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Volunteer doctors operates on 126 people during free medical camp in Kisii County. – Video

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Volunteer doctors operates on 126 people during free medical camp in Kisii County.
Volunteer doctors treated and operated on 126 people during a week long free medical camp in Kisii County. The services were organized by the Kisii level 6 hospital and the health care rescue...

By: KTN Kenya

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Volunteer doctors operates on 126 people during free medical camp in Kisii County. - Video

Delivering Health Care To The Uninsured For $15 A Pop

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In the documentary Remote Area Medical, a boy chooses a new pair of glasses after receiving an eye exam. Remote Area Medical/Courtesy of Cinedigm hide caption

What happens when you break a leg and you live hundreds of miles from the nearest hospital? Or when you can't afford to get a new pair of glasses because you don't have health insurance?

For many, the answer is to go without help. That's why the organization Remote Area Medical was conceived. As we've reported before, the team travels across the United States and abroad to provide health care to those in need. That's a lot of people about 16 percent of Americans are uninsured, according to the latest Gallup poll.

The plight of those without access to health care is the focus of a new documentary, Remote Area Medical. The film, to be released nationwide on Saturday, follows a team of doctors, dentists and nurses over three days in April 2012 as they treated thousands of people at the Bristol Motor Speedway in Tennessee.

Shots spoke to Stan Brock, the founder of Remote Area Medical, about the state of U.S. health care and why his organization isn't going away. This is an edited version of the conversation.

Your charity started out in the upper Amazon. Why did you decide to bring it to the United States?

I got a call from one of the poorest counties in the nation, Hancock County, Tenn. little place called Sneedville which at the time had to close their little hospital and the only dentist in the neighborhood had left town. And so I got a call, "Hey, can you come here and help us out?"

I remember putting a couple of heavy dental chairs that we borrowed in the back of a pickup truck and going up to Sneedville and there was quite a long line of people who needed help. And about a week after that, I got another call from the next county over, and pretty soon we were doing stuff in Tennessee and Kentucky on a regular basis.

And it's just grown from there. So now 90-odd percent of what we do is in the United States. We've done 744 of these special expeditions, as we call them, all over the country: Los Angeles, recently Seattle, and we hoped also in New York but unfortunately, that's not gonna come to pass. So the need is everywhere.

How do you choose which medical specialties to provide?

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Delivering Health Care To The Uninsured For $15 A Pop

Are Europeans Spending Too Little on Health Care Compared to the US?

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It is common for health policy experts to argue that US health care spending is wasteful compared to its European counterparts because we are not getting better health for the larger amount of spending taking place here. There is limited evidence to support this claim, and existing evidence in the case of cancer care actually indicates Europeans under-spending rather than US over-spending. Arguments of waste in health care must be more nuanced and distinguish between waste in the public and private sectors.

The United States spends more on health care than other developed countries, about 18% of GDP, but some argue that US patients do not derive sufficient benefit from this extra spending. The high costs of cancer care in the United States are frequently cited as evidence of a poorly functioning health care system, compared to those of other developed countries, e.g. Europe. A common but misguided argument is that, since Americans are not healthier and do not live longer than Europeans, the additional spending in the US represents wasted resources. This assumes that health care is the main driver of health and longevity (which it is not) and that other factors such as genes, diet and exercise, accidents, violence, and harmful drug use are the same across countries.

Therefore, to better judge the relative productivity of health care in the US and Europe, it is necessary to examine the effects of spending in a specific disease area conditional on the same diagnosis. However, in the debate about whether higher US healthcare spending, compared to Europe, is wasteful, little reliable evidence of the comparative benefits of spending in specific disease areas has been generated. Cancer is a good case to consider because it is a leading cause of death across many developed nations. Conditional on a cancer diagnosis, it is plausible that a relationship between spending and survival exists because of differences in cancer care rather than other factors leading to the diagnosis. Nontreatment-related investments by patientsin healthy behavior such as exercise and in other types of preventive activitiesare likely to have a smaller impact on survival compared to actual treatment.

In a paper we published in Health Affairs,*we compared the value of US vs European cancer care in the 1980s and 1990s.** As shown in Figures 1 and 2, we examined survival and spending differences for cancer patients in the United States compared to a similar group of patients from ten European countries.

As the figures illustrate, our study found that US cancer patients both lived longer and spent more than European patients in every year. In addition, the absolute growth in survival gains and costs was larger in the US over the period considered from 1984 to 1999. We calculated the financial value of the additional years of survival in US in order to compare these gains to the costs of cancer care in these countries. The key finding was that, if one utilizes standard value measures for longevity, the value of survival gains in the US exceeded the higher cost growth compared to Europe. In short, the extra spending for the extra living was worth it. In fact, US cancer care generated about $600 billion of additional value compared to Europe for patients who were diagnosed with cancer during this period. The value of that additional survival gain was highest for prostate cancer patients ($627 billion) and breast cancer patients ($173 billion), partly because of their larger prevalence.

Some criticized this study, without carefully reading it, for being driven by earlier diagnosis in the US. If longevity, measured as survival from time of diagnosis, rises faster simply because patients are diagnosed relatively earlier in US, this may create lead-time bias. However, in a companion study we found that the overall gain in survival of US cancer patients was only 20% due to detection of cancers in earlier stages, and 80% due to treatment once detected.*** Quantitatively, early detection does not negate our main conclusion: US cancer patients get more value than Europeans.

To exemplify these findings at the country level, consider Slovakia, which spent $39 per capita on cancer care and averaged 5.5 years life expectancy after cancer diagnosis. Compare this to Sweden, which spent $134 per capita on cancer care and averaged 9.9 years life expectancy after diagnosis. Now consider the US, which spent $207 per capita on cancer care and saw 10.8 years of life expectancy from the point of diagnosis.

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Are Europeans Spending Too Little on Health Care Compared to the US?

Hippocrates Health Institute – Virtual Tour of The Villas Accommodations – Video

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Hippocrates Health Institute - Virtual Tour of The Villas Accommodations
Come inside the Villas at Hippocrates Health Institute. Take a virtual tour of our most popular private and shared accommodation options. Located on a lush 50 acre campus in West Palm Beach,...

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Hippocrates Health Institute - Virtual Tour of The Villas Accommodations - Video

Natural Treatment For Candida Albicans / Fungal and Candida Yeast Infections (The Easy Way) – Video

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Natural Treatment For Candida Albicans / Fungal and Candida Yeast Infections (The Easy Way)
http://goo.gl/cHuZny - Receive $10 off your order (for orders of $30 or more) and also get free shipping for orders above $49! from Vitacost (Supplements / Vitamins / Minerals / Health Care...

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Natural Treatment For Candida Albicans / Fungal and Candida Yeast Infections (The Easy Way) - Video

Steirischer Exportpreis 2014: Nominierte Kategorie DIENSTLEISTUNG & HANDEL. – Video

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Steirischer Exportpreis 2014: Nominierte Kategorie DIENSTLEISTUNG HANDEL.
Nominierte fr den Steirischen Exportpreis 2014 in der Kategorie DIENSTLEISTUNG HANDEL: - Inandout - Distribution GmbH - Mides Health care Technology GmbH - untermStrich software GmbH.

By: Internationalisierungscenter Steiermark

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Steirischer Exportpreis 2014: Nominierte Kategorie DIENSTLEISTUNG & HANDEL. - Video


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