Lottery Post Journal

Hoover article: Politicians are lying to you about our health care system; USA has best in the world

Here's a Second Opinion

By Scott W. Atlas

Ten reasons why America's health care system is in better condition than you might suppose.

Medical care in the United States is derided as miserable compared to health care systems in the rest of the developed world. Economists, government officials, insurers, and academics beat the drum for a far larger government role in health care. Much of the public assumes that their arguments are sound because the calls for change are so ubiquitous and the topic so complex. Before we turn to government as the solution, however, we should consider some unheralded facts about America's health care system.

1. Americans have better survival rates than Europeans for common cancers. Breast cancer mortality [death] is 52 percent higher in Germany than in the United States and 88 percent higher in the United Kingdom. Prostate cancer mortality [death] is 604 percent higher in the United Kingdom and 457 percent higher in Norway. The mortality rate for colorectal cancer among British men and women is about 40 percent higher.

2. Americans have lower cancer mortality rates than Canadians. Breast cancer mortality [death] in Canada is 9 percent higher than in the United States, prostate cancer is 184 percent higher, and colon cancer among men is about 10 percent higher.

3. Americans have better access to treatment for chronic diseases than patients in other developed countries. Some 56 percent of Americans who could benefit from statin drugs, which reduce cholesterol and protect against heart disease, are taking them. By comparison, of those patients who could benefit from these drugs, only 36 percent of the Dutch, 29 percent of the Swiss, 26 percent of Germans, 23 percent of Britons, and 17 percent of Italians receive them.

4. Americans have better access to preventive cancer screening than Canadians. Take the proportion of the appropriate-age population groups who have received recommended tests for breast, cervical, prostate, and colon cancer:

  • Nine out of ten middle-aged American women (89 percent) have had a mammogram, compared to fewer than three-fourths of Canadians (72 percent).
  • Nearly all American women (96 percent) have had a Pap smear, compared to fewer than 90 percent of Canadians.
  • More than half of American men (54 percent) have had a prostatespecific antigen (PSA) test, compared to fewer than one in six Canadians (16 percent).
  • Nearly one-third of Americans (30 percent) have had a colonoscopy, compared with fewer than one in twenty Canadians (5 percent).

5. Lower-income Americans are in better health than comparable Canadians. Twice as many American seniors with below-median incomes self-report "excellent" health (11.7 percent) compared to Canadian seniors (5.8 percent). Conversely, white, young Canadian adults with below-median incomes are 20 percent more likely than lower-income Americans to describe their health as "fair or poor."

6. Americans spend less time waiting for care than patients in Canada and the United Kingdom. Canadian and British patients wait about twice as long—sometimes more than a year—to see a specialist, have elective surgery such as hip replacements, or get radiation treatment for cancer. All told, 827,429 people are waiting for some type of procedure in Canada. In Britain, nearly 1.8 million people are waiting for a hospital admission or outpatient treatment.

7. People in countries with more government control of health care are highly dissatisfied and believe reform is needed. More than 70 percent of German, Canadian, Australian, New Zealand, and British adults say their health system needs either "fundamental change" or "complete rebuilding."

8. Americans are more satisfied with the care they receive than Canadians. When asked about their own health care instead of the "health care system," more than half of Americans (51.3 percent) are very satisfied with their health care services, compared with only 41.5 percent of Canadians; a lower proportion of Americans are dissatisfied (6.8 percent) than Canadians (8.5 percent).

9. Americans have better access to important new technologies such as medical imaging than do patients in Canada or Britain. An overwhelming majority of leading American physicians identify computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade—even as economists and policy makers unfamiliar with actual medical practice decry these techniques as wasteful. The United States has thirty-four CT scanners per million Americans, compared to twelve in Canada and eight in Britain. The United States has almost twenty-seven MRI machines per million people compared to about six per million in Canada and Britain.

10. Americans are responsible for the vast majority of all health care innovations. The top five U.S. hospitals conduct more clinical trials than all the hospitals in any other developed country. Since the mid- 1970s, the Nobel Prize in medicine or physiology has gone to U.S. residents more often than recipients from all other countries combined. In only five of the past thirty-four years did a scientist living in the United States not win or share in the prize. Most important recent medical innovations were developed in the United States.

Despite serious challenges, such as escalating costs and care for the uninsured, the U.S. health care system compares favorably to those in other developed countries.


  • It's an affordability problem. There are easy remedies for that but they won't be implemented. It's all about total control of every breathing moment of our lives. Just like in their instruction manual, '1984'.

    Screw 'em. They can kill me before I live like that. Life is precious but not THAT precious.

    By Rick G, at 1:46 PM

  • Right on Rick! There are a number of excellent proposals in Congress right now for fixing all the current major problems with health care. The problem is that they were authored by Republicans, so the Democrat leadership will not even consider bringing them up for a vote -- or even to be *debated* on the House and Senate floors!

    One awesome proposal calls for the elimination of the limit on selling health insurance across state lines, and the creation of small business insurance buying groups. Those two things alone will solve most of the major problems, because they will make the cost of purchasing insurance lower in both cases. The ability for multiple small businesses to band together to be able to buy insurance at the same rates as big businesses is absolutely fantastic!

    It says a lot that they won't even allow it to be discussed. That's what a total grip on power by one party gives you! It does not give Democrats a utopia -- it gives *everyone* a lack of choices!

    By Todd, at 2:07 PM

  • The republicans need to do the same on the next go round just as the radical dems are doing now. GW and the repubs. were way too nice towards the end.

    By jarasan, at 2:35 PM

  • Get the insurance companies AND tort lawyers out of bed with the government, enact some sensible legislation to lower malpractice rates, stop frivolous malpractice suits and costs can be brought back back down. Many don't realize really good physicians have been forced out of practice due to staggering malpractice rates even for those who've had no claims filed against them.

    By konane, at 9:44 PM

  • @konane: Very true, the high cost of health care is heavily tied to lawsuits. It's going to be tricky to write a law that curtails frivolous lawsuits, because at the end of the day someone has to decide what is "frivolous", but it needs to be done.

    By Todd, at 7:30 AM

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