Re: Important PBS series in March

From: DuBose, Terry (DuboseTerryJ@uams.edu)
Tue Jan 29 08:26:47 2008


I could not find the specific clinic/hospital that Roger Moore and his folks went to in Cuba, but I did find this bit in the NY Times. Apparently it wasn't so much which hospital they went to, but the difference in the societies. We in the USA are just too sedentary in our life-styles, among other things.

http://www.nytimes.com/2007/05/27/weekinreview/27depalma.html?_r=1&oref=slogi n

""There's a reason Cubans live on average longer than we do," he told Time magazine. "I'm not trumpeting Castro or his regime. I just want to say to fellow Americans, 'C'mon, we're the United States. If they can do this, we can do it.' "

But hold on. Do they do it? Live longer than, or even as long as, we do? How could a poor developing country - where annual health care spending averages just $230 a person compared with $6,096 in the United States - come anywhere near matching the richest country in the world?

Statistics from the World Health Organization <http://topics.nytimes.com/top/reference/timestopics/organizations/w/world_he alth_organization/index.html?inline=nyt-org> , the C.I.A. <http://topics.nytimes.com/top/reference/timestopics/organizations/c/central_ intelligence_agency/index.html?inline=nyt-org> and other sources all show that the people of Cuba and the United States have about the same life expectancy - 77 years, give or take a few months - while infant mortality in Cuba is significantly lower than in the United States.

Of course, many people regard any figures about Cuba as at least partly fiction. But even if the longevity statistics are correct, they are open to interpretation. Carmelo Mesa-Lago, a professor emeritus of economics at the University of Pittsburgh <http://topics.nytimes.com/top/reference/timestopics/organizations/u/universi ty_of_pittsburgh/index.html?inline=nyt-org> , said statistics also show that Cuba has a high rate of abortion <http://topics.nytimes.com/top/reference/timestopics/subjects/a/abortion/inde x.html?inline=nyt-classifier> , which can lower infant mortality rates and improve life expectancy figures. The constant flow of refugees also may affect longevity figures, since those births are recorded but the deaths are not.

....

Dr. Butler said some of Cuba's shortcomings may actually improve its health profile. "Because they don't have up-to-date cars, they tend to have to exercise more by walking," he said. "And they may not have a surfeit of food, which keeps them from problems like obesity <http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/ obesity/index.html?inline=nyt-classifier> , but they're not starving, either." "

Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM

Associate Professor & Director Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 or 501-686-5948 DuBoseTerryJ@UAMS.edu http://www.uams.edu/chrp/sonography/ http://www.obgyn.net/us/panel/panel.htm http://www.io.com/~dubose/ ---------------------------------------------------------------

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--------------------------------------------------------------- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Ross, Diana Sent: Tuesday, January 29, 2008 8:17 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Important PBS series in March

I'm sure it was one of their better hospitals. But they didn't show some of our awful clinics either.....

________________________________

=46rom: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of =

--
________________________________
Ellerd
Family
Sent: Monday, January 28, 2008 7:57 PM
To: Multiple recipients of list ULTRASOUND
Subject: Re: Important PBS series in March

Forgive me for not watching "Sicko", but did they show the average Cuban clinic? Or did they show a hospital for touristas or Cuban officials? And the statement below disturbs me some, very subjective in nature. Can we mention how superior it is in many ways also? As broken

as our system may be, I would prefer to pay out the nose for healthcare and still receive it than to have it rationed to me, or it not be

available to me at all due to budget constraints and tax evasion. Not insinuating that anyone here has used this term but, the whole term

"free" healthcare bothers me as well. It isn't free when you pay for it on the front end.

I'm much more inclined to support a system say where children under 18, seniors over age 65, and the mentally ill are provided for. Would it

work? Not with the present tax and welfare system. Do you think a switch to tax payer funded healthcare would be feasible at this point?

Probably not. Are you willing to give up a sizeable portion of your pay and benefits to fund it? Somehow I don't believe it will happen any

time soon.

Good hard numbers in this discussion would be helpful in demonstrating the disparities of the systems, and at that point I think it should

be determined by the individual which they feel is more advantageous or more broken. Do I have those numbers? Nope, sorry. I hope those

proponents of the tax payer funded healthcare system would have it...after all it sounds all warm and fuzzy, but I've never seen real numbers

put to paper that would convince me that it is all that it seems to be.

JMHO,

Shelley

We all know that our system is inferior in many ways to these other systems

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