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He quotes a John C. Goodman, president of the National Center for Policy Analysis, saying "rationing by waiting is pervasive, putting patients at risk and keeping them in pain" - as if rationing by lack of insurance is better.
Then he sells the same guy's book (2 co-authors, Gerald Musgrave and Devon Herrick) "Lives at Risk,"' - and now the basis for a monograph for the Cato Institute, "Health Care in a Free Society" - that asserts the US Way is more efficient, more equitable, and more affordable - despite the fact we pay 50% more as a percentage of GNP to cover only 85% of the population - perhaps cover 50% with good coverage - but facts never stopped CATO or Jeff Jacoby.
So Jacoby sells the fear of the "limit healthcare" - as if our insurance and pocketbook do not limit healthcare now - and the "wait lists" - as if the ER's now do not now refuse to treat various non-critical problems.
Indeed non-critical - meaning "elective" -surgery folks in thos nasty national health countries face waits of 4 months for 25% of the surgery that they want!
Schocking!
In the US annual physicals must be booked 6 months to 9 months in advance in most areas - but Jacoby is upset by the Fraser Institute of Vancouver report that the average Canadian patient waited 8.3 weeks for an appointment with a specialist in 2003 -- and another 9.5 weeks before getting treated.
I loved the colon canser wait in Britain causing 20% of the curable to become non-curable - since after you are found to have colon cancer the rate of "cure" is minimal, this is silly.
Then there is time spent with the patient - more than 20 minutes or less - can we say that US practice requires 10 times the paper work because of all the laws/regulations needed in a private insurance world - those extra minutes in the US are not always "quality minutes".
Indeed efficiency is in Jacoby's world a bad - the average US doctor sees 2,222 patients annually, the average Canadian doctor sees 3,143 - and no mention of any results study that indicates the American lives longer or has less child deaths - or - right - our results suck compared to those national health countries.
But we do buy the best equipement in the US - much more than any given area needs is purchased in our "competitive" system. Our folks push kidney dialysis, anf Jeff quotes the fact we get five times the coronary bypasses performed in Canada - but what about "results" as in longer life - why Jacoby is again silent.
If Americans really have a better chance of beating a condition -- such as prostate cancer, renal failure, or heart disease -- that would kill them elsewhere - why does this not show uo in our longevity?
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