's over utilized.
Are you suggesting US health care costs could be reduced if some services were refused as unnecessary? I thought private healthcare already had 'death panels' working to control misuse of services. Should they refuse more?
 
Did you read the article ?

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France - Social insurance system

Most people have extra private insurance to cover areas that are not eligible for reimbursement by the public health insurance system and many make out of pocket payments to see a doctor.

Singapore - Dual system

Patients expected to pay part of their medical expenses and to pay more for higher level of service.

In private hospitals and outpatient clinics, patients pay the amount charged by the hospitals and doctors on a fee-for-service basis.

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Now are you saying these cost are figured in the graphs? ...... If it is are the figures accurate. I'm thinking cost outside employer and individual group cost are not represented in the totals (graphs). Do you think private and outside the social programs cost are really included in the GDP? And how could we be sure?
 
Are you suggesting US health care costs could be reduced if some services were refused as unnecessary? I thought private healthcare already had 'death panels' working to control misuse of services. Should they refuse more?

I'm saying Americans take the least amount of personal responsibility for their own health versus the rest of the world. We're world leaders in obesity rates fer cryin' out loud. Hayzoose. Eat more salads, everyone!
 
Seems to me that " Expenditure on health as a percentage of GDP" and Expenditure on health per capita" are impossible to confuse with anything else.

Are you saying there is some sort of mysterious 'other' expenditure that is relevant here?

What did you read, that you conclude that BBC conspired and left something out from the charts in order to trick us??

They already do that in the other three only more and that's only from what I've heard. I have no fact to base that on but the UK's is not as good as the US. Love to hear what PG has to say about it!
 
I'm thinking cost outside employer and individual group cost are not represented in the totals (graphs). Do you think private and outside the social programs cost are really included in the GDP? And how could we be sure?
Because health care expenditure is measured at the point where the health care professionals pay income tax on the money they receive.

There's an expenditure and recipient side to any transaction. If I understand your concern, you say the outlay side might have been undercounted by BBC.

Do you have another argument why you think the charts could be inaccurate, unreliable?
 
They already do that in the other three only more and that's only from what I've heard. I have no fact to base that on but the UK's is not as good as the US. Love to hear what PG has to say about it!
Uh you kinda lost me there. And yes, I quoted you verbatim.

I'll just make up what I thought you said: "PG will tell us if US healthcare is better than in the UK".

With all respect for PirateGirl, I doubt she has ever been responsible to compile national statistics for either nation.

But I expect she, I, and probably you would agree that an extra year of expected lifespan in the UK means a lot to the man or woman who is fortunate to get that extra year.

Likewise for the infant mortality chart. The Pro-Life crowd (and everybody) should be outraged that not only does the US have more than 25% excess infant deaths each year compared to UK as a baseline, the US has more than three times as many infant deaths per thousand compared to the lowest-mortality comparison in that BBC chart.
 
Uh you kinda lost me there. And yes, I quoted you verbatim.

I'll just make up what I thought you said: "PG will tell us if US healthcare is better than in the UK".

With all respect for PirateGirl, I doubt she has ever been responsible to compile national statistics for either nation.

But I expect she, I, and probably you would agree that an extra year of expected lifespan in the UK means a lot to the man or woman who is fortunate to get that extra year.

Likewise for the infant mortality chart. The Pro-Life crowd (and everybody) should be outraged that not only does the US have more than 25% excess infant deaths each year compared to UK as a baseline, the US has more than three times as many infant deaths per thousand compared to the lowest-mortality comparison in that BBC chart.

But you're quoting one statistic as the means to the end. You're not asking why that is, you're just assuming that our healthcare here in the US is worse. How are the stats calculated? What does "infant mortality" mean in one country compared to the US? What are the ages\health of the mothers when calculating these rates? How about some fertility stats in general? There are all kinds of ways to spin this information.

I'm not sure what one can truly discern from a BBC pie chart.
 
I'm saying Americans take the least amount of personal responsibility for their own health versus the rest of the world. We're world leaders in obesity rates fer cryin' out loud. Hayzoose. Eat more salads, everyone!
Damn right!
If the proposed health care plan takes effect, I won't be thrilled to know I am paying out for John or Jane Doe to have an unnecessary biliopancreatic diversion.
We are the most spoiled, unhealthy country on the planet.
FFS, they had to widen the seats at Yankee Stadium just so our fat,American hot dog loving asses could fit.
God Bless Us, Everyone.
 
Chris, when it came to national insurance in England, a portion of my pay was taken out.
I didn't have to wait in lines, I got into hospitals right away, saw my doctor right away.
Maybe I was lucky, don't know.
I have nothing bad to say about England and the system.
I still have my card and can use it, should I ever travel back to the UK and need healthcare, BECAUSE a portion of my widow's pension is still being taken out to cover just that.
 
I didn't have to wait in lines, I got into hospitals right away, saw my doctor right away.
Maybe I was lucky, don't know.
I have nothing bad to say about England and the system.
Thanks PG. I think that's the calm and rational view that many hold who know what they are talking about.

In contrast to "Steven Hawking would be dead by now if he lived in the UK". (A lie widely spread in the US a couple of weeks ago).

(Note for the clueless: Hawking is a very badly disabled genius who lives as normally as possible because of the British comprehensive health plan - per his own words. He would not have fared as well in the US, given that he discovered a severe pre-existing condition before, in the US, he normally would have purchased health insurance.)
 
Gastric bypass ring a bell?

Technically, no, (I keep the weight off with diet and exercise), but yes, it does strike a chord with me. Some Americans seem to want easy answers to health problems, and that's what I'm trying to point out, here. Your doctor is not like a mechanic. He\she can't just fix what ails you. Take an active role in your health, and the costs drop dramatically.
 
Technically, no, (I keep the weight off with diet and exercise), but yes, it does strike a chord with me. Some Americans seem to want easy answers to health problems, and that's what I'm trying to point out, here. Your doctor is not like a mechanic. Heshe can't just fix what ails you. Take an active role in your health, and the costs drop dramatically.
So do I.
The answer isn't cure, it's p r e v e n t i o n.
Sadly doctors and most in the healthcare field LOVE it being all about the cure, and ignore the causes.


By the way, as long as we're discussing.. bi-monthly roughly $65 is taken out of my pay for health insurance. I have dental too, and that's around $3, and I also have additional life insurance through where I work.
The co-pay has jumped dramatically within the last months.
Surprise!:neutral:
 
Just to keep things fair, I can't remember where I read it recently, but infant mortality is determined differently in each country; some countries while the child is still in the womb (I think the US does this), others not until the child is 24 hours out of the womb. So that may be why the dramatic difference in mortality. If someone is familiar with this, please clarify.
 
Just to keep things fair, I can't remember where I read it recently, but infant mortality is determined differently in each country; some countries while the child is still in the womb (I think the US does this), others not until the child is 24 hours out of the womb. So that may be why the dramatic difference in mortality. If someone is familiar with this, please clarify.

You got it right - the US counts infant mortality from the point where there is a chance of live birth - or approximately 6 months gestation.
Most, if not all, other nations don't count it as a live birth until either actual live birth or 24 hours after birth to demonstrate actual viability, depending on the country.
This skews our stats, because failed premies and late term abortions are considered into our infant mortality statistics.
 
The fact that we have some twenty million+ illegals here getting free healthcare puts a big crimp in our overall cost that England doesn't have per capita either. In some states that boarder Mexico have had hospitals go bankrupt or be on the edge because of the "Free" medical to illegals.

You can't travel around Europe without a passport or other identification to prove you belong there unlike in the U.S., so much of their data is based on a true population that belongs there.

Comparing the U.S. medical system to other countries that have control over their boarders is pretty much like the Apples to Oranges bit... it is skewed.... But makes for great arguments for those that don't pay too much attention to details...
 
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US counts infant mortality from the point where there is a chance of live birth - or approximately 6 months gestation.
Most, if not all, other nations don't count it as a live birth until either actual live birth or 24 hours after birth
JEV, Erik, I think you just made that up.

This looks to me like a perfect head-in-the-sand attitude, "I don't like the statistics so I'll discredit the research". Discrediting the statistical methods (without any evidence to support the criticism) diverts the discussion from what these numbers are telling us, to talking about the credibility of the numbers. Typical lobbyist-driven Conservative way of distracting from discussing issues. It's the health care debate equivalent of demanding 'Where's The Birth Certificate?' before we can start a discussion on anything else. Diversion as a debate tactic!

What is your source for declaring that differing statistical methods tricked the BBC?

A 3:1 infant mortality ratio compared to alternatives elsewhere is pretty dramatic.
 
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Chris - you're sort of right.
I did not "just make it up" - and resent your automatic assumption that I did because I was agreeing with JEV on this one point. I've noticed that you don't complain when I agree with you on things, so why call me a liar on this one where I was being pretty non-political other than agreeing on a specific point with someone you butt heads with on a regular basis? I was, hovever, agreeing with information I had heard, but had not researched myself, so I did a quick Google.

Also - the BBC is still in the business of selling their point of view, just like any other news organization. I do not believe they were "tricked" into reporting incorrect information. I think they used statistics (the art of lying with numbers as facts) to present a picture that made European medical services/costs look good and current US practice as less than good -- a pretty typical thing from ANY ethnocentric point of view.
I don't see any difference in their reporting the facts they way they want to interpret them to someone on our side of the pond who is not keen on the idea of more government control in our health care system to cite the "apples to oranges" argument, such as how differing standards on what counts as viable birth can skew reported infant mortality rates.

From Wikipedia -- granted, not the "best" source, but the easiest to find info on in a short amount of time, like when on lunch break:
http://en.wikipedia.org/wiki/Infant_mortality

There is discussion in the article that perinatal viability begins at 22 weeks according to WHO -- which is the standard the US follows for reporting infant mortality, so this is likely where the argument comes from.

"The World Health Organization (WHO) defines a live birth as any born human being who demonstrates independent signs of life, including breathing, voluntary muscle movement, or heartbeat."

snip

"Another challenge to comparability is the practice of counting frail or premature infants who die before the normal due date as miscarriages (spontaneous abortions) or those who die during or immediately after childbirth as stillborn. Therefore, the quality of a country's documentation of perinatal mortality can matter greatly to the accuracy of its infant mortality statistics. This point is reinforced by the demographer Ansley Coale, who finds dubiously high ratios of reported stillbirths to infant deaths in Hong Kong and Japan in the first 24 hours after birth, a pattern that is consistent with the high recorded sex ratios at birth in those countries and suggests not only that many female infants who die in the first 24 hours are misreported as stillbirths rather than infant deaths but also that those countries do not follow WHO recommendations for the reporting of live births and infant deaths.[12]"


Lastly - I think I'm done with anything but fluff on the forums for a while -- both sides of the political spectrum on the forum seem to have lost their perspective in the past year. There doesn't seem to be much room for rational discussion, as it's beeing crowded out by mud slinging from both sides.
I'll keep reading, but if the price for trying to participate in a discussion is being called a lair for disagreeing with one side or the other (or in my case, quite often both sides) then I don't need to ante up.
 
Eric, I'm sincerely sorry if I offended you. Please stay and continue discussions here!

We have seen so much bogus 'facts' pushed by politicians, that when both of you repeated 'something I heard somewhere' that instantly sounds like your source is no more credible than one of those anonymous political emails. It seems to me more credible when you challenge facts cited by an established organization like BBC, that you cite some credible source when you claim contrasting information.

Again, a personal attack wasn't intended.

I am saying, though, that the cost and health comparisons in the BBC charts including infant mortality should be the focal point in this discussion, and diverting to debate statistical methods (without showing any evidence) sidelines what should have been important.
 
You can't compare our health care with anyone elses unless you have a level playing field to start with. We have issues here in the U.S. that affects our health care such as illegal imigration that doesn't affect the other Countries that your report cites as having much better healthcare system than ours. You take the illegals out of the stats and there would be a world of differances and our system would more than likely soar above the rest.

You simply can't throw almost ten percent of the U.S. Population that is illegally here and expect true reports.
 
Fogtender are you saying that we have so much infant mortality in anchor babies, infant American citizens and mostly Catholic, that mathematically it skews our national statistics that far? 3 times as many deaths per thousand compared to Singapore?

That would be a major scandal! I think the pro-lifers would have made this a major cause if these babies deaths was so concentrated in just one segment of the population. It sounds gruesome.

I won't use language that questions your credibility, but I simply ask: Can you provide any fact-based evidence to support your claim that infant mortality is so strongly concentrated in one subgroup of our population?
 
I can't remember where I read it recently, but infant mortality is determined differently in each country; some countries while the child is still in the womb (I think the US does this)

If someone is familiar with this, please clarify.

You got it right ... abortions are considered into our infant mortality statistics.
I was, ... agreeing with information I had heard, but had not researched myself, so I did a quick Google.
It's customary to research before making an absolute claim that you know more than someone else, like maybe the BBC, - not after making the claim!!

I went and repeated your Google research. I think you overlooked something in the Wikipedia article:

While the United States reports every case of infant mortality (according to the WHO definition), it is often claimed that some other developed countries do not due to an 2006 article in U.S. News & World Report which erroneously claimed [the variances from standard WHO methodology that you two cited above.] ... However, [the US] and all of the [European] countries named adopted the WHO definitions in the late 1980s or early 1990s.
Maybe someone repeated the USNR error (or told USNR erroneous information) and then it became 'common knowledge' - in Conservative circles, at least?

That is simply applying 'Where's the birth certificate' reasoning to anything contrary to what you think. Distract from the topic by challenging underlying assumptions when there is no reasonable cause to do so, instead of focusing on the issues that BBC brought to our attention.
 
Fogtender are you saying that we have so much infant mortality in anchor babies, infant American citizens and mostly Catholic, that mathematically it skews our national statistics that far? 3 times as many deaths per thousand compared to Singapore?

That would be a major scandal! I think the pro-lifers would have made this a major cause if these babies deaths was so concentrated in just one segment of the population. It sounds gruesome.

I won't use language that questions your credibility, but I simply ask: Can you provide any fact-based evidence to support your claim that infant mortality is so strongly concentrated in one subgroup of our population?

Infant mortality? Your the one that says we are so high compared to all these other countries.

My response is that the reason our medical is so high is because of some odd 30,000,000+- illegals here on our system sucking the life out of it and not paying for it either.
 
Here's an interesting article about the meaning of infant mortality statistics:

http://townhall.com/columnists/Stev...alth_care_and_infant_mortality_the_real_story

He cites 'a 2007 study for the National Bureau of Economic Research, [wherein] economists June O'Neill and Dave O'Neill noted that "a multitude of behaviors unrelated to the health care system such as substance abuse, smoking and obesity" are connected "to the low birth weight and preterm births that underlie the infant death syndrome."'
 
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