Study in new medical journal compares health outcomes in Canada and U.S.

[Praxius]

Study in new medical journal compares health outcomes in Canada and U.S.

Health outcomes for patients in Canada are as good as or better than in the United States, even though per capita spending is higher south of the border, suggest Canadian and U.S. researchers who crunched data from 38 studies. The findings were published in the inaugural edition of Open Medicine, a new online medical journal launching Wednesday in the aftermath of a rift last year between some editors and the publisher of the Canadian Medical Association Journal. "In looking at patients in Canada with a specific diagnosis compared to Americans with the same diagnosis, in Canada patients had at least as good an outcome as their American counterparts - and in many situations, a better health outcome," said one of the 17 authors, Dr. P.J. Devereaux, a cardiologist and clinical epidemiologist at McMaster University in Hamilton. "And that is important because in the United States, they're currently spending a little over $7,100 per individual on health care annually, whereas in Canada we're spending a little over $2,900 per individual annually," he said in a telephone interview from Brantford, Ont. The study covered data on patient populations in the United States and Canada from 1955 to 2003. To conduct their meta-analysis, researchers identified almost 5,000 titles and abstracts. Of these, 498 appeared potentially eligible on initial review. Eventually, 38 studies were deemed to be eligible. Researchers began by asking the question: Are there differences in health outcomes (mortality or morbidity) in patients suffering from similar medical conditions treated in Canada versus those treated in the United States? "Overall, Canada did better, and in fact we found a statistically significant five per cent mortality advantage to people with diagnoses in Canada compared to their counterparts in the United States," Devereaux said. Because of the extreme variability in study-to-study results, the researchers suggested caution was appropriate in interpreting this finding. Overall, 14 of the 38 studies showed better outcomes in Canada, while five favoured the U.S. The other 19 studies showed equivalent or mixed results in the two countries. Canada really stood out in one area - lower risk-adjusted death rates for dialysis care. "What it (the study) shows is that despite an enormous investment in money we do not see better health outcomes (in the U.S.)," Devereaux said. "And importantly, where our two systems do diverge is that America has a mixture of private insurance in terms of the funding for health care whereas in Canada we have medicare system for hospital and physician services. The medicare system allows us enormous efficiencies in terms of cost saving relative to private insurance." He said the Canadian health-care system does have issues and needs improvement, "but certainly using medicare funding and not-for-profit delivery is the best way to actually maximize health outcomes and in a cost-effective manner." The public is barraged by people saying Canada's health-care system has problems and the solution is to move toward allowing two-tiered medicine, and for-profit health-care delivery, he said. The researchers "wanted decisions made based on evidence, and not based on beliefs and ideologies," Devereaux added. Few uninsured patients in the U.S., who probably suffer the worst quality care, were included in the studies examined. Some explanations for the results include the fact that American health care has administrative inefficiencies that public funding - without multiple competing insurance companies - eliminates. And because drug prices are controlled, Canada saves on prescription drug costs.

So there's the current answers and reports on this debate, whether Universal Health Care is worse or better then Private.

I still stand by Universal Health Care, due to having it all my life, and this just reinforces that opinion.

[Marilyn Monroe]

[quote=Praxius;369158]

I still stand by Universal Health Care, due to having it all my life, and this just reinforces that opinion.

Wonder if they took into account all the Canadians that come to the US for treatment? I know that works both ways, but I'm thinking cosmetic surgery is cheaper in Canada.

I also believe the US is subsidizing countries with UHC on the drugs. We pay the high costs, so they can get low.

[Praxius]

It probably balances out.... those with the money who want cosmetic surgury here, probably head south, while those with very little income or medical plans, will try and make it to Canada some how to get a lower cost medical treatment....

[Marilyn Monroe]

Quote by: Praxius Study in new medical journal compares health outcomes in Canada and U.S. So there's the current answers and reports on this debate, whether Universal Health Care is worse or better then Private. I still stand by Universal Health Care, due to having it all my life, and this just reinforces that opinion.

One place in the study it says in the US we pay little over $7,000 per person for HC while Canadians spend over $2,000 per person. I'd assume they are including the US premiums for HC, but what about Canada's higher taxes? Was that included in the cost per person? I'd want to see how they arrived at that figure.

Just doesn't seem like American's are flocking to Canada, and they could be, we have close borders.

[Nono]

Notice that the usual privatize-everything members of Volconvo have been silent on this thread? Good piece, Prax.

[Autolykos]

Spare us your condescension, Nono.

A quote from the article:

Because of the extreme variability in study-to-study results, the researchers suggested caution was appropriate in interpreting this finding.

Finally, let me add that the United States does not, in any way, have entirely private medical care. The comparison is between two largely (if not completely) socialist systems.

- Rob

[Nono]

Quote by: Auto The United States does not, in any way, have entirely private medical care. The comparison is between two largely (if not completely) socialist systems.

There are between 40 and 50 million Americans who lack any medical insurance at all (one being my stepsister). Or do you dispute this figure?

That ain't no socialism.