Monday, September 20, 2004

A plan for healthcare

The post below was lifted bodily from "doc Russia"

There is likely to be some talk in politics about healthcare coming up. Ironically, Edwards, who made a career and a fortune out of suing healthcare providers is likely going to advance his own ideas about what I can only assume will be a Universal socialized healthcare system. So, before I start tearing the socialized medicine model to shreds, I am going to offer my own alternative. I often castigate the left for decrying a conservative plan, while failing to offer an alternative, and I will not fall into hypocrisy.

Part I

Professional insurance caps. We must drive out the lottery system from malpractice litigation. If a doctor has erred, hold them accountable, but do not allow for fraudulent and expensive allegations to consume the time and resources of the courts and physicians. It has been my experience that perhaps nothing else is more cost producing for healthcare than litigation. It manifests in a number of ways, beyond the raise in professional liability premiums, which drive away physicians, and force physicians to recoup the loss by seeing more patients in less time, or working longer hours. Neither of these improve the quality of care. It also causes a ripple effect where physicians practice defensive medicine. We run more tests than are reasonable, driving up costs, and detrimentally affecting the patients experience with healthcare. Also, we keep them hospitalized longer in order to completely Cover our Collective hindquarters. This drives up costs further, as well as facilitating hospital acquired diseases and superbugs, both of which require more expensive care than the community acquired diseases.

Part II

Right to refuse. Allow physicians to refuse services except in the most emergent of situations. This means that unless the patient presents with something emergent (lethal in less than 72 hours), hospitals can turn them out, either right from the start, or once a reasonable level of confidence has ruled out an emergent condition. This means that Chest Pain gets serial EKG and enzymes, with a Chest X-ray on top, and if nothing is found, you turf them to their PCP. If they have no PCP, then they had better get one, or pay for their own care starting immediately.

Part III

Make government care shitty. That's right; make it the absolute worst. As it stands medicare and medicaid provide a very high level of care for free to people who would rather spend their money on disposable items than on preventative care. Medicare has become an enabler for bad decision making by not making people accountable for paying their own bills. I know this sounds very harsh, but it is key to citizens taking responsibility for their own health. If we cannot get the private individual to be a proactive agent in their own healthcare, then all the government programs and funding in the world is going to be incredibly undereffective. We do not malevolently downgrade care, but we institute the cheapest programs reasonably possible. This will reduce the taxpayer burden, and impel patients to stay out of the public trough.

Part IV

Make Healthcare providers being reimbursed by medicare/medicaid immune to civil litigation. This will do the following: Patients who are not paying for their care will no longer be able to sue their way to financial independance for care which was provided to them free of charge. Also, it will give the salaries of medicare/medicaid doctors a competitive advantage, and help drive down the cost since the docs will not need such a high salary to maintain their standard of living since they will no longer have to factor in the overhead of professional insurance. Lastly, those less adroit physicians, after being sued enough times will have to seek refuge being a government provider. This will mean that government healthcare will be substandard, and people will try harder to get off of it, and pay for their own bills.

Part V

Allow for wage garnishment starting at the time of service. This will allow hospitals and doctors to recoup losses over time by having amounts deducted from the patients income directly for services rendered in an emergency situation. Also, allow for a healthcare equivalent to Bail. In this way, patients can put up their home or automobile as collateral for their healthcare.

Part VI

Provide for itemized price lists to the patients. It is a small measure, but it will have great results because those things which patients can provide themselves (pillows, blankets, gowns, bandaids) or can buy on the open market are going to bring down the cost of healthcare. Hand in hand with this, we need to allow private vendors to compete in the hospital. Part of the way that the hospital meets their overhead is by overcharging for items that are used. A $1 oxygen mask will be billed to you for $50. Stuff like that. I think that hospitals should get a percentage of the vendors take as kind of a privelage for access to the patients, and that this percentage should be hammered out between the hospital and the vendor, with one important caveat: there must be more than one vendor available for any sort of supplies. Hospitals also can make money from procedures performed. So, I think that there is still plenty of profitability to be had to keep our hospitals running.

Part VII

Allow for open bidding. Allow doctors and hospitals to bid for the care of patients. Also, we should allow for charity hospitals to bid for medicare/medicaid patients.
This seven point plan does have a number of overlaps. It is supposed to. This is because it runs under two basic concepts:

Publicly funded healthcare must be as cheap as is possible. It is there to save those who cannot save themselves, not for those who will not.

Private incentive, mixed with professional pride, will inspire more excellence, efficacy, and efficiency than professional pride alone.


Sunday, September 19, 2004

SOCIALIZED MENTAL HEALTH SYSTEMS ARE REALLY ORWELLIAN

Is conservatism a "personality disorder"? Most Leftists probably think so.

"The UK government's draft Mental Health Bill is the latest attempt to reform mental health legislation. Two proposals attracted most criticism in 2002, with the recent modifications unlikely to appease critics: plans to allow compulsory community treatment orders, and measures that would allow those with a personality disorder who are considered dangerous to be detained indefinitely, even if they had not committed a crime.

Not surprisingly, such moves have sparked fierce criticism from service users and mental health campaign groups. But many psychiatrists are also hostile to the new Bill. According to the president of the Royal College of Psychiatrists: 'the Bill will extend use of compulsory powers to a wider group of patients than is medically necessary, thus putting pressure on psychiatric services, and infringing human rights.'"

More here


Saturday, September 18, 2004

PUBLIC HOSPITAL MELTDOWN IN AUSTRALIA

"Hospitals in metropolitan Sydney are the most pressured in the country, with half of all beds in emergency departments taken up by people who have been waiting more than eight hours to be admitted to a ward, a survey shows. Many hospitals were operating above 95 per cent capacity, the Australasian College for Emergency Medicine warned, because of extensive bed closures across the system. "It is the single most important cause of emergency department overcrowding," said the college's president, Ian Knox.

Australian Medical Association data show a steep drop in the availability of hospital beds, from 5.2 per 1000 people in 1967-68 to less than half that in 2002-03.

The situation was dire all around the country, Dr Knox said, with more than 80 per cent of patients waiting more than eight hours in emergency departments before being admitted to a hospital ward. But the solutions favoured by the state and federal governments, including increasing funding to emergency departments or establishing GP clinics, would do nothing to fix the crisis, he said. "Opening the beds is the first step, but then there needs to be precision bed management at the same time".

Based on a snapshot taken on August 30 of 73 hospitals and 1509 patients across the country, the college found 39 per cent of all emergency beds were taken by patients who had been waiting for an in-patient bed for more than eight hours. In metropolitan Sydney the figure was 52 per cent. The snapshot confirmed data from an identical survey done on May 30. Dr Knox acknowledged there was always a winter peak in emergency department presentations but said the bed crisis was a years-old problem.

"The demand for beds is going up as the population ages, so [governments] really need to look at projected demand and understand there is an increasing requirement of hospital beds," he said. Mass bed closures and the resulting access block from emergency departments to wards started in Sydney but now affected every part of Australia.

More here





ELDERLY LOOKED AFTER: IN THEORY

Two months to see a doctor????

"Kath Brewster lives on the front line of an ageing society. In Coffs Harbour, her home for 18 years, the septugenarian faces up to two months' wait to see her GP. "He's a good, caring GP, and when I rang a fortnight ago I was told his books were closed for August and September, and to ring back in October," she said.

A report called Older People, NSW, published yesterday, shows elderly people aged 65 and over will outnumber children aged 0-14 for the first time by 2016.....

Already more than 18 per cent of the population on the mid-North Coast is elderly, and Ms Brewster is feeling the pinch. "The biggest issue is health," she said. "There aren't enough doctors or nurses. It's impossible to make a quick appointment with a GP so people are going to hospital emergency departments.".....

However, Gary Moore, director of the NSW Council of Social Service, said the pressure would be on the Government to deliver to areas outside Sydney an acceptable suite of health and community services. "A significant proportion of the elderly population will be low income, especially those living in inland centres such as Kempsey," he said."

More here.

Friday, September 17, 2004

AT LEAST CONGRESS KNOWS BETTER -- SO FAR

But surveys have to be taken with a grain of salt. I am sure I could produce a survey that gave opposite results if I tried. And this "Institute" is plainly biased to the Left.


"Rising health care costs and shrinking coverage have prompted a significant majority of Americans to support government regulation -- or even universal health care, according to a survey released yesterday. Two-thirds of those surveyed said they supported a health care "guarantee," similar to the Canadian or British systems, according to the survey, which was issued by Results for America, a division of the Civil Society Institute, a Newtown, Mass.-based think tank.

Additionally, 78 percent of Americans advocate government regulation of health care, similar to utilities such as gas and water, the survey found. "What this survey shows is a nation in the grips of a health care crisis," said Civil Society Institute president Pam Solo. "Americans are now prepared to embrace some tough ideas.".....

The Civil Society Institute says it is a nonprofit, independent organization that attempts to focus on social issues such as health care, education and the environment. Solo, is a social activist and grassroots advocate who has focused on issues such as national health care, stem cell research and global warming.....

The survey's results, particularly on the rising cost of health care, have been echoed by other experts and research groups. The Kaiser Family Foundation just announced its findings that health care premiums rose by double digits for the fourth year in a row in 2004. "Health insurance is becoming increasingly unaffordable in our country, especially for small employers," said Kaiser president Drew Altman at a Washington, D.C., news conference last week. "We unfortunately should expect the ranks of the uninsured to continue to pick up."...."

Note: "Other experts" only seem to have echoed them on rising costs -- which is no news anyway

More here.


Thursday, September 16, 2004

HOW ODD THAT PEOPLE WOULD BE WILLING TO PAY BIG MONEY FOR WHAT IS SUPPOSEDLY "FREE"!

Plenty of Canadians will do so -- and no prizes for guessing why: It may be "free" but is it readily available?

"As Canada's premiers haggled into the night over the future of Canada's health-care system, three Montreal doctors announced yesterday they are joining the ranks of those opting out of medicare and will open the province's first private emergency medical clinic next month. The clinic will guarantee speedy service to anyone who can pay out of pocket. The doctors will take care of minor emergencies, like fixing a broken finger and stitching a cut, for a $100 fee.

Quebec Health Minister Philippe Couillard said yesterday that the doctors are free to do as they please, as long as they don't bill the medicare board for their services. Since 2000, 82 Quebec doctors have gone private, no longer billing the Regie de l'assurance-maladie du Quebec for medical services. By comparison, there are 15,267 licensed doctors working within the province's medicare system.

The new private clinic will be far from the standard walk-in 24-hour ER. Patients will have to phone the clinic in advance. If their emergency is deemed too serious, they'll be referred to a hospital. "We will not see more than two or three patients per hour," said Dr. Luc Bessette, who used to work in the ER of St. Luc Hospital. "We don't believe it's possible to give good quality of care if you're not there to listen and to be able to give time to your patients.

The MD-Plus Medical Clinic on Beaumont St., a few blocks south of the Jarry metro station, will open on Oct. 12. It's one of a rising number of private medical facilities that have sprouted across Quebec in the last few years. This week, Cataract MD, a clinic on Rene Levesque Blvd., opened. The two doctors who will be performing cataract surgery privately have also opted out of medicare, as managed by the Regie de l'assurance-maladie du Quebec. That means that the doctors cannot bill the government for medical services, and patients must pay out of pocket....

The MD-Plus clinic will offer a number of services, including checkups and regular follow-up family medical care. The clinic will also be using the resources of a private lab and an adjacent radiology clinic for magnetic resonance imaging. Among the minor emergencies that doctors will take care of are fixing broken fingers, stitching a deep cut, removing a foreign object from an eye and diagnosing abdominal pain.

Bessette said he believes there's a market for his clinic, predicting that up to 3,000 patients will visit it by next year. "If you're talking about minor emergency conditions, if people wait five or six hours in the emergency room and are self-employed and cannot work for five or six hours, it's worth much more than $100 for a medical fee," he said. "For a lot of people, there is a huge cost in waiting in our system. That cost will be relieved from their shoulders. They will make the calculation that it's much cheaper to wait for a medical consultation if they get rapid access to care."

Bessette said he opted out of medicare because the system isn't working. "My colleagues and I decided that we could not criticize the system and be frustrated by it, and still work within it in good conscience."

More here

FEELING SORRY FOR GM

Note this story (excerpt):

For G.M., the nation's largest private purchaser of health services and of drugs from Viagra to Lipitor, the projected cost of providing health care benefits to current and future retirees .... is a staggering $63 billion.

While soaring medical costs are an issue for all employers in the United States, for older domestic manufacturers the nation's health care system is a competitive double whammy. That is particularly true for G.M., the world's largest - but far from the most profitable - automaker.

G.M. covers the health care costs of 1.1 million Americans, or close to half a percent of the total population, though fewer than 200,000 are active workers while the rest are retirees, children or spouses. Not only are such costs escalating rapidly, but G.M.'s rivals, based in Japan and Germany, have virtually no retirees from their newer operations in the United States and, at home, the expenses are largely assumed by taxpayers through nationalized health care systems"


You get the drift? The NYT is trying to drum up support for nationalized medicine by getting you to feel sorry for GM! The audacity of it all is rather breathtaking. Where to start? I suppose the first thing I should mention is the elephant in the bedroom: The Japanese manufacturers in Japan have a similar problem! They too have a lifetime obligation to their employees. So if they can hack it without government support, why can't GM?

The next point is the irony of anyone on the Left pretending to feel sorry for GM. Maybe I missed something, but isn't GM the great capitalist ogre that all good comrades want to see dead? Or do they really believe that what is good for GM is good for the USA? There would have to be a zillion Leftists who have furiously denied it!

The third point is that businesses who make bad decisions have to take the consequences of that. If every bad decision made by business got a bailout from the taxpayer, the nation would be broke in a week. GM clearly made unwise healthcare deals with its unions so it is just going to have to pay for those decisions.

And even if GM went broke over it (which nobody is suggesting), there would still be enough assets to pay for the healthcare obligations it contracted for.

Wednesday, September 15, 2004

MALPRACTICE WOES

Legal hazards are a big problem in all systems of medicine

If real life played out like a Hollywood action flick, in which good conquers evil all in a couple of hours, there might be a happy ending in the battle over how to cure the nation's medical malpractice woes. After all, each side in the presidential campaign has fixed on a convenient villain.

On Monday, President Bush blamed "junk lawsuits" for driving up the cost of medicine and "running good docs out of practice." Bush pointed to rich trial lawyers as the culprits - and alluded to the fact that one of them is the Democratic vice presidential nominee. In fact, John Edwards made millions suing doctors.

The Bush campaign says frivolous lawsuits and huge jury verdicts drive up premiums for malpractice insurance, which doctors must purchase, raising health care costs for everyone. It proposes limits on certain types of damages as a cure. Edwards, the Democratic point man on the issue, opposes such caps, and blames rising health costs on insurance and drug companies, which, he charges, are Bush's allies....

Democrats - Edwards in particular - enjoy huge financial support from trial lawyers, who oppose caps on damages. Attorneys lavished $9.9 million on Edwards' race for the 2004 Democratic presidential nomination, according to the Center for Responsive Politics, a non-partisan campaign-finance watchdog. Republicans favor limiting damages for "pain and suffering," which are granted by juries on top of payments for actual harm. That position is backed by health providers and insurers, who have given the 2004 Bush campaign $9.5 million, according to the center.

Caps on damages may do some good. In large states that have such limits, malpractice premiums have increased less than those have in states without caps, according to a 2003 survey by Medical Liability Monitor, a newsletter that tracks malpractice trends.

The current system fails to spur health care providers to "identify, compensate (for) and reduce errors" because they fear lawsuits, according to a study released in 2002 by the Institute of Medicine, a federal advisory group. It estimated that medical errors result in more than 44,000 deaths a year. A new study by HealthGrades, a health care rating organization, said errors caused 195,000 deaths, on average, in 2000, 2001 and 2002.

Physicians often perform extra costly tests to protect themselves from suits filed by patients alleging that a medical problem was missed. The price tag? More than $60 billion a year, according to the U.S. Department of Health and Human Services.

Fears of lawsuits and high insurance premiums are forcing some physicians to quit, move to states where premiums are more stable, or limit services. One in seven obstetrician/gynecologists have stopped delivering babies, according to a survey this summer by the American College of Obstetricians and Gynecologists.

More here

Australia's largest State -- New South Wales -- now has a $300,000 cap on personal injury awards, which should go a long way to overcoming the legal hazards of medicine there

Tuesday, September 14, 2004

STIFLING BUREAUCRACY IN AMERICA TOO


The bureaucratic FDA as a huge obstacle to medical care. The battle to save a sick baby:


"It became clear that his heart wouldn't hold up over time and that he would need a transplant, Rosenthal said.

But infant heart transplants are hard to come by and the wait can be a long one. Of the three babies who've received transplants at Packard, the wait has ranged from 10 to 200 days, Rosenthal said. So he and his colleagues began looking at options to keep Miles alive until a heart small enough for the 15-pound infant might come through.

None of the heart pumps available in this country is small enough to serve an infant population. So Miles' doctors looked to a device known as the Berlin Heart, named for its city of origin, which has been used in 50 to 100 children worldwide. Getting it here -- and in short order -- was something else again.

It required a special evening meeting of the Institutional Review Board, which oversees research involving human subjects at Stanford, and special dispensation from the U.S. Food and Drug Administration to bring it into the country. And it took a massive organizational effort at Packard to ensure everything was in place -- from skilled nursing care to customs release forms to the proper electrical adaptors for the device, Rosenthal said".


Monday, September 13, 2004

THE CANADIAN DEBACLE

Esther Pacione needs a family doctor. At age 56 she is afflicted with severe ataxia, a neurological condition that causes her acute pain, choking and loss of consciousness. The walls of her home are scuffed from the times she fell and hit her head.

Her regular doctor suffered a stroke a year ago, and all the local doctors she has contacted say they cannot take new patients, so now Ms. Pacione goes to a walk-in clinic whenever she has an emergency. At the clinic, she waits hours and sees a different doctor and no one there is familiar with her medical history and what drugs she has been taking.

Ms. Pacione, a retired bookkeeper, said she would like to be at the table when Prime Minister Paul Martin meets with the provincial premiers on Monday for a three-day televised meeting to find ways to alleviate the lengthening waits for basic care in Canada. "If you are not bleeding all over the place, you are put on the back burner," Ms. Pacione said, "unless of course you have money or know somebody."

The publicly financed health insurance system remains a prideful jewel for most Canadians, who see it as an expression of communal caring for the less fortunate and a striking contrast to an American health care system that leaves 45 million people uninsured. But polls indicate that public confidence in the system is eroding, although politicians remain reticent to urge increasing privatization of services.....

But medical professionals and local officials say a major reason it may not be easy to address the problem of slow access to treatment is because doctors who do preliminary diagnostic work, refer patients to specialists and monitor the care of chronically ill people are less and less available - especially in small towns and rural areas.....

Ms. Pacione's predicament is surprisingly common even in this upper-middle-class community on the north shore of Lake Ontario that seems to have everything going for it: immaculate lawns, a yacht marina, a downtown graced by vintage Victorian architecture and quaint parks and fruit markets....

Whitby officials estimate that 22,000 people here have no doctor at all, forcing them to go to emergency rooms at overcrowded local hospitals to wait in line for up to four hours simply to refill a prescription, get a doctor's note for an employer or care for their flu symptoms. "It's like winning the lottery to get in and see the doctor," Mayor Marcel Brunelle said. "This is a very wealthy country. What happened to bring the situation to this point?"....

Mayor Brunelle formed a task force in June to recruit young doctors by introducing them to real estate agents and giving them advice on how to start new practices, and the town government is considering building a municipal clinic. The town of Peterborough is offering large monetary incentives and a grab bag of perks, including memberships at the Y.M.C.A. and cable television. Other municipalities offer moving expenses and the inside track on real estate next to golf courses.

But experts say those efforts may not be enough. "If the current trends continue we can anticipate a crisis," warned Joseph D'Cruz, a University of Toronto business school professor who specializes in health care. "People will actually find it impossible to get general medical services in their towns."

More here.

Thursday, September 09, 2004

A LESSON FROM CLINTON!

"The speed with which President Clinton received quadruple bypass surgery provides an important lesson in health care reform that voters should keep in mind this election season.....

When government makes medical care "free," people demand medical care without regard to cost. Governments can't keep up with the excess demand and therefore must find some way of allocating care amid shortage conditions. Most choose to make patients wait.

According to Nadeem Esmail and Michael Walker of Canada's Fraser Institute, the median wait for an appointment with a cardiologist in Canada's single-payer health care system was 3.4 weeks in 2003. The wait for urgent bypass surgery was another 2.1 weeks on top of that, while the wait for elective bypass surgery was an additional 10.7 weeks. Canadian doctors reported a "reasonable" wait would be 0.9 and 6.1 weeks, respectively. Great Britain and New Zealand have even longer waiting times for bypass surgery.

Esmail and Walker cite studies confirming that longer waits for heart surgery result in a higher risk of heart attack and death. In fact, they report American hospitals act as a "safety valve" for Canadian patients who face life-threatening shortages: "The government of British Columbia contracted Washington State hospitals to perform some 200 operations in 1989 following public dismay over the 6-month waiting list for cardiac bypass surgery in the province... A California heart-surgery centre has even advertised its services in a Vancouver newspaper."

Had America had followed his lead ten years ago, President Clinton might not have been able to get his diagnosis and surgery appointment so quickly. Instead of waiting overnight for an appointment with a cardiologist, he might have had to wait the 3.4 weeks Canadians do. Instead of waiting three days for quadruple bypass surgery, he might have had to wait over two weeks. Instead of receiving care from what Senator Clinton called "one of the great hospitals in the world," President Clinton might be looking for a safety valve.

Since the Clinton health plan was defeated, untold patients have been aided because America's health care system, whatever its faults, was not subjected to the shortages and waiting lines that plague other nations".

More here





Socialists block desperately-needed tort reform: "Health care costs are going through the roof, and one of the major culprits is the proliferation of lawsuits that tangle the system. Hospitals face huge legal costs every day in defending themselves from frivolous lawsuits. These lawsuits also bring astronomical insurance premiums as hospitals attempt to protect themselves from continuous legal wrangling and exorbitant monetary fees that juries are awarding. It is estimated that legal fees alone add more than $200 billion a year to our health care system, which eventually gets passed on to patients through co-payments and insurance premiums. The Republicans, who are pushing to get this situation under control through tort reform, have proposed a series of rules and guidelines that would financially define the limits on malpractice and discourage frivolous lawsuits. These efforts have been repeatedly blocked by Democrats in the U.S. Senate."


Monday, September 06, 2004

DOCTOR ORIGINS CHANGING

Theodore Dalrymple notes with alarm the way white males are being driven away from the medical profession in Britain and replaced by "overseas trained" doctors. He is tactful enough not to quote what "overseas trained" doctors can be like (see here for a very sanitized account of it) but it is another good reason not to get sick in Britain. A few excerpts:

"The medical profession used to be the preserve, give or take an interloper or two, of the white middle class male.... Not for very much longer. White males, despite being 43 per cent of the population, comprise only 26 per cent of medical students.

Irrespective of whether it matters, what accounts for the forthcoming decline in the numerical, and no doubt intellectual, predominance of white males in the British medical profession?

There are two possible explanations, which are not mutually incompatible. The first is the decline in academic performance, relative to other groups, of young white males. If places in medical schools are allocated strictly according to examination results, then any such decline would be reflected in their numbers in the student body....

There is also the possibility that medicine as a profession is a less attractive career than it once was. Certainly, the number of applications for each place at medical school is falling, which would suggest that such is the case. Clever, diligent white males, who once might have become doctors, prefer to do something else. The relative loss of white males is actually a sign of the decreasing prestige of medicine as a career.....

Not only are the financial rewards of medicine declining compared with other jobs, but the risks for doctors are growing ever greater. The public is litigious; the regulatory bodies are ever more bureaucratically intrusive and demanding; even the Crown Prosecution Service is adding its mite by insisting on prosecuting doctors more frequently than ever before for criminal negligence. Above all, doctors are increasingly beholden to bureaucrats, who are often their intellectual and moral inferiors.

While our doctors drop out, of course, doctors from poor foreign countries drop in. This is our ethical foreign policy.

Sunday, September 05, 2004

Nit-picking regulation that takes years! "The Food and Drug Administration on Tuesday approved a device designed to prevent strokes by clearing blocked carotid arteries, the main blood vessel leading to the brain. While similar metal mesh tubes, known as stents, are used in other arteries, it was the FDA's first approval of such a device for neck arteries."

How socialist ideas kill AIDS victims: "One of the main points of contention in the subtle "you're-too-stupid-to-spend-your-own-money" argument being waged against America, is the US insistence that the patents on AIDS drugs be respected, especially when the money buying these drugs is American in origin. Indeed, France's President, Jacque Chirac, called such US action "tantamount to Blackmail".... There can be no doubt that invalidating drug company patents will make drugs cheaper and more available throughout much of the impoverished world. But it will also insure that the drugs we have today will be the drugs we have for a long time to come. What will be the motivation for companies to invest hundreds of millions of dollars to develop new drugs, just to have them stolen in the name of crisis? .... I suspect that many drug companies have already reduced their AIDS research substantially, solely because of the unstable, politically charged environment that has been created around the disease by those that see it as their personal domain."

There is a good history of the American medical system here and the perverse, government-driven incentives that drive up its costs. A complex story so I will not endeavour to excerpt anything from it.

Monday, August 30, 2004

30 August, 2004

More glories of socialized medicine: "Almost 2000 New South Wales patients had died or "could not be contacted" by the time they reached the top of the elective surgery waiting list, a new report reveals. The figure is contained in the latest Australian Hospital Statistics 2002-2003 report. Released by the Australian Institute of Health and Welfare, the report provides a breakdown of waiting list statistics across states and territories. Of the 214,298 additions to the list in NSW, more than half were admitted within the year" [meaning that half weren't!]




28 August, 2004

Dumb Canadians: "A July 2004 study by the Vancouver-based Fraser Institute, Paying, More, Getting Less, concluded that after years of government control, the Canadian medical system is badly injured and bleeding citizens' hard-earned tax dollars. The institute compared health care systems in the industrialized countries in the Organization for Economic Cooperation and Development (OECD) and found Canada currently spends the most, yet ranks among the lowest on such indicators as access to physicians, quality of medical equipment, and key health outcomes. One of the major reasons for this discrepancy is that, unlike the countries in the study that outperformed Canada--Sweden, Japan, Australia, and France, for example-- Canada outlaws most private health care".





27 August, 2004

That wonderful "public" (free-rider) medicine: "Los Angeles County, which has lost six emergency rooms in a little over a year, is on the brink of a far more serious problem, facing more closures that could jeopardize emergency care for tens of thousands of residents, according to public officials and independent analysts".



Sunday, August 29, 2004

25 August, 2004

The marvels of socialized medicine in New Zealand: "Hundreds of Hawke's Bay people are waiting for gastroenterology procedures as the health board desperately appeals for general surgeons to help with the hospital's sole specialist's gruelling workload. Hawke's Bay Regional Hospital's only gastroenterologist and part-time general physician, Malcolm Arnold, said there were 458 patients were on his waiting list alone, with 180 still awaiting a definite time to have their procedures performed... Those with highest priority included patients with bowel cancer or cancer of the oesophagus".




24 August, 2004

Britain: "The healthcare research group, Dr Foster, reports today in the British Medical Journal that one in every ten patients admitted to NHS hospitals in Britain will suffer at the hands of medical errors. Such errors contribute to the deaths of 72,000 people a year, and are directly blamed for the deaths of 40,000 people. Medical errors in the NHS now constitute the fourth largest cause of death in Britain. The charity Action Against Medical Accidents states that the figures under-estimate total errors by not including those which take place at the primary care level of family doctors, and are based only on reported errors. The figures do not include hospital-acquired infections".




21 August, 2004


U.S. Medical bureaucracy at work: "On February 1, 2002, Cecil Knox was seeing patients in his Roanoke, Virginia, clinic when more than a dozen federal agents burst through the doors with guns drawn. Helmeted, shielded, and wearing bullet-proof vests, they terrified waiting patients and employees. ... Knox, a pain management specialist who had been practicing medicine in Roanoke for seven years, was dragged out in handcuffs and leg irons."





19 August, 2004

U.S. litigation madness: "Morning sickness -- the nausea and vomiting that afflicts more than half of all pregnant women -- can be debilitating. There used to be an excellent prescription medication to treat it, but the manufacturer stopped selling the drug in the United States. Safety problems? Unprofitability? Not at all. Frivolous, debilitating lawsuits killed this drug."


Hilarious Canadians! Canada's socialized medicine system is failing badly at providing medical services. So what are they going to do about it? Hire more doctors at whatever price it takes to get them? No way! They want to spend a BILLION dollars to "set up an institute" to study the problem! Excerpt: "Canada needs to invest $1 billion over the next five years to reverse its serious shortage of doctors and ensure there will be enough health-care providers in future to reduce long waiting lists plaguing hospitals, the Canadian Medical Association says. The association wants Ottawa to create a national health human resources reinvestment fund, which would plan for future personnel needs and "help end the health human resources boom-and-bust planning cycle," outgoing president Dr. Sunil Patel told a news conference at the annual meeting in Toronto yesterday.... The proposed $1 billion fund would set up an institute to determine what the needs would be in various categories"






17 August, 2004

MEDICAL MAYHEM

Socialized medicine from one who knows: "In 1970 I created the first NHS group practice in the South Kensington area. I believed in the NHS. I was a politically active member of the Labour Party. I was on the Inner London Local Medical Committee of the British Medical Association. I was the education secretary of the South London faculty of the Royal College of General Practitioners. Within ten years, after a total of sixteen years working for the NHS, I was back in single-handed practice, exclusively in private practice... The philosophical ideas upon which the National Health Service is based are wrong. It is not lack of finance that has destroyed the NHS as an instrument of health care. Nor is it faulty organisational structure. Nor is it over-administration. It is the ideas that are wrong. Over a generation we have seen the provision of health care in the United Kingdom degenerate into a free and comprehensive rotten shambles".

This is an old story but it still illustrates the perils of a government medical service: "About 30 years ago, when I was in the navy, stationed in Charleston, S.C., navy "doctors" had a reputation for being "less than efficient" in most instances. This theory was born out when a friend of mine's wife, who had been pregnant while wearing an IUD, went to the Emergency Room of the Charleston Naval Hospital. She had been told that the IUD may have slipped into the womb, and may still be there, and could cause complications. She was told that if she experienced any of certain symptoms, i.e. rise in temperature, cramps, nausea, etc, to make it to the E.R. right away. Sure enough, one night, she experienced all of the symptoms and went straight to the E.R. The "doctor" who was on duty promptly took her record, without looking at it, moved it from the "in" box to the "out" box. Asking her what her problem was, he explained, "Well, you've got to expect these things when you're 5 months pregnant." She left the Naval Hospital, went straight downtown to the Charleston County Hospital Emergency Room, where she suffered a miscarriage, due to the IUD having been in the womb". (From Jerry Lerman).

One defeat for bureaucracy: "Doctors cannot be arrested for properly prescribing narcotic painkillers that are the best treatment for millions of suffering patients, according to new guidelines from pain specialists and the Drug Enforcement Administration. The guidelines, written by leading pain specialists together with the DEA, come because many doctors hesitate to prescribe the powerful drugs, which are heavily regulated because they can be abused by addicts."

*********************************




7 August, 2004

THAT GOOD OL' SOCIALIST FREE MEDICAL CARE.... IN PREWAR GERMANY

An email from a Dutch-speaking reader

"I just acquired - for my collection of war memorabilia - a Nazi publication from around 1942: "What is the European worker struggling for?" (Waarvoor strijdt de Europeesche Arbeider?"). Apparently this was for distribution in Belgium and Holland. Most pages are taken up with pictures of the wonderful benefits of the German welfare state - free medical care, free day care, free summer camps - to show the contrast with the brutish Soviet state in the East, and the heartless Anglo-Saxon capitalist system in the West. The reason why the Soviets would like to conquer Europe is obvious enough, the writer says: to acquire the European standard of living (throughout the text, Germany is barely mentioned but can safely be substituted for "Europe")"




27 July, 2004

British bugs for the poor: British "National Health" hospitals are full of superbug bacteria (MRSA) that drugs cannot kill -- making such hospitals very dangerous places to go to if you are ill. But: "one is vastly safer in a private hospital. The danger of getting MRSA is, above all, a risk affecting patients of the NHS".




15 July, 2004


Saudi Arabian socialized medicine no good either: "Huda Baghaffer had suffered a heart attack on the beach and relatives found no medical staff at the North Obhur clinic.. In a complaint filed with the Ministry of Health, the victim's sister, Hind Baghaffar, describes what happened. "We were all at the beach when my sister fell unconscious, which we later discovered was a result of a heart attack. We rushed her to the nearest medical facility, which was the North Obhur clinic. When we arrived, there weren't any doctors or nurses in the emergency room except for three Bangladeshi workers who refused to let us in," she said. "They said the nurses had left ten minutes earlier and that the doctor was at the supermarket".




4 July, 2004

Socialized medicine: "NSW hospitals are taking critically ill babies despite being overloaded, says a director at a leading Sydney hospital. The Royal Hospital for Women in Randwick has been on code red nearly every day over the past fortnight but the director of newborn care, Kei Lui, said he rarely turned away sick babies".




28 June, 2004

Medicare: The rich pay more for it but get more out of it too, surprisingly.






23 June, 2004

Further to my post about modern drugs being worth the cost, one of my medical correspondents commented: "Most young people just don't remember - almost no one went to public swimming pools in the early 50s because of the polio epidemic; Procedures to burn facial nerves to eliminate pain are no longer needed; drugs are effective; Procedures to block or cut nerves to the chest wall for shingles are no longer done; drugs are effective; Modern drugs to treat blood pressure and psychiatric disease have very few side effects; in contrast, side effects of older drugs often led to discontinuation of drugs; Years ago, patients with severe ulcers had their stomachs removed - bleeding ulcers could be fatal - now, we hardly ever see stomach surgery for ulcers; drugs are effective; Of course, many cancers are "cured" by modern drugs". And fancy those evil drug companies CHARGING for all that! Drugs should be devised for free by workers' collectives, of course. Odd that none are, though.





22 June, 2004

Medicines are worth the price we pay: "Like other products resulting from research and creativity, medicines are really made of knowledge -- a kind of intellectual property capable of preventing and curing diseases as well as relieving the pain of a headache or hip transplant. This knowledge does not come cheap. Discovering, developing, testing, and gaining regulatory approval for new medicines is expensive, time-consuming, and risky."




17 June, 2004

SOME INCONVENIENT HISTORY

Was it conservatives or progressives who were responsible for the Tuskegee experiment? "The Tuskegee syphilis study ranks almost with slavery and lynching as a symbol of America's racist past. There is probably not one black American adult who does not know-or thinks he knows-about an experiment from the 1930s in which government health authorities deliberately withheld treatment from 400 black syphilitics just to see what would happen to them.... Anthropologist Richard Shweder of the University of Chicago has just published a detailed analysis of the Tuskegee study in which he shows that virtually every popular assumption about it is false. (Tuskegee re-examined, January 8, 2004) The study was undertaken by "progressives" who wanted to fight a disease that afflicted many blacks, it had the full support of black medical authorities to the end, and- most important- it probably caused no harm to the 140 men (not 400) who took part.




16 June, 2004

Australia: "A shocking 50 per cent of overseas trained doctors admit they need training in life support and clinical judgment. More than 1761 foreign-trained doctors were working in NSW last year and many of them have never passed the Australian Medical Council Exam to prove they meet Australian standards. The frightening admission has prompted the nation's GP training body to set up a special training program for them. There has been a massive 74 per cent increase in overseas trained doctors working in the state since 2000 as governments try to make up for a shortage of locally trained graduates".




10 June, 2004

Australia: "Almost one-third of patients treated in emergency departments across Australia wait eight hours or more for a hospital bed to become available - a figure that has astonished doctors' advocates".




6 June, 2004

John Kerry opposes medical research: "If Kerry's plan were implemented and America tried to piggyback on Canada's price controls, it would create an unprecedented health care disaster not just in Canada, but in the U.S. as well. American companies spend an average of $800 million to develop a new drug. They must be able to recoup that investment, which is why the price of a drug is so much higher than the simple cost of manufacturing a pill."





25 May, 2004

MEDICAL MADNESS

Bureaucrats from Mars: A female psychologist was punished by officialdom because she entered into a relationship with a convicted armed robber whom she had originally met in jail while she was a counsellor there. Why was that wrong? Because of the "vulnerability" of the armed robber. Let me repeat that: An armed robber was "vulnerable" and had to be "protected" from sex by the authorities! Clearly, it is the authorities who have lost all reality contact and who should be locked up for the safety of the public. And where is the Leftist outcry? The story has been going for ages so there was plenty of time for protest but I have heard of none. And "anything goes" seems to be the Leftist view of anything sexual. Why not in this case? But it is not of course "anything goes" when you are suspected of having some power. Power is the one unforgivable sin for Leftists and must be stamped on -- unless it is in their hands of course. I'll bet the poor woman concerned wishes she did have some power.

And how about the case of the pregnant woman who was told by THREE public hospital doctors that her baby was dead inside her, who refused her request for a scan and who then arranged to have the "remains" scraped out? Fortunately, the woman went and got a scan privately and found that the baby was perfectly OK. So, any disciplinary proceedings against the viciously negligent doctors concerned? No way! All they got was "counselling". See here (scroll down) and also my post of 6th.

More bankrupt socialized medicine: In France: "France offers its citizens the best healthcare in the world, and it isn't only the French who will tell you so. The World Health Organization ranks France at the top of its list. The trouble is, the country cannot afford it. The French public health insurance scheme is heading for a $15.5 billion deficit this year, threatening to bankrupt the system. 'Our health system has gone mad,' Health Minister Philippe Douste-Blazy told a parliamentary commission earlier this month. 'Profound reforms are urgent.'"

End the FDA! "Certainly one thing is clear and that is the FDA is far more harmful to our health than alternative medicine and supplements. It is time that the American people control their own health and medical choices with help from those in the medical field. ... It's time to end the FDA and turn over the power of medical choice to the American people. Since neither the Republicans nor Democrats will end this dangerous agency, the choice of who to vote for is clear."

"Cover the Uninsured Week" "Last week's national 'Cover the Uninsured Week' should have kicked off with a little honesty. The campaign is a coalition of over 100 groups that inundated Americans with advertisements, events, and pleas from former presidents and celebrity spokesmen 'to publicize the problem of allowing nearly 44 million Americans to live without health care coverage, and to highlight proposed solutions.' The first problem the coalition should have addressed is how it is misleading the public."

Can you have true health privacy? "Now some of the groups who previously supported federalizing health care and medical privacy are opposing the federal medical-privacy rule because they don't like how it applies to issues near and dear to them. And the problem with this rule -- as bad as it is now -- would only get worse with national health care, or a single-payer system."

The UK 14-year-old's 'secret' abortion shows that Left-leaning professionals now see Mum and Dad as the problem.

*********************************




24 May, 2004

Australia: "Overseas-trained doctors who have failed primary school level English tests are working in Queensland hospitals. An outraged Liberal Party deputy leader Bruce Flegg told State Parliament this week that there were hundreds of foreign doctors who could speak little better than "broken English"... A secret internal report by Queensland Health's medical adviser for rural health services, Denis Lennox, said a growing number of overseas doctors were being rushed into Queensland public hospitals and private medical centres to cover serious shortages, but their lack of competence was putting patients, employers and the community at risk"




22 May, 2004

Australia: "Dozens of ambulances were left circling the streets yesterday after most of Sydney's hospitals were put on code red. Sixteen of the 24 emergency departments across the city were full and only accepting patients whose conditions were life-threatening. Tony O'Connell, in charge of improving patient flow through hospitals, said 32 ambulances were struggling to offload their patients after the hospitals went on code red from about 3.30pm to 4.45pm. And Mr O'Connell admitted the same problem had occurred the day before".


Child abuse by the courts: "The judgement by a single judge of the Family Court approving sexual reassignment for a 13-year-old warrants review as it appears to be based on a lack of adequate medical evidence. There is a need for the State and Federal Attorneys-General to ensure that the case is assessed by a higher court, and to engage a more balanced selection of medical experts. Alex is 13 and suffers from a mental illness that causes her distress and anxiety and social dislocation. Her father, with whom she was close, died traumatically of a stroke. She has no contact with her mother who is remarried."






12 May, 2004

MEDICAL MAYHEM

Lies, Lies Lies: "Obesity is fast becoming one of the world's leading reasons why people die" See here for the real story.

Hating the life-savers: Perhaps no one is more consistently demonized for doing more good today in the United States than the pharmaceutical companies. The Food and Drug Administration recently approved the new drug Avastin, which shrinks tumors. The medicine helps patients with advanced bowel cancer. Yet in the view of many Americans - not to mention politicians like Kerry - the pharmaceutical companies are the enemy.... Even the Vatican seems to have joined in know-nothing drug industry bashing. The firms demonstrated a "lack of social conscience" by making massive profits on AIDS drugs, charged Rev. Angelo D'Agostino, a Jesuit. But AIDS medicines exist only because of profit-making companies that conduct drug research. In the early 1980s, the disease was a death sentence, taking some 28 million people to their graves. Today, AIDS patients survive and even thrive because private companies have developed scores of medicines.

Drug fanaticism: "Here's a bit of legal information that may interest Rush Limbaugh: Under Florida law, illegally obtaining more than 28 grams of painkillers containing the narcotic oxycodone -- a threshold exceeded by a single 60-pill Percocet prescription -- automatically makes you the worst sort of drug trafficker, even if you never sold a single pill. Even if, like Richard Paey, you were using the drugs to relieve severe chronic pain. Although prosecutors admitted Paey was not a drug trafficker, on April 16 he received a mandatory minimum sentence of 25 years for drug trafficking."

Sowell on socialized medicine: "Britain, which has had government-run medical care for more than half a century, has to import doctors from the Third World, where medical school standards are lower.... Only the patients will find out, the hard way, what declining quality means. I saw a vivid example of what bureaucratic medical care meant back in 1959, when I had a summer job at the headquarters of the U.S. Public Health Service in Washington. Around 5 o'clock one afternoon, a man had a heart attack on the street near our office. He was taken to the nurse's room and asked if he was a federal employee. If he was, he could be sent to the large, modern medical facility there in the Public Health Service headquarters. But he was not a government employee, so an ambulance was summoned from a local hospital. By the time this ambulance made its way through miles of downtown Washington rush-hour traffic, the man was dead. He died waiting for a doctor, in a building full of doctors. That is what bureaucracy means".

***********************************


8 May 2004

SOCIALIZED MEDICINE NOT FOR THE LEFTIST ELITE:

A classic example was pre-Thatcher Britain in the 60s. The British Labour party had nationalized practically all the hospitals leaving only a very small and expensive private sector. And the nationalized hospitals were of course overcrowded and gave inferior service in various ways. Britain's "Red Queen" at the time was Barbara Castle, a minister in Harold Wilson's Labour government. She was famous for saying that it was "obscene" for anybody to "carve their way to a hospital bed with a chequebook": Good propaganda. But what did she do when her son got sick? Being very well-paid as a government minister, she got him admitted to a private hospital, of course, under a false name. When the press got wind of it were any on the Left upset by her actions? Not at all. They understood what she was doing and why. Harold Wilson ended up making the obscene one a Baroness, in fact. Leftist elites WANT one law for the rich and another law for the poor. That is why the British Labour party let a small private medicine sector survive in Britain. They knew that they might need it one day: No grotty public hospitals for them. Public hospitals are only for "the people".





6 May, 2004

Australia: A pregnant Australian mother was told by two public hospital doctors that the baby was dead inside her and she was sent for a curette to remove the "remains". She asked several times for an ultrasound scan to confirm the diagnosis but was refused because: "The obstetrician said she didn't want to place an undue burden on the ultrasound staff". While she was waiting to go into theatre -- a long wait, of course -- she felt that all was not right, checked herself out and went to a private doctor who booked her in immediately for a scan. The scan showed there was nothing wrong with the baby. So a precious life was saved because of Australia's large private medicine sector. In Canada the baby would be dead.


Socialized arrogance: "A huge headline on the front of a recent issue of the New York Times Magazine said more than was intended: 'Now are we ready to talk about health care?' Inside was an article with the same title by Sen. Hillary Clinton. The casual arrogance of that question is staggering. We talked endlessly about Hillary's proposed government-run medical system a decade ago and decided against it for many reasons. Now this rerun of the same issues proceeds as if the question is whether the rest of us are 'ready' to talk about such things."




3 May, 2004

Canada: Canadian healthcare workers are on strike because their government wants to cut their annual leave from 9 weeks to a "measly" eight weeks! The poor darlings!




1 May, 2004

Australia: "Senior health officers tried to disguise the truth from a mother desperate to know if a hospital blunder had put her baby in danger.... It is just one example of how health chiefs blamed for substandard care in Sydney hospitals attempted to "spin" their way out of the crisis. A Daily Telegraph investigation has uncovered at least five cases of patients who received substandard treatment being deliberately misinformed or having relevant facts withheld from them, their families and the public".




29 April, 2004

Australia: "Although he arrived in an ambulance with a note from a doctor recommending "urgent psychiatric attention", Mr Da Pos received no medical treatment and took his own life shortly after leaving the hospital."




22 April, 2004

Socialized medicine again: Patients have to wait so long to see a doctor in Queensland public hospitals that they get aggressive towards any hospital staff that they DO see. So what is the government going to do about it? Hire more doctors? No way! They are going to spend more money on security to keep the patients away from the staff! What would a business do if it had a similar upsurge of customers?




21 April, 2004

Australia: They left a large pair of scissors inside a woman after surgery and only a demand for X-rays by the woman herself finally revealed them. And it was NOT human error. It was a careless system. Careful surgery would count everything in and everything out but who cares about public patients? And the "Health Care Complaints Commission" refused to look into it until the media got involved! But you can always rely on your government to protect you, can't you? That's what all those regulations and all that bureaucracy is for!




13 April, 2004

Australia: "Up to 55 per cent of patients needing admission to emergency departments are being forced to wait more than eight hours for a hospital bed, new figures show." Fortunately, Australia has a large private medical system as well.




9 April, 2004

Australia: Sharon Brophy was just 34 when she died waiting for treatment in Campbelltown Hospital emergency department. The hospital's records say that Ms Brophy arrived at 1pm and was assessed by a triage nurse. However, another patient who arrived at 1pm says that Ms Brophy was already there. The same witness says that some time before 1.30pm Ms Brophy had approached the receptionist and said something like: "I feel really, really sick, can I please see a doctor?" When Ms Brophy was told she would have to wait longer, as emergency patients were being treated, she replied that she was going to be sick and went into the nearby toilet. By Mrs Madden's account, at 2pm a woman with a toddler walked into the waiting room from another part of the hospital and went into the toilet. "She came out and told the receptionist there was a woman collapsed in the toilet. That's when everybody came running out of emergency." Brigitte Ashford ... also heard Ms Brophy approach the receptionist for help. "She said, 'Please I feel really sick, I feel like I'm going to pass out, can I have somewhere to lie down.' She [the receptionist] just said, 'You wait your turn'."




4 April, 2004

Doctors flee Illinois: "In key Illinois counties -- including Madison, which has become infamous as perhaps the most plaintiff-friendly venue in the United States -- doctors, hospitals, and some local elected officials are warning of a medical system collapse. They are taking their warning and a plea for tort reform to the most powerful voters in the state: the elderly, who are also the biggest health care consumers."





31 March, 2004

"Sen. John F. Kerry has started talking about health care for the first time since securing his party's nomination for president. Americans should beware: Kerry's platform represents perhaps the greatest threat to health care and patient sovereignty since the Clinton health plan. Though Kerry claims he would reduce costs and expand access to medical care, his two-pronged health plan would have the opposite effects, for it would bring America several steps closer to a system of socialized medicine, with all the increased costs and rationing of care that follow."




28 March, 2004

Britain: Patient billed $1100 for 5min visit: ""Whether the doctor is there for 10 minutes or 10 hours, that is the standard charge for the management of labour," she said. "Her own doctor would have charged exactly the same fee. It is an item number set by Medicare and there is one set charge for that item regardless of how long it takes.""





25 February, 2004

Nader: One of my medical correspondents writes: "Around 1970, there was a hysterical reaction to "microshock" in hospitals. New electrical equipment made people cautious about leakage currents around central venous catheters, pacemakers, etc.. Under the right circumstances, very small shocks could cause cardiac arrest. The claim that "5000 people die from microshocks" caused a hysteria like never before - this was the typical liberal "zero risk" knee jerk - to prevent "microshock" billions of dollars were spent making every ICU bed like an operating room - isolation transformers, special isolated floors - added about $50, 000 to each bed. Of course, architects and electrical contractors were overjoyed. And Nader was one of the crusaders to "save lives from microshock." One of the staff at our hospital was a recognized expert in electrical safety. He searched for the source of such information and discovered - There was no source - the numbers were "made up" somewhere along the way and people rode with it. Some common sense eventually prevailed. The logical conclusion was that these "microshocks" were unusual, and deaths rare. So a more conventional approach - to use a good grounding system and be careful - was effective. Again, this "zero risk" mentality was typical of Greens - like Nader - who are not concerned at all with costs." So good old Ralph helped make medical care more expensive for everyone. Well done! No wonder the people-hating Greenies like him!





4 February, 2004

"The Soviet Union was, of course, the first country to adopt all-round socialized medical care -- the dream of most of America's modern politicians."




30 January

Britain: Socialized medicine at its best: "Compulsory drug testing for Scottish nurses is being considered by the country's largest nursing union amid fears that staff may be under the influence of illegal substances on hospital wards. Screening of nurses for drugs or alcohol at work is being put to the vote by the Royal College of Nursing Scotland, and a pilot project to gauge the scale of substance abuse may follow. Previous attempts to study the level of the problem in Scotland broke down amid concern that checks could make it harder to recruit nursing staff."




21 January, 2004

Australia: "A baby was treated for the deadly meningococcal disease just days after being diagnosed with a simple case of gastroenteritis in a country hospital. Miss Carman said yesterday that on both occasions when she took the baby to the hospital, she was forced to wait in the emergency area for more than four hours. "It's really frustrating when you know your child is very ill," she said" Would YOU like a 4 hour wait when your baby had a disease that could kill it within hours?




16 January, 2004

The Democrats seem to be back on the socialized medicine trail -- but they don't have to look further than New York to see where it leads. One of my medical correspondents comments: "And most doctors simply don't want to practice in NY State because of this nonsense - so the State subsidizes medical education (I don't know where these doctors end up, but I can tell you that several Anesthesia Residents we fired from our (Backward Southern) institution were immediately hired in NY (Progressive, Enlightened) because they were short on doctors)"




7 January, 2004

Is "free" education and medical care too expensive? This excerpt from a National Review article (not online) by Stephen Moore (titled "Nice goin' Uncle Sam") suggests that it is: "According to Department of Labor consumer-price index (CPI) data, since the creation of Medicare in the mid 1960s the health-care component of the CPI has grown at roughly twice the rate of economy-wide inflation. But in the 15 years prior to Uncle Sam's taking on the role of health insurer, medical inflation grew at about the same rate as inflation in other sectors of the economy. There are only two industries in America today that suffer from rampant inflation: health care and education. In virtually all other sectors of the economy, prices are relatively stable, or even falling. So why do prices in these two industries gallop out of control? In both cases, government plays a domineering role."




3 January, 2004

WHAT HILLARY CLINTON WANTS FOR THE USA:

On socialized medicine in the UK: "Harriet Sergeant's investigation of the NHS, the final part of which we publish today, is as frightening as it is infuriating. It describes a healthcare system in which the most fundamental rules of hygiene and patient care are ignored, the costs of basic supplies run out of control for sheer lack of common sense, and incompetent staff cannot be disciplined"

And another NHS report: "Whether you enjoy attentive nurses, a proper diet and clean wards is simply pot luck. Nor can this arbitrary standard of care be blamed wholly on staff shortages; rather, it is a catastrophic failure of management, combined with substandard training, that has brought about a crisis in the wards."

And the British taxpayer is SO kind to foreigners: "All asylum seekers who have an illness for which they cannot get treatment in their own country, have under Human Rights Legislation, the right to stay in this country and to receive free treatment. So if you are HIV positive, you have an automatic right to asylum in the UK.... Applicants from Eastern Europe and the Third World have recently received two thirds of student visas, and the majority of work permits. Unfortunately TB, Hepatitis B and HIV are all endemic in these parts of the world. They are contagious, life-threatening diseases and are now taking hold in the UK. For example, 95% of all new cases of Hepatitis B in this country come from abroad. Each patient costs the NHS about o10,000 a year. HIV is now a heterosexual disease. Rates of TB in London have doubled over the last 15 years. London is now the TB capital of Europe"

***************************************


Tuesday, December 30, 2003

20 December, 2003

Australia: "A woman was left to give birth alone in a hospital corridor, then told she had no choice but to watch her premature baby die"




15 December, 2003

Australia: "CANCER patient Rodney Plows believes he will die waiting for relief from his chronic back pain. He has been told he faces a delay of up to five years for treatment in Queensland's public hospitals. Mr Plows, 53, was shocked to learn there were 540 people ahead of him on the waiting list for an appointment with an orthopedic surgeon at Brisbane's Princess Alexandra Hospital. The invalid pensioner spends his days mostly housebound as he fights a losing battle to manage the pain".

The latest upload of a chapter from my book looks at ways of having universal health care without socializing medicine. Details here or in chapter 24 here.




14 December, 2003

Australia: "A PATIENT bled to death unnoticed in the intensive-care unit of one of Sydney's largest public hospitals after he was left without proper medical supervision"


How lucky that your government was looking after you: "THE same strain of influenza that hit Australia during the past winter has now taken hold in the US, killing at least 20 children and causing panic among the many who have been unable to obtain vaccinations.... The most common strain of influenza being identified so far is a type-A virus known as H3N2 Fujian flu. It takes its name from the Chinese province where it originated. It is the same strain that caused widespread illness in Australia and New Zealand earlier this year.... The current vaccination available in the United States does not specifically target Fujian flu, but according to the CDC, it does offer some immunity and will reduce the severity of the disease.




29 November, 2003

The good old US taxpayer is funding quack medicine -- so-called "alternative" medicine that has no scientific standing at all -- and some of which is clearly fraudulent. This at a time when real medical advances are held up for years or totally blocked by FDA red-tape. What crazy priorities!





24 November, 2003

MEDICAL MAYHEM

I have said this before myself but when Milton Friedman says it, it is worth repeating: "We are deeply concerned about proposed legislation to remove pharmaceutical companies' ability to control the importation of their products. The goal of this legislation will be to reduce prices in the American market by imposing other nations' price controls on us. If this attempt succeeds, American consumers would get the short-term windfall of lower prices, but they would end up unnecessarily suffering and living shorter lives -- because promising new therapies would be delayed or not even developed. Even the threat of price controls reduces the incentive to develop new drugs."

And more on the same theme: "The problem here is politicians face terrible incentives when regulating the prescription drug market. Many of you will know that politicians have had negative consequences on the rest of the American health care system, and now they've set their eyes on prescription drugs and threaten to screw that up, too."

In Canada even dogs get better health care: "Still lusting after socialized medicine? Consider the story of a man in Canada (a country well-known for socialized medicine) who needed a cat-scan but had to wait several months to see a physician. In his desperation, he booked an appointment for himself at a local veterinary clinic that had the imaging equipment he needed. He registered himself under the name 'Fido' to assure that he would get in."

The poor old Poms! ("Poms" is Australian slang for the English). The only thing their government can think of to improve their dreadful hospital system is to rip more and more money out of the taxpayer to spend on their existing system of socialized medicine -- the infamous "National Health". Yet, just North of England is Scotland -- where their National Health system already gets 20% more funding than the English equivalent. And by practically every criterion, the Scottish system delivers much WORSE results! But that extra funding does buy LOTS of extra bureaucracy! I sometimes think socialists must be pretty close to brain dead. Some part of their brain is not working.


*******************************




23 November, 2003

Is there anything the "do-gooders" won't oppose? "The inventors of a magic-bullet pill which is said to eliminate most heart attacks and strokes have opened negotiations with the Government on producing the treatment, which would be given to everyone over 55. .... The polypill would be a combination of six medicines to be taken once a day which, evidence suggests, would prevent 80 per cent of heart attacks and strokes. ... But the proposal has divided doctors. Some specialists say it could undermine the need for lifestyle changes."




19 November, 2003

New Zealand: Kiwi Pundit has a fabulous example of how the honchos of socialist medicine fix the problem of long waiting lists.




3 November, 2003

Comparing the American and the Canadian health care systems shows that the solution does not lie in more state intervention but, on the contrary, in more business-like medicine." The waiting times in socialized medicine can be shocking. For one modern diagnostic test mentioned, the wait in Canada was 150 days compared to 3 days in the USA. Pity if you had a fast-growing cancer!




27 October, 2003

Reason argues against the "bioethicists" who arrogantly claim to know what medical treatments should be allowed to people: "Who are 'we' to decide how other people should live? If people do not have liberty to make choices about their own bodies, what liberty do they have?"





24 October, 2003

A horror story about bureaucratized medicine in New Zealand. You would not wish it on a dog. By contrast, I need surgery for skin cancer pretty often and I get it within weeks when I ask for it under my private health insurance here in Australia. I encounter no bureaucracy at all. I don't even have a preliminary consultation. I just ring up the plastic surgeon's receptionist, book myself in for a procedure and turn up on the day arranged. I go straight into the plastic surgeon's private operating theatre and he does the job forthwith. No fuss at all and a trivial out of pocket expense. And if it looks an easy job I get my GP to do the slicing. I have to book him only a couple of days in advance and he costs me nothing at all. No bureaucracy with him either. Just one appointment and it's all over. Why anybody would have any other system I do not know.




17 October, 2003

Mike Tremoglie has been really listening to what the advocates of socialized medicine for America say: "It would be a grievous error to believe that the current proponents of a single payer healthcare system are concerned with anything other than ideology. I reached this conclusion after attending the annual National Managed Healthcare Congress conference in Washington D.C. in April 1993...."




28 September, 2003

"American workers are changing lifestyle habits to keep the doctor away in light of increasing health care costs" Odd, that! Socialized medicine offers no such incentives towards prevention.





8 September, 2003

Britain: Patients who have major operations on the [U.K.] National Health Service are four times more likely to die than Americans undergoing such surgery, according to a new study. "Professor Monty Mythen, head of anaesthesia at UCL who led the British side of the research, said: "The main difference seems to be in the quality of post-operative care and who cares.""




13 August, 2003

Someone should ask them why so many Canadians go to the U.S. for their medical treatment: "More than 7,000 doctors, including two former surgeons general, called for universal health insurance for the United States on Tuesday, saying it would not only be more fair, but would be cheaper and more efficient than the current patchwork system"





10 August, 2003

THE LEFTIST ROOTS OF EUGENICS

My post about Hitler's eugenics making him simply a typical Leftist of his times has energized one reader to comment as follows:

"You are right to point out the socialist roots of eugenics. Bertrand Russell was a true believer in the eugenic State and even saw socialised medicine as a key step in imposing State planning over procreation. In a letter to his first wife, feminist Alys Pearsall Smith, about socialism and "the woman question," for example, he writes:

"Thee might observe incidentally that if the state paid for child-bearing it might and ought to require a medical certificate that the parents were such as to give a reasonable result of a healthy child -- this would afford a very good inducement to some sort of care for the race, and gradually as public opinion became educated by the law, it might react on the law and make that more stringent, until one got to some state of things in which there would be a little genuine care for the race, instead of the present haphazard higgledy-piggledy ways."

(Quoted from here)





29 July, 2003

There is a fascinating editorial in USA Today about the present Congressional struggle to pass a prescription drug benefit addition to Medicare. It points out that the last such attempt under the Reagan administration was such a disaster that it had to be repealed.




4 July, 2003

Congress voted for a huge expansion of Medicare that enriches pharmaceutical companies, fleeces taxpayers with billions in new spending, and forces millions of seniors to accept inferior drug coverage. Conservatives might ask themselves whether this is what they had in mind when the party of 'limited government' gained control of the House, Senate, and White House."




14 June, 2003

THOSE SUPERIOR CANADIANS AGAIN

A medical correspondent writes:

In Toronto, this medical student who was exposed to SARS was quarantined for 10 days (idiotic, especially when incubation has been up to 14 days) - so, predictably, on day 11 he goes back to work in the nursery, and on day 12 he comes down with symptoms. A lot of new mothers are really pissed offf because thay can't bond with their quarantined babies.

****************************






24 May, 2003

CHEAP DRUGS FOR THE POOR

In response to my recent note about the attempt in Maine to force drug prices down for the uninsured, one of my readers who is a medical specialist writes:

This drug price control will just result in a shortage of drugs - for "the poor" - NPR had a good discussion of this issue. One way the drug companies can wiggle around this is to restrict their supply; and the insurance companies can apply restrictions on distribution, like requiring pre-approval; when "the poor" realize that they will have to make another trip to the doctor's office to obtain pre-approval, etc.. many will not go back and simply will not get their drugs.

There is no free lunch. Following all the pressure to discount anti-AIDS drugs for Africa's "poor", there has been a great reduction of new such drugs - no surprises here. Likewise - there have been few new drugs for malaria - most of the people who need them the most can't afford them. Of course, "need" is simply not a market force - some people are just out of luck.

*********************************




22 May, 2003

Maine will use Medicaid, the federal health program for the poor, to force drugmakers to lower the costs of prescription drugs for uninsured residents, regardless of their income." So people who pay for their health insurance will have to subsidize the free-riders who do not! That's Lefty justice for you.




15 May, 2003

Britain: A Welsh hospital has apologised to a mother today after doctors mistakenly stitched her three-year-old daughter's tongue to her gum.


"Prices for medical services have been rising faster than prices of other goods and services for as long as anyone can remember. But not all health care prices are rising. Although health care inflation is robust for those services paid by third-party insurance, prices are rising only moderately for services patients buy directly". Funnily enough!




25 April, 2003

AN INSIDER'S COMMENT ON BRITAIN'S "NATIONAL HEALTH"

A British doctor who started out as an idealistic supporter of socialized medicine has been disillusioned:

I assume that most doctors would want to see that patients who had the greatest need and least capacity to help themselves, would be the ones who are most likely to receive help through a State system. Sadly, the experience of my professional lifetime is the opposite. The NHS is largely a system run by the middle class for the benefit of the middle class and with emphasis on the clinical conditions most likely to be suffered by the middle class. Services are poorest, and the doctors least well qualified and equipped, in the areas where the demand is greatest.


*******************************




23 April, 2004

Britain: There's a report on PC Watch that Britain's socialized medicine system plans to have doctors in its hospitals only during the day! Let us hope that they will at least have doctors on call somewhere nearby in the evenings and at night. Maybe not.





19 April, 2003

The Wicked one has a quite amazing post on the bumbling bureaucracy of socialized medicine.




26 March, 2003


SOCIALIZED MEDICINE JUST GOBBLES MONEY

A good quote from Peter Cuthbertson:
"Scotland's spending on healthcare, for example, is the same as the European average, and this goes largely unprotested by the electorate. So clearly many Britons are willing to pay the price - but equally clearly, given the fact that Scotland's health service is worse than England's, paying this price does not bring a better state sector at all."


It is hard to imagine anything worse than the English National Health but there you have it. The English even have to export a lot of their patients across to Europe in order to get them treated. That fact is presumably why the article Peter was responding to claimed that Europe does socialized medicine better than Britain does.

That may still not mean much however. I know an older woman here in Australia who had dental implants (artificial teeth) to form permanent new front teeth in lieu of dentures. Dental services are almost wholly private in Australia so it was simply one of the options she was offered. Whilst on holiday in France, however, she fell and broke one of her implants. She wanted to get it fixed immediately of course and had traveller's insurance which would have paid for it. But she was told: "We don't yet do that sort of work in France". She had to wait until she could get back to Australia to have the work done that the French could not. It would seem to take capitalism to provide the most advanced medical services.

*********************************




6 March, 2004

GREAT MOMENTS IN SOCIALIZED MEDICINE: BRITAIN

One of Britain's biggest hospitals, University Hospital of Wales, had to postpone a heart operation because the surgeon couldn't find a parking space thanks to the "improvements" they made in parking arrangements meant to increase the number of spaces available for patients and visitors.

"By the time I arrived I felt so stressed I was in no state to perform the surgery," says heart surgeon Ulrich Von Oppell who spent an hour finding a parking spot. "I am sorry for the patient but I felt this was the right decision to make."

(Via Jerry Lerman -- from the UK Telegraph of March 4th. under "News in Brief" -- Free registration required)

***********************************




23 February, 2003

Shiny Happy Gulag (from Canada) has some good posts up at the moment -- from quoting Nye Bevan at the French to throwing the Swedish example at Canadian socialized medicine.




22 January, 2003

GOOD OLD CANADIAN SOCIALIZED MEDICINE

Shiny Happy Gulag reports:

Northern Alberta breast cancer patients whose wait to see a cancer specialist has almost doubled should be sent out of province for treatment, says the president of the Alberta Medical Association. Dr. Steven Chambers goes on to say that eight weeks is an unacceptable waiting period to see an oncologist, and these patients should be flown to the US for radiation therapy.

Eight weeks for patients with life-threatening cancers to wait before they can begin treatment. Welcome to the Gulagland state-monopoly health care system.


Note where the doctors would like to send their patients: To that wicked capitalistic USA!

**************************************




8 January, 2003

"CARING" SOCIALIZED MEDICINE IN BRITAIN

"Stop panicking, calm down."

Comment made by the woman who answered a Scottish couple's call for help on the emergency telephone number when they called because their baby stopped breathing and had turned blue, while being placed on hold, ultimately for 10 minutes.

Help finally came after the father ran into the street shouting for help and a neighbor, who happened to be a medical doctor, came over. The neighbor was able to keep the girl breathing until the ambulance arrived 40 minutes later.


Source. Summary by Jerry Lerman

******************************