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	<title>Comments on: A Bug or a Feature?</title>
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	<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html</link>
	<description>Dispatches from a Small Business</description>
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		<title>By: Chris</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22985</link>
		<dc:creator>Chris</dc:creator>
		<pubDate>Mon, 07 Sep 2009 18:47:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22985</guid>
		<description>Isn&#039;t education the poster child for this argument?

Education &#039;advocates&#039; are always complaining that we don&#039;t spend enough on education and that there are many countries that spend more than us.

It even parallels that fact that we spend a ton without getting obviously better outcomes.  What will the left do with that fact?</description>
		<content:encoded><![CDATA[<p>Isn&#8217;t education the poster child for this argument?</p>
<p>Education &#8216;advocates&#8217; are always complaining that we don&#8217;t spend enough on education and that there are many countries that spend more than us.</p>
<p>It even parallels that fact that we spend a ton without getting obviously better outcomes.  What will the left do with that fact?</p>
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		<title>By: Michael</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22941</link>
		<dc:creator>Michael</dc:creator>
		<pubDate>Sat, 05 Sep 2009 04:37:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22941</guid>
		<description>Jay, do you mean we should just start taking people to the vet? :) 

An area of the cost to life expectancy debate I haven&#039;t come across is how illegals effect the ratio. While the US medical community is required to provide treatment for illegals, there is the possibility that because of their status they are wary of getting medical help until a disease has progressed to a more advanced stage. This could both bring the costs up, and life expectancy down. 

I&#039;m not saying we should stop treating illegals, just that other countries don&#039;t have this issue or don&#039;t include illegals in their health care demographics.</description>
		<content:encoded><![CDATA[<p>Jay, do you mean we should just start taking people to the vet? <img src='http://www.coyoteblog.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' />  </p>
<p>An area of the cost to life expectancy debate I haven&#8217;t come across is how illegals effect the ratio. While the US medical community is required to provide treatment for illegals, there is the possibility that because of their status they are wary of getting medical help until a disease has progressed to a more advanced stage. This could both bring the costs up, and life expectancy down. </p>
<p>I&#8217;m not saying we should stop treating illegals, just that other countries don&#8217;t have this issue or don&#8217;t include illegals in their health care demographics.</p>
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		<title>By: jay</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22937</link>
		<dc:creator>jay</dc:creator>
		<pubDate>Sat, 05 Sep 2009 00:49:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22937</guid>
		<description>There&#039;s something else too.

My old dog was on thyroid pills. We ran low and found out we could get the same pill in a pharmacy... except it cost several times as much. There are many services for animals: X-rays, MRI, etc. that are exacly like the human procedures except they cost FAR less. Not technology, not equipment, not support staff... the difference is liability and regulations.

If you really want to cut medical costs, you might start right there.</description>
		<content:encoded><![CDATA[<p>There&#8217;s something else too.</p>
<p>My old dog was on thyroid pills. We ran low and found out we could get the same pill in a pharmacy&#8230; except it cost several times as much. There are many services for animals: X-rays, MRI, etc. that are exacly like the human procedures except they cost FAR less. Not technology, not equipment, not support staff&#8230; the difference is liability and regulations.</p>
<p>If you really want to cut medical costs, you might start right there.</p>
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		<title>By: ilovebenefits</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22936</link>
		<dc:creator>ilovebenefits</dc:creator>
		<pubDate>Sat, 05 Sep 2009 00:13:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22936</guid>
		<description>Interesting post. I wonder what other commodities exhibit the same distribution. I think one of the other unexplored elements is the rate of increase in health care expenditures. 

I suspect that you might see the same relationship with housing. We likely spend more per capita and have better, bigger housing. We kept spending more and more on housing. Then the bubble burst and now housing prices have fallen in many communities. 

The question is would the same fate befall health care. At some point it will, when the government, employers and people can no longer afford the bill. 

The problem is that the government is trying to solve the cost problem with a public plan that will impose price controls. That will undoubtedly distort the market in ways that will adversely affect research, medical breakthroughs and the quality of the human resources that will choose to go into the field. 

To follow the debate and health care delivery issues go to www.ilovebenefits.wordpress.com</description>
		<content:encoded><![CDATA[<p>Interesting post. I wonder what other commodities exhibit the same distribution. I think one of the other unexplored elements is the rate of increase in health care expenditures. </p>
<p>I suspect that you might see the same relationship with housing. We likely spend more per capita and have better, bigger housing. We kept spending more and more on housing. Then the bubble burst and now housing prices have fallen in many communities. </p>
<p>The question is would the same fate befall health care. At some point it will, when the government, employers and people can no longer afford the bill. </p>
<p>The problem is that the government is trying to solve the cost problem with a public plan that will impose price controls. That will undoubtedly distort the market in ways that will adversely affect research, medical breakthroughs and the quality of the human resources that will choose to go into the field. </p>
<p>To follow the debate and health care delivery issues go to <a href="http://www.ilovebenefits.wordpress.com" rel="nofollow">http://www.ilovebenefits.wordpress.com</a></p>
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		<title>By: Methinks</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22922</link>
		<dc:creator>Methinks</dc:creator>
		<pubDate>Fri, 04 Sep 2009 19:21:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22922</guid>
		<description>&quot;I mean it would show that poor people canâ€™t afford health-care, because the statistics show that they spent lessâ€¦&quot;

Unless the excess amount spent by the rich is spent on bouncy new silicone boobs, chiseled noses and that distinctly embalmed pulled alien looked inexplicably favoured by wealthy ladies.</description>
		<content:encoded><![CDATA[<p>&#8220;I mean it would show that poor people canâ€™t afford health-care, because the statistics show that they spent lessâ€¦&#8221;</p>
<p>Unless the excess amount spent by the rich is spent on bouncy new silicone boobs, chiseled noses and that distinctly embalmed pulled alien looked inexplicably favoured by wealthy ladies.</p>
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		<title>By: Jim</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22921</link>
		<dc:creator>Jim</dc:creator>
		<pubDate>Fri, 04 Sep 2009 19:04:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22921</guid>
		<description>How would this chart look if it were changed to percentage of per capita income spent on health care?</description>
		<content:encoded><![CDATA[<p>How would this chart look if it were changed to percentage of per capita income spent on health care?</p>
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		<title>By: Greg</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22912</link>
		<dc:creator>Greg</dc:creator>
		<pubDate>Fri, 04 Sep 2009 15:57:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22912</guid>
		<description>I really appreciated the analysis on Nolte&#039;s (2008) amenable mortality article. I&#039;m still developing a critical eye for statistical methodologies, and you&#039;re an excellent model for that. But why have you chosen to adopt only one measurement for health, life expectancy, as your main metric for comparing the quality of health care systems? Perhaps you&#039;re just responding to the fact that liberals point to the same measurement, life expectancy, without adjusting for other factors. But it should be remembered that connecting the health of a population with its health system is extraordinarily difficult and cannot be done with one measure.</description>
		<content:encoded><![CDATA[<p>I really appreciated the analysis on Nolte&#8217;s (2008) amenable mortality article. I&#8217;m still developing a critical eye for statistical methodologies, and you&#8217;re an excellent model for that. But why have you chosen to adopt only one measurement for health, life expectancy, as your main metric for comparing the quality of health care systems? Perhaps you&#8217;re just responding to the fact that liberals point to the same measurement, life expectancy, without adjusting for other factors. But it should be remembered that connecting the health of a population with its health system is extraordinarily difficult and cannot be done with one measure.</p>
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		<title>By: Max</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22908</link>
		<dc:creator>Max</dc:creator>
		<pubDate>Fri, 04 Sep 2009 14:03:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22908</guid>
		<description>Hmm, I think the left would have a point, if they could prove that this level of health-care spending is mostly from the rich. I mean it would show that poor people can&#039;t afford health-care, because the statistics show that they spent less...

But as it is always with 1-parameter statistics, they don&#039;t show the real picture...</description>
		<content:encoded><![CDATA[<p>Hmm, I think the left would have a point, if they could prove that this level of health-care spending is mostly from the rich. I mean it would show that poor people can&#8217;t afford health-care, because the statistics show that they spent less&#8230;</p>
<p>But as it is always with 1-parameter statistics, they don&#8217;t show the real picture&#8230;</p>
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		<title>By: DrTorch</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22904</link>
		<dc:creator>DrTorch</dc:creator>
		<pubDate>Fri, 04 Sep 2009 12:27:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22904</guid>
		<description>Yeah, but logic fails to work w/ these people.  In fact it seems to be failing w/ the majority of people.

That being said, logic dictates the need for a different tack to demonstrate truth to the populace.</description>
		<content:encoded><![CDATA[<p>Yeah, but logic fails to work w/ these people.  In fact it seems to be failing w/ the majority of people.</p>
<p>That being said, logic dictates the need for a different tack to demonstrate truth to the populace.</p>
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		<title>By: Methinks</title>
		<link>http://www.coyoteblog.com/coyote_blog/2009/09/health-care-spending-bug-or-a-feature.html/comment-page-1#comment-22892</link>
		<dc:creator>Methinks</dc:creator>
		<pubDate>Fri, 04 Sep 2009 00:34:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.coyoteblog.com/?p=8933#comment-22892</guid>
		<description>Nobrainer,

That&#039;s a good point.  However, given that European countries are being forced to move toward privatization of health care, one-size-fits-all is not even working at the country level for small countries with homogeneous populations!</description>
		<content:encoded><![CDATA[<p>Nobrainer,</p>
<p>That&#8217;s a good point.  However, given that European countries are being forced to move toward privatization of health care, one-size-fits-all is not even working at the country level for small countries with homogeneous populations!</p>
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