From the Globle and Mail

The heart and soul of Newfoundland politics is in for repair – and it’s not in his home province or even in Canada, for that matter.

Newfoundland Premier Danny Williams is scheduled for heart surgery in the United States, a move that throws into question his province’s and his nation’s health-care system.

A source confirmed to The Globe and Mail late yesterday that Mr. Williams has left St. John’s for an undisclosed destination in the U.S. to have heart surgery later in the week.

The 59-year-old Conservative left yesterday morning, spokesperson Elizabeth Matthews said, without disclosing his location. While some of his critics were tight-lipped last night, the online public questioned his exodus – why the care he needed was not available in Canada, or whether he preferred treatment in the U.S.

His departure for a U.S. hospital is being met with both sympathy and anger as few details have emerged.

The severity of Mr. Williams’ condition is not publicly known, however he was reportedly not overly concerned about his health, as he told close friends his greatest regret was the possibility of missing his Tuesday night hockey outings.

The remaining details are expected to be revealed at a news conference today by Deputy Premier Kathy Dunderdale.

At risk is the already tarnished image of the province’s health-care system, which has suffered in recent years.

In October 2008, Mr. Williams apologized for a string of breast cancer test mix-ups. And though he demoted health minister Ross Wiseman last July, he also defended his record, saying there was no other member of his government he’d have rather had lead the portfolio at the time.

The current Minister of Health and Community Services, Jerome Kennedy, declined an interview request last night.

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On Monday, October 19, Senator Jon Kyl of Arizona shared with his colleagues in the Senate what he has been hearing from his constituents on Health Care Reform. Senator Kyl gave a 20-minute presentation in which he aptly articulated the concerns most Americans are expressing about the Health Care Reform bill.  Although it is a bit long, this is a “must-see” speech for everyone who cares about the future of health care in America.

From the Wall Street Journal

The major provisions of ObamaCare already have been tried. They’ve led to increased costs and reduced access to care.

By Peter Suderman – Supreme Court Justice Louis Brandeis famously envisioned the states serving as laboratories, trying “novel social and economic experiments without risk to the rest of the country.” And on health care, that’s just what they’ve done.

Like participants in a national science fair, state governments have tested variants on most of the major components of the health-care reform plans currently being considered in Congress. The results have been dramatically increased premiums in the individual market, spiraling public health-care costs, and reduced access to care. In other words: The reforms have failed.

New York is exhibit A. In 1993, the state prohibited insurers from declining to cover individuals with pre-existing health conditions (”guaranteed issue”). New York also required insurers to charge those enrolled in their plans the same premium, regardless of health status, age or sex (”community rating”). The goal was to reduce the number of uninsured by making health insurance more accessible, particularly to those who don’t have employer-provided insurance.

It hasn’t worked out very well, according to a Manhattan Institute study released last month by Stephen T. Parente, a professor of finance at the University of Minnesota and Tarren Bragdon, CEO of the Maine Heritage Policy Center. In 1994, there were just under 752,000 individuals enrolled in individual insurance plans, or about 4.7% of the nonelderly population. This put New York roughly in line with the rest of the U.S. Today, that percentage has dropped to just 0.2% of the state’s nonelderly. In contrast, between 1994 and 2007, the total number of people insured in the individual market across the U.S. rose to 5.5% from 4.5%.

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A prominent article in the Washington Post earlier this week suggests that the US medical system is loosing ground when compared to those of other countries with nationalized health care systems.  The article cites a study by the Commonwealth Fund which ranks the US dead-last in terms of preventable deaths.

But a recent article from the New York Times says we must look past the health care system to understand the apparent longevity gap.  A prominent researcher by the name of Samuel H. Preston has taken a closer look at the data and has found no evidence that America’s health care system is to blame.  Instead, his research shows the gap can be explained by lifestyle factors, such as obesity and smoking.

Proponents of ObamaCare are attempting to use the Commonwealth Fund study to justify a government takeover of our health care system.  But the reality is that this study is based upon faulty assumptions with lead people to the wrong conclusions.  The truth of he matter is that the US health care system is as good or better than that of other nations.

Posted from the National Center for Policy Analysis

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 alike are beating the drum for a far larger government rôle in health care.  Much of the public assumes their arguments are sound because the calls for change are so ubiquitous and the topic so complex.  However, before turning to government as the solution, some unheralded facts about America’s health care system should be considered.

Fact No. 1:  Americans have better survival rates than Europeans for common cancers.[1]  Breast cancer mortality is 52 percent higher in Germany than in the United States, and 88 percent higher in the United Kingdom.  Prostate cancer mortality is 604 percent higher in the U.K. and 457 percent higher in Norway.  The mortality rate for colorectal cancer among British men and women is about 40 percent higher.

Fact No. 2:  Americans have lower cancer mortality rates than Canadians.[2]  Breast cancer mortality is 9 percent higher, prostate cancer is 184 percent higher and colon cancer mortality among men is about 10 percent higher than in the United States.

Fact No. 3:  Americans have better access to treatment for chronic diseases than patients in other developed countries.[3]  Some 56 percent of Americans who could benefit are taking statins, which reduce cholesterol and protect against heart disease.  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. 

 Fact No. 4:  Americans have better access to preventive cancer screening than Canadians.[4]  Take the proportion of the appropriate-age population groups who have received recommended tests for breast, cervical, prostate and colon cancer:

• Nine of 10 middle-aged American women (89 percent) have had a mammogram, compared to less than three-fourths of Canadians (72 percent).
• Nearly all American women (96 percent) have had a pap smear, compared to less than 90 percent of Canadians.
• More than half of American men (54 percent) have had a PSA test, compared to less than 1 in 6 Canadians (16 percent).
• Nearly one-third of Americans (30 percent) have had a colonoscopy, compared with less than 1 in 20 Canadians (5 percent).

Fact No. 5:  Lower income Americans are in better health than comparable Canadians.  Twice as many American seniors with below-median incomes self-report “excellent” health compared to Canadian seniors (11.7 percent versus 5.8 percent).  Conversely, white Canadian young adults with below-median incomes are 20 percent more likely than lower income Americans to describe their health as “fair or poor.”[5]

Fact No. 6:  Americans spend less time waiting for care than patients in Canada and the U.K.  Canadian and British patients wait about twice as long – sometimes more than a year – to see a specialist, to have elective surgery like hip replacements or to get radiation treatment for cancer.[6]  All told, 827,429 people are waiting for some type of procedure in Canada.[7]  In England, nearly 1.8 million people are waiting for a hospital admission or outpatient treatment.[8]

Fact No. 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.”[9]

Fact No. 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 to only 41.5 percent of Canadians; a lower proportion of Americans are dissatisfied (6.8 percent) than Canadians (8.5 percent).[10]

Fact No. 9:  Americans have much better access to important new technologies like medical imaging than patients in Canada or the U.K.  Maligned as a waste by economists and policymakers naïve to actual medical practice, an overwhelming majority of leading American physicians identified computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade.[11]  [See the table.]  The United States has 34 CT scanners per million Americans, compared to 12 in Canada and eight in Britain.  The United States has nearly 27 MRI machines per million compared to about 6 per million in Canada and Britain.[12] 

Fact No. 10:  Americans are responsible for the vast majority of all health care innovations.[13]  The top five U.S. hospitals conduct more clinical trials than all the hospitals in any other single developed country.[14]  Since the mid-1970s, the Nobel Prize in medicine or physiology has gone to American residents more often than recipients from all other countries combined.[15]  In only five of the past 34 years did a scientist living in America not win or share in the prize.   Most important recent medical innovations were developed in the United States.[16]  [See the table.]

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

Scott W. Atlas, M.D., is a senior fellow at the Hoover Institution and a professor at the Stanford University Medical Center.  A version of this article appeared previously in the February 18, 2009, Washington Times.