Benefits of single payer systems

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Sat May 20 17:09:52 UTC 2017


I can only comment on what I read from kidney cancer patients in the UK.
Though it is a single payer system, the available resources vary
dramatically within the UK.  Also getting a CT exam is far more difficult,
which is critical in diagnosing many solid tumors.

My extremely rough measure of improvement in kidney cancer in the US and
the UK comes from the ratio of newly diagnosed and deaths in any one year.
Though that ratio from about 15 years ago showed a 1 death for every 2
diagnosed in  both countries (exp; US 30K diagnosed in 2003 with 14K
deaths), with the ratio much improved in the US, about 1 death per 5
diagnosed, and in the UK staying about 1 death to less than 3 diagnosed.

Some of that is naturally attributed to their generally more limited
medications, which are also varied, region to region, and by the assessment
of the years of 'quality' life one drug might bring.  This measure is based
on clinical trial data, which may or may not reflect real life patients.
And the description of Quality of Life Year I read most recently required
that a patient be considered "healthy" through out that year.  Not likely
to happen with metastatic kidney cancer, but many good years given to
patients who take the available drugs are pretty welcome years!

Peggy

Peggy Zuckerman
www.peggyRCC.com

On Sat, May 20, 2017 at 7:29 AM, Robert Bell <
0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:

> Is there any evidence that single payer systems such as the VA, Medicare,
> and even those in other developed countries help reduce the prevalence of
> errors in diagnosis?
>
> Rob Bell, MD
>
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