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I should probably back up some of the things I'm claiming here. If you look at the WHO site, you can get a country comparison. Summaries for the US and Sweden follow:
US
Statistics:
Total population: 294,043,000
GDP per capita (Intl $, 2002): 36,056
Life expectancy at birth m/f (years): 75.0/80.0
Healthy life expectancy at birth m/f (years, 2002): 67.2/71.3
Child mortality m/f (per 1000): 9/7
Adult mortality m/f (per 1000): 139/82
Total health expenditure per capita (Intl $, 2002): 5,274
Total health expenditure as % of GDP (2002): 14.6,
and then,
Sweden
Total population: 8,876,000
GDP per capita (Intl $, 2002): 27,271
Life expectancy at birth m/f (years): 78.0/83.0
Healthy life expectancy at birth m/f (years, 2002): 71.9/74.8
Child mortality m/f (per 1000): 5/3
Adult mortality m/f (per 1000): 79/50
Total health expenditure per capita (Intl $, 2002): 2,512
Total health expenditure as % of GDP (2002): 9.2
So the US spends about twice as much per person on health as Sweden (one might argue GDP per capita is more appropriate...the point remains), has double the child mortality rate and life expectancy that is 3 years less than Sweden's. OK, it is hard to explain all this data, but defenders of the US system usually point to the great amount of research that the US does, thereby producing a great many drugs. One can have a back and forth at this point as to whether Europe is a free rider. My reading of the situation is that the US is focused on top quality high end health care, and isn't so worried about bottom end low cost provision. As a result, their stats suffer with respect to these kinds of general measures, although if you want the latest treatment you should probably go to the US.
(You could take other european countries instead of Sweden, though I think that Sweden usually does best. The UK, for instance, while widely caricatured as having a dilapidated health system, still does better by these measure than the US.)
The upshot for me, however, is that you can't use a form of moral blackmail against animal rights people and be at all consistent. If saving as many lives as possible really is a goal, then there are measures that can be taken that will benefit a great many people, yet somehow these don't come under the same scrutiny. Improving rates of child mortality and providing basic preventative health care have little to do with cutting edge research. I think it is clear that saving lives is not a goal that is pursued as singlemindedly by the health industry as one might assume - this is abudently clear, of course, if one considers the drug patenting battles conducted by pharm giants via governments against poorer nations.
(Which is not to say that health professionals are all in it for the money - although doctors are probably overpaid - but there are institutional factors at work here, which are nonetheless under government control.) |
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