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“Amenable Mortality” Study Finds US Healthcare Far From Top Globally.

June 29, 2017

Dr. Fox responds to the following article:
https://www.washingtonpost.com/news/to-your-health/wp/2017/05/18/an-embarrassment-u-s-health-care-far-from-the-top-in-global-study/?utm_term=.0cf72a1e7b9e
The sad truth is we don’t score well internationally.  One of the biggest problems in our system is there are too many hands in the pot.  We spend an enormous amount on healthcare and insurers, lawyers, drug companies and equipment/technology companies are all squeezing much of the money out of the system.  Although we have dramatic technologic advances in many areas, older, much cheaper techniques and drugs are nearly as effective as the costly options pushed in our current system.  Much of the money never really makes it to patient care.  The other factor no one considers is nutrition.  US nutrition is by far the worst in the world, therefore any comparisons of outcome must include this as a factor.  Because our nutrition is the poorest (highest carbohydrate intake), our severity of disease matches none other and our outcomes are going to be very poor as a result.  We really need to approach the root of the problems.
Not that socialized medicine is better, but one of the reasons more of their money goes directly to patient care is they have very little liability in their system because physicians are protected from legal action.  No one discussing this issue has any clue how much of a drain the legal threat has on the system.  My personal estimate is between 25 and 50% of the money spent in the healthcare system is to cover legal risk.  Young doctors training today don’t even realize these safeguard are embedded in their daily patient care activities.  Technology is also not just thrown into the system “because.”  It must be vetted very carefully before the money is spent to incorporate new technologies and they refuse to pay the high prices that are charged/paid in the us for the same technologies.  We essentially fund all the research and development for drugs and technology for the entire world.  Until some of these factors are addressed and our food system is straightened out, we will continue to rank very poorly in the world healthcare outcome surveys.  When $ per  capita and outcomes are tallied, we fall even farther down the list!
Michael D. Fox, MD
Jacksonville Center
Reproductive Medicine
jcrm.org 

   
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