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America, Australia And The Uk

  1. CanberraOmega Rabbitohs and Whisky Supporter Mar 24, 2013

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    This continues the conversation from http://omegaforums.net/threads/how-the-ukrainians-make-money.4571/page-2#post-53368

    If you are in medicine, have you seen this fascinating article from the New Yorker on turning hospitals into chain restaurants....
    http://www.newyorker.com/reporting/2012/08/13/120813fa_fact_gawande?currentPage=all

    From my perspective, I think our health and medical research is excellent. Our health system provides relatively cheap, high quality health care (approx half what the US spends as a percentage of GDP, while delivering better health outcomes) probably sees the US healthcare system as one we need to avoid at all costs, and hence doesn't look to it for inspiration/innovation.
     
  2. UncleBuck understands the decision making hierarchy Mar 24, 2013

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    I feel our physicians and facilities are unmatched, it's our bureaucracy that is undermining the well-being of my country. Physicians spend more time and $ dealing with political mandates and litigous attorneys and insurance companies than they do with patients. While I have no idea if it is good or will work, Obamacare is at least an attempt to try something else (think Monty Python's"and now for something completely different").
    I am considering leading a coup d'etat.

    Hammurabi said to cut the physicians hand off?
     
  3. CanberraOmega Rabbitohs and Whisky Supporter Mar 24, 2013

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    I think, as with many things, you do have the absolute best....................... in places. So while some can afford the best, others, not so much.
     
  4. dsio Ash @ ΩF Staff Member Mar 24, 2013

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    My sister's doing her final year of med school in the public system here, you wouldn't want anyone you cared about in the care of our public hospitals
     
  5. ulackfocus Mar 24, 2013

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    Windy is a specialist nurse in one of the best hospitals in the US. If I'm ever in need of serious medical attention that's where I want to go.

    As with every other business, some are good while some are not.
     
  6. Wheels Mar 24, 2013

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    I had a friend damage themselves quite badly in Vail. Could not heap more praise on the physicians and nurses there. They were very very good. Very very costly but good.
     
  7. MSNWatch Vintage Omega Aficionado Staff Member Mar 24, 2013

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    I've given this much thought for years and the way I see it there are 2 basic problems with the US Healthcare system:

    1. Increased consumption is rewarded financially rather than better outcomes. There are studies that show that similar outcomes can be achieved by much lower costs (up to 50% less) - these studies were done within the US and in some cases in the same hospital comparing different physicians.

    2. The poorer health of the uninsured in the US pulls down the overall outcomes results for the whole country. If you exclude the uninsured from outcomes analysis, the US actually does much better - still not at the very top but average to above average among developed nations. But the costs are still higher - see problem #1.

    I'm an outlier here in the US and actually think obamacare doesn't go far enough (still think it is better to have it though than not have it) - I think the US should have a single payer healthcare system where everyone has healthcare. And to those who say this is socialist and impinges on individual freedoms, I say what freedoms can you exercise if you don't have your health? I strongly believe that healthcare is a right and not a privilege.
     
  8. CanberraOmega Rabbitohs and Whisky Supporter Mar 24, 2013

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    I read your 2nd point and was starting to get worked up, but then I calmed down when I read your final paragraph! That is effectively what we've got in Australia. Universal insurance coverage, with GPs and specialists being small businesses (like in the US - not a fully public system like the NHS in the UK). Have a read of the New Yorker article, I think you'll appreciate it.
     
  9. kendrick Mar 24, 2013

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    I agree with you on both counts.. your first point is quite well documented. All you have to do to confirm this, is look at the abundance of high tech equipment most hospitals have, relative to other first world countries. They don't pay for themselves.

    I am a huge supporter of Obamacare, (not to be confused with the method used to bring it about which is largely responsible for democrats losing the majority in the house). As a fervent capitalist and banker, you would be hard pressed to get me to say people are entitled to anything, with the exception of a temporary safety net and Health care. Anyone who has worked in community health care can attest to the benefits of preemptive care.

    My old roommate often volunteered at community programs and told me one example about a single mother who had to choose between her 30-50? dollar fee for her diabetic medication and keeping the lights on. She ended up in the ER regularly, (frequent flier), costing taxpayers thousands of dollars. Treating this woman before she ended up in the ER is a no-brainier, and just one example.

    I agree that Obama care doesn't go far enough for the simple reason that it fails to begin to tackle the cost of healthcare. Obama care at least brings us to that conversation... something law makers have been able to do since the Reagan Administration.
     
  10. ulackfocus Mar 24, 2013

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    Socialism has some good points on paper. Actually, any system of government has at least a few good aspects, and they all have their drawbacks. The basic idea of Communism would work extremely well if it didn't breed sloth and apathy.
     
  11. CanberraOmega Rabbitohs and Whisky Supporter Mar 24, 2013

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    Because the public sector is so big here, it has the best and worst. All of the most complex and difficult cases are in the public sector here. Transplants, etc. ALL emergency is public here. So at that crisis point, your healthcare isn't determined by your income. Most private hospitals here do fairly mundane, routine (read: profitable) proceedures.
     
  12. MSNWatch Vintage Omega Aficionado Staff Member Mar 25, 2013

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    The sicker a patient gets, the fewer the medical options are and when someone is really sick many of the treatments done are run with the guidance of closely formulated protocols (and in well designed systems, these protocols make it easier to do the right thing and more difficult to do the wrong thing). So in these situations you don't necessarily need the most brilliant physicians and health care personnel - rather you need competent people who will follow guidelines closely and if the right systems are in place the outcomes should still be good.
     
  13. LouS Mrs Nataf's Other Son Staff Member Mar 25, 2013

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    Just thought I'd point out that the original thought that gave rise to my observations in the parent thread for this one were not about medicine - it was just an example that I happen to be familiar with - but about the downside of historical consciousness, made in response to the usual canards and urban myths about American provincialism and ignorance. In brief, such consciousness has the potential to be an constraint when applied for the wrong reasons or out of context - for which read, in another continent and in other social, political and economic circumstances.
     
  14. ulackfocus Mar 25, 2013

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    Come on Lou - you know how easy it is to get us sidetracked. This is actually the closest-to-subject thread hijack we've had in a long time. As a matter of fact, the line is so blurry I bet most wouldn't even call it a hijack!
     
  15. LouS Mrs Nataf's Other Son Staff Member Mar 25, 2013

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    Oh I know, just thought I'd recall the original topic - I have to admit, I find all that nonsense about ignorant, isolated americans trying, as if sophistication and education penetrates any deeper in other cultures. For our Ozzie brothers (for whom I reiterate much respect and affection - not interested in Ozzie bashing), ask yer typical bogan (I learned a bit of the language when I was over there) about the Magna Carta and the Bill of Rights and see how insightful an answer you get.

    As for healthcare I don't even want to get started - the recent Obama revisions were a huge squandered opportunity. I don't think you're in such a minority, Mike. The changes have played right into the hands of the insurance companies, the real gaping maw of avarice in american healthcare. I would LOVE to be in a business for which the federal government legislated that every person in the US had to buy one of my product - yearly - and then exerted only token control on what I could charge for it and virtually no control over the characteristics and qualities of the product itself.
     
  16. MMMD unaffiliated curmudgeonly absurdist & polyologist Mar 25, 2013

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    Hey look!

    [​IMG]

    Awwwww...

    Agree with what LouS said, BTW.
     
  17. cicindela Steve @ ΩF Staff Member Mar 25, 2013

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    Yeap, I have to agree, Australia has some of the cutest animals

    wombat.jpg
     
  18. LouS Mrs Nataf's Other Son Staff Member Mar 25, 2013

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    My vote to the Kookaburra. I've got a pic somewhere around here....
     
  19. UncleBuck understands the decision making hierarchy Mar 25, 2013

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    New thread? Show us your albino ! (Leucistic in the case of hummingbirds)

    Dennis, no Edgar Winter shots, please.


    hummers-001.JPG
     
  20. Mothra Mar 25, 2013

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    that is just plain wrong. I had a friend who got the opportunity to hug a koala and she told me they are actually violent little thugs when not drugged up to the eyeballs on eucalyptus, so her photo opportunity was slightly less enjoyable thanks to the oozing missing chunk of ear from its most recent fight with its friends - does this sound right???