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Wealthy Americans Turning To Europe For Medical Treatment

theodp writes "Fox Sports' Jay Glazer reports that prior to undergoing recent neck surgery, Indianapolis Colts quarterback Peyton Manning flew to Europe for stem-cell therapy that's used overseas but not yet in the United States. Earlier this year, Fortune reported that prior to his liver transplant, Apple CEO Steve Jobs took an unpublicized flight to Switzerland to undergo an unusual radiological treatment which was not available in the U.S. Some Americans are willing to go abroad to seek what they can't find at home in hopes of improving — or saving — their lives, and health providers are eager to respond. 'It moves fast, this industry,' said the director of Medical Tours International in 2007. 'They think, 'Look at all these sick, rich patients.''"

82 of 519 comments (clear)

  1. dodging anti-science? by KingAlanI · · Score: 2, Insightful

    Could this have anything to do with dodging anti-science policies of the American far right?

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    1. Re:dodging anti-science? by Anonymous Coward · · Score: 2, Insightful

      I used to be cool with Jesus....then I found out he hated science. :/

    2. Re:dodging anti-science? by dougmc · · Score: 3, Insightful

      that are safely available in other countries.

      To be fair, stem cell treatments aren't quite known to be safe (or effective) yet.

      There is a lot of promise there, but as I understand it, many of them don't seem particularly effective yet and the safety is uncertain.

      The FDA is very conservative -- that much is clear. Perhaps *too* conservative, especially in the case of patients who are dying -- but there's a good reason for them to be conservative.

    3. Re:dodging anti-science? by jbeaupre · · Score: 4, Informative

      No, it doesn't.

      It comes from the US law that medical devices and drugs cannot be marketed without FDA clearance. 21 CFR 820 and so on. That takes a lot of time and money.

      It also comes from the US hospitals being very conservative when it comes to offering new procedures. Technically doctors can do just about anything. Even use devices and drugs "off label", by passing FDA requirements. But in reality, doctors must get approval from hospital IRB's before doing something experimental. IRB's are conservative, political, and slow. Most docs prefer to just stick with routine stuff.

      But if you are rich, you can bypass those safety check and go to another country for experimental procedures using uncleared drugs and devices.

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    4. Re:dodging anti-science? by ArcherB · · Score: 3, Insightful

      Could this have anything to do with dodging anti-science policies of the American far right?

      No. It has to do with the FDA making absolutely positively sure that a treatment is safe, or at least that we know all the possible risks associated with each treatment. This takes years to complete for each and every treatment, which means that during those years, any treatment under investigation or medical trials will be unavailable in the US.

      Of course, don't let the facts stop you from making your anti-Christian remarks. You should blame those dastardly Christians for everything you see wrong in the world. On Slashdot, it will even get you modded "Insightful", even though your comment is based on no facts whatsoever. Kinda like what you accuse Christians of doing.

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    5. Re:dodging anti-science? by nospam007 · · Score: 3, Interesting

      "But if you are rich, you can bypass ..."

      If you are poor, you can get a flight plus a multiple bypass in Europe for the sum of a couple of months insurance in the US.

      For a couple of hundred bucks you can get a cheap flight plus an abortion in Amsterdam or London.

    6. Re:dodging anti-science? by Eunuchswear · · Score: 4, Insightful

      It also comes from the US hospitals being very conservative when it comes to offering new procedures.

      But, but, duriing the health care "debate" we were told that all inovation came from the wonderful free market American system and the socilist eurofags would be screwed if they couldn't steal American ideas.

      I'm so confused.

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    7. Re:dodging anti-science? by TapeCutter · · Score: 3, Insightful

      Why, exactly?

      Thalidomide and similar cock ups.

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    8. Re:dodging anti-science? by NeutronCowboy · · Score: 2

      That's very true. But I would argue that this is an direct indictment of two positions that tend to go together: "American Medicine is the best in the world" and "We therefore can do no wrong when it comes to medical policies." It's obvious that the standard trope that the rich come to the US for treatment isn't really true anymore. From there, it is also clear that the US medicine isn't the best in the world anymore, and, as a matter of fact, socialist Europe with its nationalized healthcare is actually ahead of the US in certain fields.

      Medical tourism is already true for monetary reasons, but that was already an accepted truth in the US. Now the rich engage in medical tourism because the care they receive would be better, which is going to result in some interesting contortions from politicians.

      --
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    9. Re:dodging anti-science? by Eunuchswear · · Score: 3, Insightful

      They free load on our pharmaceutical industry mostly, but there are a few that operate over seas, most of them are based in the US.

      Hahahhaha!

      Of the 10 largest pharmaceutical companies by sales six are based in Europe.

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    10. Re:dodging anti-science? by c6gunner · · Score: 2

      No, he didn't mention Christians specifically. Can you tell me what other "far right" subgroup has been accused of being "anti-science"? What other group could he possibly be talking about?

      The far-right as a whole. For instance, being anti-AGW has nothing to do with christianity, but tends to be much more common on the right side of the political spectrum.

      Personally I think it's a bit of a trollish phrase; there's as much anti-science idiocy on the left as there is on the right (eg. anti-nuclear hippies, anti-vaccine zealots, and all kinds of "organic", "natural", and "alternative medicine" fools). The phrase "anti-science far right" seems intended to elicit an emotional response. However, while a significant percentage of the anti-science positions on the far-right could probably be attributed to religion, the phrase itself does not require or imply a religious component.

  2. religion by Anonymous Coward · · Score: 4, Insightful

    maybe because most other countries in the modern world don't have a large rabidly religious and anti-science segment of their populations.

    1. Re:religion by icebraining · · Score: 2

      Actually, they do. Europe, especially.

      I think you missed the "large" part. 6% (and only 8% in 2030) is not large in any way.

      And considering that both Egypt as well as Iran - two predominantly Muslim countries - have been developing embryonic stem cell research, the presence of Muslims in Europe probably won't affect it in any way.

  3. This can't be true! by Anonymous Coward · · Score: 4, Funny

    This can't be true. We have the best health care system on earth! I heard it on Fox News, so it must be true.

    1. Re:This can't be true! by Dunbal · · Score: 4, Informative

      No you have the most expensive health care system on earth. Per capita, Cuba has the best health care system on earth.

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    2. Re:This can't be true! by Dunbal · · Score: 4, Informative

      Indicators (infant mortality, maternal mortality, life expectancy) versus cost per capita. It's measurable. Not my area of specialty but I am a physician. I remember discussing it at length both in biostatistics and family medicine courses. Cuba and Canada were always near the top, and the US usually ends up between 7th and 16th place. Of course this varies year by year but the trend is pretty obvious. Look it up! I'm sure the world heath organization must have some searchable tables.

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      Seven puppies were harmed during the making of this post.
    3. Re:This can't be true! by dkleinsc · · Score: 4, Informative

      Well, not exactly - Cuba gets the best bang for the buck, but in terms of patient outcomes the World Health Organization thinks France has the best health care system in the world. The US, by contrast, ranks 37th, and Cuba 39th, despite Cuba spending a fraction of what the US does per capita.

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    4. Re:This can't be true! by Boona · · Score: 2

      Cuba has some of the worst healthcare in the world. Here is a lecture by Yuri Maltsev, an ex-soviet economic adviser, describing one of his many trips to Cuba with some of his students. I've linked it to the relevant part of his lecture, it lasts about 5 minutes.

      I read another one of your comments and you state something completely different, namely that for the amount they spend healthcare they have low infant mortality, low maternal mortality and relatively high life expectancy. This say nothing about the quality of their healthcare which is what you seemed to be saying in the comment I'm replying to.

      I live in Canada near it's capital city and when my friend got a severe concussion and his head was bleeding it took him 12 hours in the emergency room to get help, they thought my sister had an aneurysm and it took 6 months before she got testing and it took my ex-girlfriend 8 months to get tested for cancer. There is a saying we have here: "There are those Canadians who love socialized medicine and there are those who have used it."

  4. Buthe US market produces a superiour health system by samjam · · Score: 2

    The US market produces a superiour health system doesn't it?

    Or maybe it's what you get with a health-care system that's more about money than health...

    Does this mean that health-care is a euphemism like health-and-safety?

  5. More Like Patients Dodging Federal Regulation by eldavojohn · · Score: 4, Insightful

    Could this have anything to do with dodging anti-science policies of the American far right?

    I know it's fun to jump on the scientifically inept politicians but I might also cite general concern for what a stem cell treatment entails. Several medical professionals have explained to me that just randomly injecting stem cells into your body has unknown effects depending on the stem cells and the localization of the injection. This causes a variance of anything from magically cured to cancer-like growths. Stem cells aren't very well understood yet ... and some of that is to blame on halting embryonic stem cell research but even the Republicans are okay with non-embryonic stem cells. As we develop more ways to get stem cells, their hobbling of the US medical field becomes moot (assuming adult stem cells are just as awesome as embryonic stem cells -- something I don't know).

    So, yeah, you know the FDA and other regulators are pretty slow moving to approve all this in the United States until that becomes more science than "Let's see, you take the syringe here and inject this shit there and ... are you cured yet? Oh, you died? Well, send in the next medical tourist!" Why doesn't the article explain what "procedure" or "treatment" Tonya Winchester was administered in Russia?

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    1. Re:More Like Patients Dodging Federal Regulation by PopeRatzo · · Score: 4, Informative

      even the Republicans are okay with non-embryonic stem cells

      So it's all about the fetuses.

      I see...

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    2. Re:More Like Patients Dodging Federal Regulation by Jazari · · Score: 5, Insightful

      This causes a variance of anything from magically cured to cancer-like growths.

      There is absolutely no danger in using stem cell to treat a fatal disease. So what if your stem cell injection may cause cancer in 2 years if your current disease will cause death in 6 months? Patients who are close to death should be allowed to opt into almost any treatment that has a plausible chance of success (unlike therapies which are proven frauds, like homeopathy, etc.)

    3. Re:More Like Patients Dodging Federal Regulation by definate · · Score: 5, Insightful

      Turns out that the problem with what you've pointed out, isn't necessarily stem cell treatments in general, but more so, those people were forced to go to Thailand. Why Thailand? Because it's also doing the treatments, but they're cheaper. This article is about the rich people, going to rich progressive countries, with well trained, and well staffed hospitals, and getting the kind of treatments that the scientifically inept politicians have banned... because, after all, politicians know better than doctors and scientists, especially when it comes to, you know, health care and science.

      As such your complete argument is both retarded, and false. This IS happening due to the scientifically inept politicians. Unless you're saying that the Swiss are a reckless people with a terrible health care system. If so, the WHO begs to differ. So, for all your harping on, you're completely wrong, and your discussion on whether or not YOU or your unnamed sources believe it's correct/worthwhile/dangerous, is a red herring.

      But thanks for your useless input.

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    4. Re:More Like Patients Dodging Federal Regulation by andydread · · Score: 2

      Well those treatments probably would have been here if it wasn't for the endless regulation of the Federal Gubmint. Not to worry. The republicans want to get rid of entities such as the FDA, EPA, etc. So when they get back in power look for all these entities to be severely crippled. And people can get their treatments without having to worry about pesky things like safety.

    5. Re:More Like Patients Dodging Federal Regulation by ByOhTek · · Score: 2

      Yes, if you go to Thailand and grab yourself some Stem Cell treatment, they'll do that, and that is fucking dangerous.

      However, there are other treatments, where they use the stem cells to grow differentiated cells (either in-situ or in-vitro), and use THOSE to treat the patient. It is still stem cell treatment, but not necessarily nearly as dangerous.

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    6. Re:More Like Patients Dodging Federal Regulation by ArcherB · · Score: 3, Informative

      and some of that is to blame on halting embryonic stem cell research but even the Republicans are okay with non-embryonic stem cells [slashdot.org].

      Your post is spot on, with one minor common misconception.

      Embryonic stem cell research was not "halted". Since there was no federal funding for stem cell research at all, you may not halt something that never existed. President Bush's order forbade federal funding for embryonic stem cell research on new stem cell lines only. Research on embryonic stem cells from lines that existed at that time was to be funded, where it wasn't before, and there was no restrictions on non-embryonic stem cell research.

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    7. Re:More Like Patients Dodging Federal Regulation by definate · · Score: 4, Insightful

      Good point. Though, as it stands, the government is more than happy to allow you to spend insane amounts of money on frauds. My mother actually deals with this a lot, as she works with the sickest people, in the worst circumstances, and watches them spend all their money on things such as (these aren't a joke)...
      Belly Button Massage
      Reiki
      Prayer Circles
      Crystals
      Potions/Elixars
      Chiropractors
      etc.

      These people come in promising the world, provide temporary happiness, followed by a crushing sense of what have I done, I've left my family broke, and I'm still dying.

      In comparison, even the worst possible scenario you could see with medical practitioners doing trying 'dangerous' (READ: experimental) medicine, looks insignificant in comparison.

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    8. Re:More Like Patients Dodging Federal Regulation by ArcherB · · Score: 2

      Good point. Though, as it stands, the government is more than happy to allow you to spend insane amounts of money on frauds. My mother actually deals with this a lot, as she works with the sickest people, in the worst circumstances, and watches them spend all their money on things such as (these aren't a joke)... ...
      Prayer Circles ...

      Anyone who spends money on Prayer Circles deserves what they get. I'm not judging the effectiveness of prayer. I'm judging those who would pay for something that so many will gladly do for free. If anyone charges you to pray for them, their prayers will not be heard. "Dear God. (customer's name) has paid me to pray for him, so I'm doing that. Please do what he asks. Amen." If you want prayer, call a real church and ask them to pray for you. They'll not only do it for free, but they'll probably do other things to help out your family. For example, when someone asks my church for prayer, we do that, but we also take food to your family and offer ourselves for other services such as yard work, home repair/cleaning, child care, or even financial assistance. And no, we do not charge for such services. Church membership is not required.

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    9. Re:More Like Patients Dodging Federal Regulation by Hognoxious · · Score: 2

      very few medical conditions are 100% long term fatal.

      In the long term they all are.

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    10. Re:More Like Patients Dodging Federal Regulation by St.Creed · · Score: 2

      I mean, if a woman had an ingrown toenail that would cause a cost to society of millions then yes, it would be forcibly removed.

      I'm not sure about that - it's pretty difficult to treat people who don't want treatment. Even if it costs money to society, the integrity of someones body is a quite important issue in law. We've had quite unpleasant experiences in the past with people who think that they should tell others what to do with their body, whether it was forced sterilization of undesirables, electroshock treatment, or not allowing (or forcing) women to have an abortion. If someone refuses a blood infusion nowadays, it's their right (Jehova's witnesses). Or if they refuse to eat or drink. The sole exception is where parents are deciding for children, who cannot yet make their wishes fully known and understood, and there the law is designed to try and protect the weaker party from harm.

      And as for me: if a women wants to remove a fetus it has a bit more impact than removing a toenail. Compare it to removing a growth in the uterus. Apart from that, no big deal. It's her body. Not mine, nor yours, nor her employers or the states, or her husbands body. Hers alone. Anything else is a reduction of the woman to an object, used to fulfill the needs of others.

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    11. Re:More Like Patients Dodging Federal Regulation by Hognoxious · · Score: 3, Insightful

      The problem is you have to duplicate all your equipment and keep track of what's used for what; nothing is allowed to be dual purpose. If a fax intended for the stem cell research group accidentally gets sent to a good and holy machine by accident, that's not allowed. You can't walk down the hall and put it in the right person's in-tray. No, got to tear it up, put it in a bin (not a government funded one!) and ask for it to be resent. And if a stem cell researcher pees in a government-funded toilet, baby Jebus will weep bitter salt tears!

      Needless to say, it's all such a PITA that many organizations just decide not to bother.

      This, of course, was the intent all along; banning it in practice, but allowing buffoons like you to claim they didn't.

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    12. Re:More Like Patients Dodging Federal Regulation by Cutting_Crew · · Score: 3, Insightful

      wait a minute. My wife is pregnant at 10 weeks. We went for a 7 week checkup and the heartbeat had already formed and was beating 167 bpm. Also the head and brain was forming, feet and arms as stubs. Are you telling me this isn't a living person? By the way the heartbeat is formed 18 days after conception. Is it a baby when hair grows? eyes open? are you suggesting that a baby doesn't have rights until out of the womb?

    13. Re:More Like Patients Dodging Federal Regulation by an+unsound+mind · · Score: 2

      Take your baby out of the womb now and see if it's a living person or not.

      A baby isn't a person until it develops enough of a nervous system to be sentient. Same reason why someone brain dead has no rights.

    14. Re:More Like Patients Dodging Federal Regulation by TheTyrannyOfForcedRe · · Score: 4, Insightful

      wait a minute. My wife is pregnant at 10 weeks. We went for a 7 week checkup and the heartbeat had already formed and was beating 167 bpm. Also the head and brain was forming, feet and arms as stubs. Are you telling me this isn't a living person?

      Yes. There are many non-person living things on this planet that have a heartbeat, head, brain, arms, feet, etc. A mouse for example. Your blob of living stuff isn't even up to mouse standards at the moment though. It's totally unable to live on it's own. It's sub-mouse.

      You can't see this obvious fact because you and your wife's brains are broken. It happens to all parents. Logic and reason are completely absent when children are involved. Evolution likes it that way. That's good for kids because you people mindlessly sacrifice for them so they can grow big and strong, but it's bad for society as a whole because the lot of you are one big EPIC FAIL when it comes to matters of public policy that involve reproduction.

      --
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    15. Re:More Like Patients Dodging Federal Regulation by Toonol · · Score: 2

      There are problems with that approach. When is a baby sentient? I have a three week old at home, and the cats are much more intelligent. Still, I would gladly torture you eternally if you hurt her.

      If you define it by the first neurological activity, it's within the first couple months. If you define it by self-awareness, it's... well, undefinable.

    16. Re:More Like Patients Dodging Federal Regulation by Toonol · · Score: 2, Interesting

      You can't see this obvious fact because you and your wife's brains are broken. It happens to all parents.

      You're arguing emotionally. You want to be correct, and so you're categorizing those who disagree with you as 'innately wrong'. There are rational reasons to consider fetuses persons, but you can't honestly appraise them with that attitude.

    17. Re:More Like Patients Dodging Federal Regulation by MightyYar · · Score: 2

      People who are brain dead are at the complete mercy of their guardian. They can be starved to death under current law. A simplification, but there's your answer.

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    18. Re:More Like Patients Dodging Federal Regulation by Weedhopper · · Score: 2

      What are you babbling about? The condition being human is 100% fatal.

    19. Re:More Like Patients Dodging Federal Regulation by PopeRatzo · · Score: 3, Insightful

      If you make it too easy to kill "half-baked humans"

      Nobody's trying to make it "easy". They just want to make it the decision of the fully-baked human who happens to have the fetus inside of her body.

      Until you can give me an argument for why someone should have more authority to decide what happens to the fetus than the woman who is actually carrying the fetus in her womb then the woman, and only the woman, should decide.

      Can we at least agree that until the baby is born, that the fetus belongs to the mother? I think the fact that it exists within the mother's body, and actually feeds off the mother's body is a pretty compelling argument for it being the mother's dominion, no?

      And why do the "pro-life" people have such a low opinion of childbirth? To them, there's nothing special about being born because the fetus is a full person from the moment the sperm hits the egg. Childbirth is just a formality to them, apparently. As someone who's been present at the birth of a daughter, I can tell you that they are wrong. Childbirth is a pretty significant even in the life of a human person.

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    20. Re:More Like Patients Dodging Federal Regulation by Urkki · · Score: 2

      wait a minute. My wife is pregnant at 10 weeks. We went for a 7 week checkup and the heartbeat had already formed and was beating 167 bpm. Also the head and brain was forming, feet and arms as stubs. Are you telling me this isn't a living person? By the way the heartbeat is formed 18 days after conception. Is it a baby when hair grows? eyes open? are you suggesting that a baby doesn't have rights until out of the womb?

      Well, it's still just a piece of tissue, and the heart isn't "complete", it's just the "incomplete" (at least compared to fully developed human heart, not so much if compared to something like an earthworm heart) muscle beating.

      But IMO that's beside the point. Once we know there's a human developing in a womb, and we take action to end this development, we actively erase a human life. So then the hard question is, when do we have a right to make such a decision, decide that this individual shall not exist? We seem to have the right to end human life in war, in self-defence, when in a situation we have to decide who lives and who dies (reality for doctors, fire fighters, etc), sometimes when deciding about euthanasia or "pulling the plug"... So clearly the answer isn't automatic "no, we never have the right".

      I'm just glad I'm not likely to need to make such a decision...

  6. Let's face it, US gov't: Adam Smith wins by argStyopa · · Score: 5, Interesting

    Let's see.

    Middle income Americans go to Canada for their pharmaceuticals.
    Thousands of US patients of all types go to Mexico and points south for all sorts of surgeries that aren't (yet, or ever) available in the US.
    This story points to wealthy Americans going elsewhere for not-yet-approved 'edgy' radiological treatments, or stem cell therapies not practiced here.

    Some on the left are going to see only that last one, and once again blame Bush for crippling US stem cell research. The fact is that is only seeing a single symptom of a more chronic condition: when you have a system crippled by politics and paralyzed by excessive litigation. when ideas, procedures, and research is circumscribed not by practicality or technology, but by policy set by science-illiterate representatives voted into their positions by a science-ignorant public for decades...well, what did we expect?

    Clearly, some Americans are choosing with their WALLETS that value is more important than litiginous recourse - if you're buying a cut-rate surgery in Mexico, you're not really scrutinizing their malpractice coverage. If you're buying your heart medication from some website *.ca, FDA approval is clearly not your primary concern.

    Don't get me wrong; anyone conversant with US history will recognize the consistency here. The US has always has a population that is non-intellectual, I believe even de Tocqueville commented on that in 1830. But like so many things in American popular culture, it seems the currents have somehow lately surged to tidal waves that threaten to swamp the whole boat.

    Then again, that could just be me shouting "get off my lawn" like so many generations before ...

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    -Styopa
    1. Re:Let's face it, US gov't: Adam Smith wins by ohnocitizen · · Score: 3, Insightful
      Americans look to Canada for drugs to avoid the price fixing set by the drug companies here (note that Adam Smith opposed the idea of monopolies, yet you need more than an invisible hand to shake those particular economic monsters from their stranglehold on the flow of resources). With regards to Mexico, I'm just seeing stories about Americans going south for cost reasons (perhaps because we don't have socialized medicine? Nah, can't be).

      As noted above (http://science.slashdot.org/comments.pl?sid=2434238&cid=37439428), some of the rush to Europe has to do with trying procedures that have enjoyed less rigorous testing than here (which has its good and bad sides. I don't understand why allergy drops are not yet mainstream treatment in the US, but the risks of certain kinds of stem cell treatment does make sense).

      Not to take away from your other points.

      policy set by science-illiterate representatives voted into their positions by a science-ignorant public for decades

      Now THAT is a valid concern indeed. There's no need to whip up Adam Smith or economics as the boogey man here, since it lack of regulation of drug company pricing, lack of socialized medicine coupled with strong regulation of new medical procedures and over regulation of medical research (stem cell research) are all the source of the medical tourism being described. (Excessive litigation has nothing to do with it, and it is getting annoying seeing that card played over and over again).

      In other words, it isn't something as simple as "the market is winning, we need less regulation".

    2. Re:Let's face it, US gov't: Adam Smith wins by Doc+Ruby · · Score: 2

      The litigation started to really ramp up when the FDA started "streamlining" the medine approval process to favor big incumbent medical corps, while making the cost of approval so large that only those big incumbents could afford to risk producing a new product. Meanwhile extending patent and other monopoly protections of profits far beyond what's required to protect required profitability and into extreme profitability. While limiting liabilities from when medicine is pushed on patients but fails in ways either known to be excessively risky during R&D or production, or known not to have been quantified as risks.

      That time coincided with the capture by pharmacos and other medical product makers/marketers of medical professionals, starting in med school. So doctors and pharmacists are mainly retailers of medical products, not caretakers of patients' health. Of course the parallel growth of parasitic lawyers was inevitable, but without the medical infrastructure to feed on they would seek blood elsewhere.

      I know this because I was pre-med in the mid-late 1980s, and have worked IT for many insurance businesses. Reagan reinvented the FDA, and along with it the medical education system in the US. The primary constraint on US medicine is the failure to produce more practicing doctors, which has slipped far behind the growth in demand for medicine (growing and aging population, excessive environmental risks including diet and toxins, newly available diagnostics and treatments). We should have at least double the number of doctors, but the medical industry "weeds out" candidates for the profession, selecting more on the basis of greed and tolerance of hazing than on compassion and intellect.

      Adam Smith was right about supply and demand. The US has increased its demand for medicine while constraining its supply. Thus medicine is much more expensive. US politicians and officials are science-illiterate, but they're also compassion-retarded. Americans are easily fooled by corporate marketing trolling with theocracy and other social bigotry/stupidity. The results are found in Bush's choking stemcell research, but the causes are systemic.

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      make install -not war

    3. Re:Let's face it, US gov't: Adam Smith wins by trout007 · · Score: 2

      The fact is medical travel exists in order to avoid government regulations. Ameicans go to Europe or Asia because there are treatments and drugs that exist that the FDA doesn't allow us to take because they are the masters of our bodies. People from all over the world come to the US for rapid access to treatment if they have the money because their countries socialist healthcare causes shortages and long lines. People in the US go to poor countries for treatment they can afford because the AMA keeps a stranglehold on medical schools and licensing to maintain their cartel. Drugs are expensive in the US because the government bans people from importing and because you require a prescription.

      Notice all of the roadblocks put in between the patient and the product or service they want. Some are so bad people have to leave the country. Wouldn't a system where people and companies are actually free to deal with each other work better?

      --
      I love Jesus, except for his foreign policy.
  7. Health industry of health system ? by Pascal+Sartoretti · · Score: 4, Insightful

    Although European countries have very different systems, they rather each have a health system whereas the US have a health industry. It shouldn't be surprising that one has better medical results and the other one better financial results...

    1. Re:Health industry of health system ? by Pascal+Sartoretti · · Score: 3, Insightful

      You have not proven at all that a 'system' is better then 'industry'

      This was not my goal. Numerous sources have already shown that the US spend a bit more than Europe on healthcare (in % of GDP, see e.g. here), but have poorer results in life expectancy (see e.g.here). And don't tell me about correlation and causality...

      North Korea also has a 'system' and I'm willing to be it does not produce results comparable to US 'industry'.

      In the hierarchy of needs, food comes before healthcare...

  8. Euros travel to America, too, for treatment. by Anonymous Coward · · Score: 5, Insightful

    So what's the point of this?

    Some treatments are simply more available in certain countries.

    No, I'm not defending America's approach to healthcare, but I've seen the same bloody argument used from the other side for all the America-bound medical tourism from rich Canadians and Euros, and in the end it means absolutely nothing. Rich people travel a lot. Rich people min/max their medicine.

  9. Re:Medical tourism. by dougmc · · Score: 4, Interesting

    The problem is for people who don't have insurances and can't pay for traveling outside their nation.

    Fortunately, Mexico is quite close and can be visited cheaply, especially if you live in Texas or another close state.

    I've got some friends who went down their for major dental work (nothing controversial or unavailable here) and paid a small fraction of what they were quoted in the US.

  10. FDA by roman_mir · · Score: 2, Interesting

    Thank the Food and Drug administration for this. We had stories on /. about this before.

    Government money in health care and insurance is the reason why these are so expensive now, when technology should have made all of the health care much cheaper (unlike many people believe, technology increases efficiencies and makes things less expensive, not more. Think about imaging methods that replaced exploratory surgeries. Think how many more patients a single surgeon can see today. Think cancer treatments done with drugs or machines, that would have required surgery. etc.etc. Increase in technology makes products cheaper, not more expensive).

    But not only does FDA hurt you financially, they are a major reason for various techniques not getting timely approval, so again, as an example an abortion pill that was used for decades in Europe made it into USA decades later.

    Of-course from my POV, FDA is just another government agency, standing in between you and your freedoms and liberties. Figuring out the safety of medical procedures is one thing, and it should be done privately too, by private competing certification agencies. Figuring out the efficacy should be left to the market because the market will do so much quicker and at a very low expense, when compared to the clinical trials that may last for decades and waste hundreds of millions of dollars to run them.

    1. Re:FDA by roman_mir · · Score: 3, Informative

      when you asserted that "the market" will determine efficacy more quickly and cheaply than a clinical trial...

      - what do you think happened before FDA?

      Look at the way doctors have cooperated in the past to pass the information they gathered about treatment of different conditions and different cases. Private market provides huge exposure to any type of treatment, and if it is safe of-course, it will quickly be understood whether there is enough evidence that the treatment works. People exchange information without government, did you know that?

      Look at the way Mayo clinic was established - people were exchanging information and that made that clinic very competitive, people used to come to USA from all over the world to visit Mayo clinic because of CREDENTIALS, that were EARNED, not dictated by any government.

      It was competition that drove people to that clinic, which quickly disseminated similar approaches to treatment and information sharing among professionals everywhere in the world.

      It's like an iPhone - once one exists, everybody is going to emulate it based on success, which is measured in sales and profits.

      Profits are the feedback mechanism, which is the way the market tells the entrepreneur that he is on the right track. This is the same with iPads and health care.

    2. Re:FDA by roman_mir · · Score: 2

      No, it's not free market if there is FDA and government money in health care/insurance, which makes it impossible to compete with established monopolies.

      Get the government money out of business, out of medical insurance, out of medical care, out of pharma, get rid of FDA and do one thing - enforce criminal and contract laws.

      That's all there is to it. Enforce the laws that already make it ILLEGAL TO KILL people, regardless of how and why the people are killed.

      Is that beyond the ability of government in your mind to do this? What it really is, it's unwillingness to admit that the system is corrupt and it's on the wrong track completely. That the entire idea of government dictating to free people how to live their lives, how to invest their money, how to spend their money, the idea of taxing work, the idea of setting cost of borrowing (interest rates), enforcing a fiat currency and printing the currency away while making it impossible to compete in money for private businesses, this idea is bankrupt. The entire idea is a failure. It's 100 years of complete and total failure, which needs to be erased and reworked.

  11. Re:Buthe US market produces a superiour health sys by lolococo · · Score: 2

    Sounds more like wealth care than health care to me.

  12. Quality vs. Availability by EmagGeek · · Score: 2

    It's an important distinction to make. People come to the US for the quality, and people from the US go elsewhere for availability, usually in desperation.

  13. Christ versus Christians by KingAlanI · · Score: 5, Insightful

    "I like your Christ, I do not like your Christians. Your Christians are so unlike your Christ." - Mohandas Gandhi

    Jesus Himself does in many ways seem like a positive example; people following the obnoxious behavior of the Old Testament God seems to be the issue IMHO. Christians not partaking of such behavior is good, but in some ways they seem to be glossing over that issue in the Book.

    --
    I listen to both RIAA and non-RIAA stuff if I like the music, tangential business/politics nonwithstanding.
    1. Re:Christ versus Christians by ByOhTek · · Score: 5, Insightful

      Most Christians do not realize Jesus was pretty cool to the people of different faith than him, allowing them their own beliefs so long as they didn't bother the people of his faith.

      Jesus, however was extremely intolerant. At least, he was intolerant to those of his own faith who abused it for their own benefits. I can only imagine what he'd do to the Christian right, right now.

      --
      Self proclaimed typo king, and inventor of the bear destroying coffee table (patent not pending).
    2. Re:Christ versus Christians by spamking · · Score: 2

      Exactly . . . why would anyone infer that we're not supposed to use our God-given abilities to improve our lives?

    3. Re:Christ versus Christians by Tsingi · · Score: 4, Insightful
      Once, the Earth used to be the center of the universe, and the sun revolved around us. To suggest otherwise was heresy.

      Once man was created as the image of the Christian God and woman from man. To suggest otherwise was heresy.

      Now, using stem cells to save lives is heresy. Eventually this will change, but in the meantime be prepared to lose loved ones who could have lived longer healthier lives.

      If there were a God, I would think that he would be angered by the atrocities committed in his name.

      --
      "God loves you, and he needs money."
      George Carlin

    4. Re:Christ versus Christians by jitterman · · Score: 2

      I have to say as a Christian that I am in strong disagreement with those who noisily espouse to represent (intolerant, angry, and selfish) Christian viewpoints for the whole while truly only representing the vocal minority. I enjoy science; I abhor hate in the name of "saving" people; I believe in evolutionary processes; tolerance is to be embraced (atheists, polytheists, etc - each choose your own way and as long you don't try to get ugly with me, it's all good on my end even if I disagree with you); the Church (I am Catholic) sometimes (often?) has a problem distinguishing between the laws of men and the laws of God and I wish it didn't. Hopefully, religious bigotry won't keep us from using medicine to benefit humanity for too long.

      --
      For conscience is the wound, and there's naught to staunch it
    5. Re:Christ versus Christians by CapuchinSeven · · Score: 5, Insightful

      What I find interesting about Christians and Christ, is that whenever the bible makes out Christ was a dick (i.e. cursing a fruit tree to never have fruit again because he wanted fruit but the tree was out of season so there was none to have) Christens call it a metaphor, but whenever he did something awesome then that's totally real and actually happened.

    6. Re:Christ versus Christians by Tsingi · · Score: 3, Insightful

      Hopefully, religious bigotry won't keep us from using medicine to benefit humanity for too long.

      Too long? What is too long? When you lose a loved one? Is that too long? You my friend, by subscribing to a religion, lend your support (willingly or not) to the views of the leadership that you follow.
      I fail to understand how people can say that they belong to a Christian sect and claim to agree with the good things and not the bad. Your religion forbids this.
      You can easily vote your disagreement by not belonging. Are there not religions that give you your God, behave in a socially responsible way, AND support your beliefs?

    7. Re:Christ versus Christians by Reverand+Dave · · Score: 5, Insightful

      In the grand scheme of things I think today's modern day far right christians are doing a much better job of turning people off of their religion than the Catholics did.

      --
      I got here through a series of tubes
    8. Re:Christ versus Christians by IICV · · Score: 3, Informative

      If there were a God, I would think that he would be angered by the atrocities committed in his name.

      Clearly you haven't read the Old Testament. God is an asshole. See, oh I don't know, the story where God commands Abraham to kill his son and then says "lol jk", the story where God lets Job's family get killed but then gives him an even better one, the story where God spends a couple of months trolling Jonah by doing various weirdly passive-aggressive things to him, or hell just any one of the stories about the Israelites raping and pillaging their way across the countryside, with God's blessing.

      The only difference between the Old and New Testaments is that in the NT, God's an asshole who just got laid. It's been two thousand years since the last Messiah with that particular origin story, so I'd assume that the rosy afterglow has worn off.

      If there is a God, he's sitting up there going "trolololo".

    9. Re:Christ versus Christians by bberens · · Score: 2

      Jesus was/is anything but tolerant to people of other faiths. When they die he condemns their eternal soul to never ending damnation. Just sayin...

      --
      Check out my lame java blog at www.javachopshop.com
  14. Oh no... by fullback · · Score: 3, Insightful

    This isn't going to be pretty when the "We're Number One!" and "USA! USA! USA!" crowd gets here.

  15. Overly Simplistic by psnyder · · Score: 4, Informative

    Medical treatment varies greatly from disease to disease, from country to country.
    If you're looking for a general overview of the quality of care in a country, look at the survival rates of the widespread ones within a group.

    For example, if judging cancer survival, you might look at prostate, breast, colon, and rectal.
    "The highest survival rates were found in the U.S. for breast and prostate cancer, in Japan for colon and rectal cancers in men, and in France for colon and rectal cancers in women, Coleman's team reports."

  16. Re:Buthe US market produces a superiour health sys by samjam · · Score: 2

    I like your .sig --- literally true when t is time

  17. Re:Happy "Talk Like a Faggot" day by Chrisq · · Score: 3, Informative

    Be sure to tell anyone who talks like a pirate today that they are a faggot.

    You fool - I just tried it and now I've been keelhauled.

  18. Global Competition by Doc+Ruby · · Score: 2

    These therapies are available, but there aren't that many patients. Not enough to support dispensing the therapies many places in the world.

    The US doesn't have to offer every single medical treatment. Not when so many are targeted at so few patients. Not when our medical system isn't properly organized or financed to deliver even basic medical services to nearly everyone in the country first. Basic care for practically everyone is a higher priority than the most exotic care for a few.

    The US does deliver that exotic treatment of rare diseases, often uniquely in the world, in vast overproportion to our population or even our weighted socioeconomic status in the world. There's plenty of unusual therapies for other countries to be the only ones to offer.

    If we're worried that strategic medical innovation is happening elsewhere, we should simply do what those other countries do in a world they share with the US: piggyback on the basic research and early practice when therapies are new, to commodify them to serve lots more people more cheaply, safely and effectively.

    That's how medicine works when it's primarily a service, not primarily a profitable business. The profit is retained, but not at the expense of the majority of the people's needs.

    --

    --
    make install -not war

  19. Americans go where? by bogaboga · · Score: 4, Insightful

    Doesn't every politician especially from the GOP say that the American Healthcare system and its actual care are the "best" in the world?

    By the way, this is despite the fact that various metrics indicate the USA is no where near the top!

  20. Medicine in America... by Kagetsuki · · Score: 4, Interesting

    Is one of the major reasons I'm never going back. The last time I went (which will be the last time, period) my son caught a cold and was turned away from three hospitals because we didn't have the right type of insurance. I guess I shouldn't say turned away, I should say they all told me that because I didn't have the right type of insurance and I didn't have the an appointment I would have to go to the ER, which would easily cost thousands of dollars. Here in Japan my son would have been seen immediately, for free, wherever we went. Our medical system isn't socialized either, so don't even try that argument.

    Shortly after that my wife had some allergy related breathing issues and we went to a hospital that did accept the insurance we had to get medicine. They diagnosed her with a degenerative lung disorder and ordered up all sorts of tests. Even with the insurance everything cost over $2,000 and guess what - it wasn't a degenerative lung disorder but rather a simple allergy attack like we thought in the beginning. On top of that we found every hospital we went to seemed dirty, was staffed with doctors and nurses who didn't seem to give a shit, and were constantly asked the same questions over and over as if the staff didn't bother to even look at the papers the previous person had filled out. I'm not just talking about one hospital either, all of them we went to were like this.

    So yeah, rich Americans go overseas for medical care? Wow, big surprise there.

    1. Re:Medicine in America... by vlm · · Score: 4, Interesting

      staffed with doctors and nurses who didn't seem to give a shit, and were constantly asked the same questions over and over as if the staff didn't bother to even look at the papers the previous person had filled out

      I had to LOL at that. The first part is because they're frazzled after being on a 36 hour working shift dealing with people taking their kids to the hospital merely because they have the sniffles. Ask a doc what "GOMER" means... get outta my ER...

      The second part is if you're having trouble breathing or in pain they do that 100% intentionally and repeatedly to document your response, on the theory that if you start hallucinating or giving bonkers results, or even worse, can no longer physically respond, that would indicate blood oxygenation problems or truly intense pain. Also its SOP to talk like that to the relatives to show "they care" and also it gets any anti-social responses out of the way during a medically irrelevant and personally staffed moment rather than during a procedure or when they're freaking out alone. Its scripted by the management and legal teams based on extensive clinical research, certainly nothing personal. They ask those specific questions because obviously they already know the "correct" answers and can therefore evaluate the mental function of the patient and patient's relatives. Finally they have to do it repeatedly to make sure the patient is at least stable or preferably improving in function... if the patient and/or relatives gives worse and worse answers as time goes on, then the docs really start freaking out (although you're not suppose to be able to notice). If the patient is getting to be a bit of a smart ass about it, that is a pretty good indication the patient is feeling much better; they're actually hoping for that kind of response; if the patient has given up all hope and is ignoring them, then the nurses and docs start freaking out. It turns out that asking someone to perform is way the heck more accurate than asking someone to evaluate their own performance; I suppose that could be culturally different. My nurse niece in law had a long sorta humorous conversation about being trained to do this, and its apparently industry wide not just her, or her hospital, or her corporation, apparently the old timers who've heard it all tend to turn the practical experience section into a laugh riot.

      --
      "Science flies us to the moon. Religion flies us into buildings." - Victor Stenger
    2. Re:Medicine in America... by Pascal+Sartoretti · · Score: 2

      Don't let the door hit you in the ass on the way out. If your wife DID have a serious lung disease, you WOULD have sued the hospital for not doing enough tests, and the hospital WOULD have been legally culpable. Freaking weaboos.

      A typical American reaction : a medical problem turned into a legal one.

      You wanna have a better health system ? Train more doctors and less lawyers.

  21. Re:Sick rich patients? by Dunbal · · Score: 2

    No, they are services. You cannot quantify health. In fact you have a hard time even defining health. And no, it's not "the absence of disease".

    --
    Seven puppies were harmed during the making of this post.
  22. Yeah, us less wealthy go to S.E. Asia by wisebabo · · Score: 5, Interesting

    You know, having lived here for awhile, I can strongly recommend some excellent hospitals in Thailand. They are accredited by some American hospital organizations and I've personally used them for the some semi-serious conditions (knee-surgery) as well as very frequent monitoring of some chronic ailments (I'm a hypochondriac!).

    It's actually somewhat amazing as to the quality you get for the price. I stayed in a state-of-the-art brand new private hospital suite (with comfortable sitting area for guests, kitchenette, private bath, big screen television, remote controlled curtains, etc.) for less than the cost of one of the five star hotels. The surgery (from what I can tell state-of-the-art laproscopy) was not that cheap (still less than $5K for everything) included everything including recovery and physical therapy. Also, the cute Thai nurses were very pleasant to be around!

    Can't say all S.E. Asian countries are like this (there are some I'd stay far away from) but it's a great value for the money (they've got a great executive checkup that includes just about everything; blood tests, stress tests, chest X-rays, ECG, ultrasound, eye and ear tests, meeting with dietitian, etc.) for $250!. I wish that Medicare would pay for some of this stuff, it would save American taxpayers a ton of money (saving much more than transportation costs) while bringing down prices at home.

    By the way, the geeks amongst us might enjoy the fact that EVERYTHING is digital at these hospitals and for a small fee (about $8) every report, image, x-ray, ultrasound, endoscopy, MRI, ECG, EKG, video from every visit you've ever had is put onto a CD-ROM for you. I've got quite a collection on my iPad!

  23. Re:Buthe US market produces a superiour health sys by Talderas · · Score: 2

    Of course it is, but that little fact isn't going to stop the people who want socialized medicine in the US from using this article as a strawman to attack US health care.

    --
    "Lack of speed can be overcome. In the worst case by patience." --Znork
  24. Re:Are you serious? by EzInKy · · Score: 2

    You actually took your son to a hospital because he caught a cold? You have to be joking, right? Look, I'm a die hard social libertarian who sincerely believes that the founders understood that you can not have liberty without life, and you can not pursue happiness without liberty. But to waste the time of professionals on something as so ludicrous as suffering a runny nose is really absurd.

    --
    Time is what keeps everything from happening all at once.
  25. Nothing new by Charliemopps · · Score: 2

    Rich patients fly to other countries to have exotic, untested, unproven procedures that have little to no chance of saving their lives. There's nothing new here. To somehow say that this behavior has something to do with the hobbling of medical science by the government (Which is a very real concern on its own) is just silly. The 2 subjects are unrelated.

  26. Re:You made that up by Tsingi · · Score: 4, Insightful

    The historical record is unclear on this point *at best*.

    Actually, the historical record of the time is pretty thin on Christ existing at all.

  27. Re:Are you serious? by DNS-and-BIND · · Score: 2

    The common cold is not strep throat. They are two entirely different diseases. A cold is caused by viruses and there is no medical treatment on this planet, in any hospital anywhere, that can do anything to help. Strep throat is a bacterial infection. Idiot anti-science morons...it's people like you who go to the hospital and scream until you get prescribed something, anything, regardless of how it affects antibiotic resistance in the rest of the population.

    --
    Shutting down free speech with violence isn't fighting fascism. It IS fascism!
  28. Uh, no, more likely by unassimilatible · · Score: 2

    the over-regulation of the left that causes approval of things like stem-cell treatments, etc, to take forever.

    --
    Slashdot "libertarians": Small government for me, big government for those I disagree with. -1, I disagree with you
  29. Re:Buthe US market produces a superiour health sys by sjames · · Score: 2

    Are you actually claiming that all's well in U.S. health care?

  30. Re:Are you serious? by sjames · · Score: 2

    That's why he was surprised to be referred to the ER rather than to an associated walk-in clinic. That's sadly common in the U.S. when you have no insurance or the "wrong" insurance. You go to the busy and crowded ER where they HAVE to see you rather than to a much more appropriate clinic where they are not under that obligation.