"Joy and pleasure are as real as pain and sorrow and one must learn what they have to teach. . . ." -- Sean Russell, from Gatherer of Clouds

"If you're not having fun, you're not doing it right." -- Helyn D. Goldenberg

"I love you and I'm not afraid." -- Evanescence, "My Last Breath"

“If I hear ‘not allowed’ much oftener,” said Sam, “I’m going to get angry.” -- J.R.R. Tolkien, from Lord of the Rings

Friday, July 13, 2007

More on Health Care

Via Lindsay Beyerstein, this article from that pro-terrorist rag, Business Week:

Of the countries surveyed, 81% of patients in New Zealand got a same or next-day appointment for a nonroutine visit, 71% in Britain, 69% in Germany, 66% in Australia, 47% in the U.S., and 36% in Canada. Those lengthy wait times in the U.S. explain why 26% of Americans reported going to an emergency room for a condition that could have been treated by a regular doctor if available, higher than every other country surveyed.

The Commonwealth survey did find that patients in the U.S. had shorter wait times than every country except Germany when it came to getting an appointment with a specialist for nonemergency elective surgery, such as hip replacements, cataract surgery, or knee repair. But Gerard Anderson, a health-policy expert at Johns Hopkins University, says most doctors know how to "game the system" in those countries where there are queues for elective surgery, by putting at-risk patients on the list long before their need is critical. "Their wait might be uncomfortable, but it makes very little clinical difference."

The Commonwealth survey found one area in which the U.S. assumed first place—by a wide margin: 51% of U.S. adults surveyed did not visit a doctor, get a needed test, or fill a prescription within the past two years because of cost. No other country came close to that percentage.


My own experience is maybe not so atypical as I had once thought: I had a kidney problem involving bleeding and was told I could get an appointment to see a urologist in three weeks. I told the receptionist that by that time, I would have bled to death.

And here's Andrew Koppelman with a bit of theory.

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