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Posted on 5/17/19 at 12:23 pm to Kujo
I am on an international facebook group for my specialty. It is freaking scary how little some “physicians” in other parts of the world know. I feel bad and try to help out but damn.
Posted on 5/17/19 at 12:24 pm to Centinel
quote:
Healthcare is one of the things we are in fact the best at.
I don't know. I do think we have among the best doctors and medical technology in the world. Health results are not as good here as many countries, and I think some of that are the monetary and geographical barriers to quality care.
I'm middle class and live in a major metro area, so I have no complaints about my health care. Cousin lives out in the boonies on the lower end of middle class and is always bitching about not being able to find a quality doctor without driving an hour or two. But then he chose to live out there, so...
This post was edited on 5/17/19 at 12:25 pm
Posted on 5/17/19 at 12:27 pm to The Spleen
quote:
Health results are not as good here as many countries
That's not a reflection of quality of healthcare. That is a reflection of the populace. Other countries have healthier populations because they lead healthier lifestyles.
Posted on 5/17/19 at 12:30 pm to The Spleen
quote:
Americacns think everything is better here. Most that think that have never ventured outside the US borders.
We're great in a lot of things, but not the best in everything. Far from it actually.
I've traveled a lot and have lived in other places and am quite comfortable in saying that the quality of healthcare is better in the U.S. for the vast majority of the population than it is almost anywhere else, save perhaps a few very small, very rich countries with comparable levels of PPP-adjusted income (Switzerland, UAE, Singapore, and the like).
Raw outcome stats are a dog crap way of comparing systems. One of my very favorite countries in the world - Spain - also has one of the highest life expectancies in the world. No one with any knowledge of the Spanish healthcare system would seriously argue that it's better than ours.
Posted on 5/17/19 at 12:32 pm to dawgsjw
quote:
quote:
Because americans are fat and lazy and unhealthy
So no other countries has fat and lazy people? Got it.
Very few have America's combination of obesity, alcohol and tobacco use, cardiovascular problems, and a few other factors. The ones that do - Mexico, some of the rich Middle Eastern countries - also have fairly shitty outcomes relative to the rest of the OECD.
Posted on 5/17/19 at 12:38 pm to The Spleen
quote:
Health results are not as good here as many countries, and I think some of that are the monetary and geographical barriers to quality care.
Eh, rural access issues and quality correlation with wealth are still huge issues in places like Canada and the UK.
The rural access issue in particular is a more recent phenomenon in the United States, but there are a lot factors that play into that - consolidation of non-profit provider systems, general economic downturn all over rural America (and shittier lifestyles), etc., etc.
Posted on 5/17/19 at 12:49 pm to TH03
quote:
Shithole countries don't have McDonald's and starbucks on every corner to get your sugar fix in the morning and grease fix for lunch.
It’s funny how people are fixated on the fast food when it’s so much other stuff in our diets that are killing us. It’s the stuff they put in pancake syrup, honey, cereals, processed meats, canned foods etc that are awful for consumption.
I don’t think is a doctor vs doctor comparison as much as it is systems and institutions that are in many cases not meeting the needs of the average citizen.
Of the 75-100 people I know who have dual citizenship and access to health care in more than one place, they usually seek and prefer treatment outside of the USA. Not saying people don’t come here especially for some unique and rare procedures and circumstances, but run of the mill medical needs I see people who have choices choosing something else.
Posted on 5/17/19 at 12:57 pm to Jp1LSU
quote:
but run of the mill medical needs I see people who have choices choosing something else.
Sorry, but I simply don't believe you. Not unless they're wealthy and just have a preferred doctor in another country that they can use to bypass the medical red tape here.
What countries are these people going back to where the medical care is better than here?
Posted on 5/17/19 at 1:38 pm to dawgsjw
quote:
So no other countries has fat and lazy people? Got it.
The UK and some Middle East and Pacific islands rival us and may be "fatter" that us depending on the metric, but we generally lead the way when it comes to being fat.
Posted on 5/17/19 at 1:44 pm to lsunurse
quote:
Ex: How many Dr. Patels have you heard of in the US?
I have an appt. with one next week. He cut out a cancer and stitched me up. I have had stitches about 15 times and his were beautiful. His work was impressive.
I am going to guess that he wasn't educated in New Delhi though.
Posted on 5/17/19 at 1:50 pm to Kujo
Gotta look at the research and then use your fricking brain, man. That’s the problem with people. They see some “test results” or some “rankings” and just take it for truth. Don’t be stupid.
Posted on 5/17/19 at 2:09 pm to Kujo
I doubt they really are. They just have better drugs, imaging technology, robotics etc.
It's not really the Dr that saved your arse from cancer. It's more the scientists at Universities and drug companies.
It's not really the Dr that saved your arse from cancer. It's more the scientists at Universities and drug companies.
Posted on 5/17/19 at 2:49 pm to 995webmaster
quote:
American doctors make more money, so they're more expensive. And the more expensive something is, the better it is. That's just how 'Merica works.
I prefer to not listen to an avowed socialist when it comes to healthcare and well, anything in life.
Posted on 5/17/19 at 3:06 pm to Centinel
quote:
but run of the mill medical needs I see people who have choices choosing something else.
Sorry, but I simply don't believe you.
I 100% believe him, and I am a healthcare admin here.
For "run of the mill" care, their shite (in most cases) is paid for. Why would they procure our health insurance, and work their way through our system to get some antibiotics, or birth control, or blood pressure meds?
But if they need a bypass, radiation, an oncologist, a transplant, etc... They aren't leaving this country.
In very, very basic terms, we aren't great at making average people healthy, because the average citizen doesn't want to pay for that, or don't believe they should. But we're exceptional, compared to the rest of the world, at making very sick people well again. And people will pay for that.
This post was edited on 5/17/19 at 3:14 pm
Posted on 5/17/19 at 3:49 pm to Centinel
quote:
quote:
but run of the mill medical needs I see people who have choices choosing something else.
Sorry, but I simply don't believe you. Not unless they're wealthy and just have a preferred doctor in another country that they can use to bypass the medical red tape here.
What countries are these people going back to where the medical care is better than here?
I can see it, actually.
The U.S. system is horrible at allocating marginal dollars.
As an example, say that you have Malady X.
Malady X has two treatment options:
Service A
Service B
In a theoretical quality score, Service A scores 85 - that is, it is either effective 85% of the time, gets you 85% of the way to full health, is 85% of what your risk profile says you need, or something along those lines. Service B scores 100.
Service A costs $1,000 while Service B costs $3,000. Your marginal dollar ($2,000 for those 15 extra points) can be pretty wasteful in many circumstances. Illnesses and injuries that are common, widespread, and fairly easily treatable are probably better treated in a large population with limited healthcare resources by Service A than Service B.
Americans and American payers and providers tend to opt for Service B almost every time for a variety of reasons (consumer expectations of service, extra PPP-adjusted income - that is, we're very rich even compared all but a handful of other OECD countries, a more emotion-based approach to healthcare and lifestyle, etc.).
Now, whether Service A is a higher quality option than Service B is a different argument (it's almost always not), but whether it is worth the marginal dollars is really the question.
Posted on 5/17/19 at 3:54 pm to Kujo
quote:
Kujo
I’ll bet bet you watch CNN & MSNBC and think you’re actually watching real news.
Posted on 5/17/19 at 3:58 pm to Kujo
You're pretty stupid. The average American should die before 50 on diet alone.
You must be a miserable frick. Every damn thing you post makes me feel bad for you.
You must be a miserable frick. Every damn thing you post makes me feel bad for you.
Posted on 5/17/19 at 4:05 pm to TigerFanInSouthland
quote:
an avowed socialist
Who's a socialist? Being in favor of fair, meritocratic capitalism and against billionaire crony capitalism does not make one a socialist...
Posted on 5/17/19 at 4:07 pm to 995webmaster
quote:
Who's a socialist?
You.
quote:
Being in favor of fair, meritocratic capitalism
Which you're not.
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