Wall Street Weekly | 11/20/2009 12:15 pm
Could Mammograms Fall Victim to Obamacare? by Liz Peek

Bears, Bulls, Chickens and Pigs: wOw’s Wall Street Weekly with Liz Peek (Week of 11/16)
Editor’s Note: Liz Peek is a financial columnist.
An English friend recently described an example of the kinds of practices that so alarm opponents of Obamacare. Her mother, who is 83 years old, is a breast cancer survivor. She has had surgery and subsequent chemotherapy twice and is currently in excellent health. The government, however, has told her they will not pay for any future mammograms, despite her history and obvious vulnerability. It is, they explain, not cost effective.That assessment is derived from studies – analyses which deal in probabilities and cost curves – the authors of which generally do not encounter the mothers or sisters impacted by their decisions. Such a study made headlines in the U.S. this week; it argued for less frequent mammograms for women under the age of 50. The report from the U.S. Preventive Services Task Force raised a firestorm, as those frightened by a government takeover of our medical establishment saw it as likely to influence "best practices" and provide ammunition for those trying to rein in costs.
Americans should be alarmed. Our president has told us that his program will "bend the curve" on medical outlays. Are we so naive as to imagine that cutting costs will not mean reduced care – for someone, at some time? It is shocking that both the House and Senate bills include huge bites out of Medicare, and few are questioning what that really means for seniors. The Senate bill establishes a commission of 15 people, to be appointed by the president, who will determine how to limit Medicare spending. If you disliked the autocratic decision making practiced by your HMO, wait until you have to argue your case to Beltway bureaucrats.
| President Obama faces tough choices. Americans have made it clear that their first priority is jobs. That is not Obama's first priority. |
Americans are spoiled. The 85% of our population that has health-care insurance is accustomed to receiving the medical care that their doctor prescribes. They are not interested in whether that treatment is "cost effective." Unhappily, a government facing ballooning budget deficits is going to have to make choices. Just as the English have.
The tough choices will not only target health care. President Obama, in a Beijing interview with Fox News (amazingly), warned that "if we keep on adding to the debt, even in the midst of this recovery, that at some point, people could lose confidence in the U.S. economy" and bring on a "double-dip." The ugly possibility of another downturn, raised recently by some wobbly economic indicators, rattled investors yesterday, causing a nasty sell-off in stocks. The housing market fell sharply in October for the first time since April, dropping 10.5%. Monthly housing starts peaked at an annualized rate of 2.27 million at the beginning of 2006 and are now running at 529,000. Manufacturing activity also slowed last month, with output increasing only 0.1% compared to an average gain of 0.9% in the prior three months. Part of the drop-off stemmed from lower vehicle assembly rates as the Clunkers program concluded. One bright spot was the October reading of leading indicators, which climbed for the seventh straight month, albeit at a lesser rate than expected.
What are the odds of another downturn? Slim, I think, but real. Today’s economy is one-of-a-kind, but many continue to look toward the Great Depression for clues. Skeptics of growing government spending argue that the New Deal prolonged – rather than countered – the 1930s slump and are equally wary of today’s mammoth deficits. One such critic is noted columnist Amity Shlaes, who spoke to a Manhattan Institute gathering in New York this week, raising alarming parallels between the Obama administration and that of Franklin Roosevelt. Shlaes is the bestselling author of The Forgotten Man: A New History of the Great Depression, and is a senior fellow at the Council on Foreign Relations. She describes the 1930s as a period during which populist outrage at bankers allowed for unprecedented government incursion into private enterprise and private life. The Roosevelt White House was staffed by a well-educated and arrogant team known as the "Brain Trust" who considered the rule of law an inconvenience and was confident that government knew best. (Is this sounding familiar?)
























263 Reader Comments (so far…) Sign In or Register to comment
Heather…you just nailed (inadvertantly) yourself.
The very fact that your friend with prostrate cancer was ‘shot to the head of the line’ speaks volumes to the level of care in Canada. THERE SHOULD BE NO LINE!!! Get it? If you need care…you get care…like in the US right now. Not waiting in some beauracratic induced queue.
S J,
That must be so common because that’s how mine works too. I sometimes have to call them back and reschedule a couple of days later, because it cannot be less than 365 days or it’s my expense. All it takes is people to take responsibility for their own health, not the govt. If you don’t have it set up on a revolving appt. plan, then it is up to you to make that appt. Many more women are having Mammograms now and some places you do have to wait. So after your exam, stop by the window and schedule your appt for next year, then you don’t have to wait months. It’s really quite simple. And while you are waiting, don’t forget to do that self breast exam! It could save your life, so don’t listen to what the task force, ordered by the govt. tell you and not do it.
Heather, get out of town! Canada has a higher incident of deaths from breast cancer than we do.
Your own former member of the Canadian Parlament, Melinda Stronick came to UCLA to get her breast cancer surgery. So stop with touting the Canadian health care , it can not compare to the quality that Americans have.
Canadian Madam Chief Justice, Beverly McLaughlin said; " They may have universal health care but they do not have universal access to health care".
Canada had both private and public health insurers until the public bankrupted the private. Now they are wanting the private back.
Okay, I don’t know what statistics you’re using, but it can also be pointed out that the US has a higher rate of infant mortality than Canada. What does that prove? Want another statistic? What is the percerntage of personal bankruptcies in Canada due to medical bills? The answer: 0% By the way, Canada also has a lower mortality rate for people with Cystic Fibrosis. I don’t know why Melinda Stronich came to UCLA. Maybe she had a friend there. So if you want to through this up as an example, what about the thousands of Americans who are coming to Canada to buy their pharmaceuticals? Want me to go on? If you’ve never experienced Canadian healthcare firsthand, you don’t know what you’re talking about. And you don’t, like many Americans who diss the Canadian system. I have hundreds of friends and family who live in Canada and believe me, they do NOT want the private system back. You are making gross generalizations, and speaking out of ignorance, wilful or otherwise. In any case, this is not a competition between Canada’s system and the U.S. All anyone is really talking about is having a basic right to healthcare, and the US is the only western nation that does not have it. That’s the core of the argument - that everyone should have equal access to affordable basic healthcare. In Canada, they do, and in many areas of medicine that healthcare is superior to the U.S.
The breast cancer death rate is declining significantly and more women are surviving longer, according to a special report in Canadian Cancer Statistics 2007, released today by the Canadian Cancer Society.
The declining death rate is due to more and better screening, as well as more effective treatments.
“While these strides are good news, breast cancer continues to take a significant toll,” says Heather Logan, Director, Cancer Control Policy, Canadian Cancer Society. “We chose to study breast cancer more intensely this year because it’s the most common cancer among Canadian women, as well as globally. We must continue to make inroads against this devastating disease that affects so many women and their families.”
According to the special report, the age-standardized death rate for breast cancer for Canadian women has fallen 25 per cent since 1986. The five-year relative survival rate is 86 per cent (for women diagnosed between 1996-1998), excluding Quebec.
Better quality mammography and increased participation in organized breast screening programs (by women aged 50-69 in particular) have led to more breast cancers being detected earlier, which means successful treatment is more likely.
Sorry Heather, but Canada lags behind the U.S. and I do have first hand information on the Canadian Health Care system from those that actually work there.
Canada started out with a public or private "option" the public bankrupted the private and now…they are needing the private back just to fund the public! The Canadian Supreme Court ruled that the government must stop the restricting the private sector from providing health care when the national system fails. (which it frequently does)
When accidents and murder are not factored in, some studies find that America is #1 in quality of health care. You really don’t want to take the stats that the U.N. backs…really now…The manner in which they compile those facts is less than scientific.
American companies have developed HALF of all new major medicines introduced worldwide over the last 20 years. You should thank us.
Finally, when the public spends less out of pocket (government health care) they care less about prices and those costs inevitably rise.
Our first class medical care can be improved. Govenment take over has not worked anywhere else.
Millions of Canadians will tell you that you’re wrong, and unless you’ve lived there under that system as I have, you haven’t got all the facts - so I won’t confuse you with them. Suffice it to say that no one in Canada is dying for lack of health insurance, no one is going bankrupt or losing their house because of medical bills, drugs and medicines are affordable, etc. etc. etc. Perhaps America has developed half of all new major medicines in the last 20 years - and where did I say I wasn’t thankful? - but Canada has also contributed it’s fair share of cutting edge medical technology (work on gene splicing, for instance). As for having first hand information from those who actually work in the health industry in Canada, that would be my mother (a nurse), my niece (a nurse), my nephew (an emergency room doctor), my friend Fred (a GP). My parents have raised two children with Cystic Fibrosis, and they founded the Canadian Cystic Fibrosis Foundation 50 years ago, so we are no strangers to the needs and benefits or pitfalls of nationalized healthcare, and the gold standard of Canadian Care. It was a Canadian research team that discovered the gene for CF at the hospital for Sick Children in Toronto. So don’t tell me you know more about national healthcare in Canada - you don’t. Methinks I detect the not so subltle odor of American hubris, True Grit. It’s a good thing to be proud of your country, but dangerous to fall prey to a "we’re better than you" attitude. America is truly wonderful, and the nation leads the world in many ways, but this debate is not about America’s so called superiority. It’s the 40 million uninsured in the U.S. that we’re worried about. It’s the people who lose their houses to pay their medical bills. It’s about the people with pre-exising conditions who can’t get insurance in this country. And did I mention that the U.S. is #36 in the world in infant mortality? You just let that bounce right off you! One way or another, America needs healthcare reform, and rather than smugly attacking other systems of healthcare, you’d do everyone a service by using your energy and ingenuity to create solutions to the problems we face.