Rational Discussion of Controversial Topics


is4junk 5 November 2015 10:06 AM

Those are some evil doctors recommending eye, hip, and knee surgery to people that don't really need it.


ChristianKl 5 November 2015 01:51 PM

Quite a lot of doctors live in departments where their bosses give them the goal to raise the amount of specific yearly targets by 10% every year. If they don't they fail their performance goals.

A while ago I heard a presentation about the issue of how to deal with myoms in woman.
The structure of the medical system in Germany is different than in France in a way that means that a German gynocologist doesn't get much benefit by sending a patient to a radiologist. It's advantageous for him to send the patient instead for surgery where the uterus get's removed. France doctors in a similar situations have different incentives.

The result of those incentives is that in Germany a lot more woman lose their uterus due to surgery when there are problems with myome's than in France.
Because the system has different financial incentives doctors act differently.

I also talked a lot with a person from Pfizer about the health market. According to his view doctors treatment decisions have a lot to do with the incentives that exist to him. In his view you are very unlikely to get a doctor to change to something that's better for the patient if there's nothing in it for the doctors.

That's the world in which we live. Humans are driven by incentives. Doctors are humans. In the US doctors sometimes even take sales seminars about how to sell their patients expensive treatments.

Because that's the world we live in it's good to have limited supply of medical treatment to prevent patients suffering from getting overtreated.
Patients getting overtreated also happens to be the reason why in the US the breast cancer screening for woman was set to a higher age than it was previously.

Overtreatment is a huge problem in the US system where profit driven clinics acts to favor their bottem line. The EU system with waiting lists produces better ... read more


melian 5 November 2015 02:16 PM

The EU system with waiting lists produces better health outcomes.

Are there reliable statistics on that?


ChristianKl 5 November 2015 02:36 PM

The statistics that the EU has on average a higher lifespan than the US seems to exist. Determining causation is more complicated and I don't think there data to prove that causation.


is4junk 5 November 2015 04:01 PM

The shorter lifespan of the US is due to

  • Smoking habits - 50 years ago

  • Obesity

  • Racial differences

Trying to link them to healthcare provided is just propaganda.


is4junk 8 November 2015 03:44 PM

Do AARP (formerly the American Association of Retired Persons) like groups exist in Europe? I'd assume if they did healthcare wait times would be on the top of their hit lists - assuming that the elderly have as much political clout as they do in the US.