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1 Bob Levin  Wed, Mar 9, 2011 9:10:23am

Can you find the raw numbers for this? And the methodology?

2 Randall Gross  Wed, Mar 9, 2011 9:48:50am

I dug up the study, it was embargoed until today.

socialwork.columbia.edu

3 Eclectic Cyborg  Wed, Mar 9, 2011 11:47:12am

Having come from a country that has universal care (Canada) to the U.S. , I can understand the discrepancy.

I have health insurance, but it’s not very good. It allows me only ten doctors visits per year (hospital visits are not included in this cap). Anything else comes out of pocket. There are a lot of people uninsured and a lot of people underinsured, these people don’t want to see a doctor until it’s absolutely necessary for conditions that are probably far less costly to prevent earlier on.

My manager at work gets no health insurance whatsoever and she’s likely suffering from some kind of stomach disorder but she refuses to see a doctor because she simply can’t afford to and her condition has not caused her enough discomfort to go to the ER yet.

It’s pretty obvious your health care system is broken when people are AFRAID of seeing doctors for preventive care due to financial reasons.

Also the pharmaceutical industry plays a much larger role in the U.S. than Britain or Canada. The usual thing a doctor will do is say “Oh you have condition X, here’s a script for pill Y” and leave it at that.

I saw a doctor awhile back for a mental health issue. I was specifically looking for non medicinal or dietary or behavioral changes I could make to improve my outlook (I am NOT a doctor obviously, but the research I’ve done suggests there are plenty of treatment options for this condition that don’t require medicine), but he just kept bantering on about all these different medications he could try me on, despite my objections. I left that appointment feeling very frustrated.

4 Bob Levin  Wed, Mar 9, 2011 1:21:33pm

re: #2 Thanos

I looked at the study and I sure would like to see other studies that confirm this. It’s possible that is was published for that purpose, to encourage other studies.

I remember having to take a methods class in school, a requirement. I asked the teacher, towards the end—is it possible to actually do a good study?

No, he said, but we play the game to get funding. Honest teacher.

That sentence about shorter hospital stays in the US—treating this as a factor—what’s that about? Hospitals are superbug factories, get people out of there as soon as possible. Still, if the findings are across the board, at all phases of life, why look at hospitals at all?

This has the aroma of a publish or perish move.

5 aagcobb  Wed, Mar 9, 2011 1:28:57pm

What? They have more physician consultations per year in the UK? I thought under socialism you had to justify your existence to your death panel before you were allowed your decennial doctor’s visit!///


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