http://www.chicagotribune.com/news/colu ... 314.column
What is best in our approach is the exceptional quality it provides. Americans grasp that: A 2006 poll found that 89 percent were happy with the medical care they get. But President Barack Obama and his allies in Congress don't seem to realize how good we have it.
He says though the United States spends more per person on medical care than any other nation, "the quality of our care is often lower, and we aren't any healthier. In fact, citizens in some countries that spend substantially less than we do are actually living longer than we do."
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It's true that the United States spends more on health care than anyone else, and it's true that we rank below a lot of other advanced countries in life expectancy. The juxtaposition of the two facts, however, doesn't prove we are wasting our money or doing the wrong things.
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One big reason our life expectancy lags is that Americans have an unusual tendency to perish in homicides or accidents. We are 12 times more likely than the Japanese to be murdered and nearly twice as likely to be killed in auto wrecks.
In their 2006 book, "The Business of Health," economists Robert L. Ohsfeldt and John E. Schneider set out to determine where the U.S. would rank in life span among developed nations if homicides and accidents are factored out. Their answer? First place.
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The U.S. also excelled on other measures, such as surviving heart attacks for more than a year. Why? Because our doctors and patients don't take no for an answer. The researchers attribute the results to "wider screening and more aggressive treatment." Another factor is that we get quicker access to new cancer drugs than anyone else.
Critics say all those great medicines and therapies are cold comfort to Americans who lack insurance -- which by any standard is our greatest shortcoming. People without coverage are more likely to do without needed treatment or preventive care and more likely to die from disease or accidents.
But they have it better than you might think. Some 62 percent of uninsured Americans are satisfied with their medical care. That is probably because they get a lot of uncompensated treatment from the most advanced, ambitious and capable medical system in the world.
In Britain, by contrast, having guaranteed access to care doesn't mean you'll actually get it. Twenty percent of British cancer patients who might be cured become incurable while awaiting the treatment they need.






