Es wird erwartet, dass Krebsinzidenz und -mortalität in Ländern mit niedrigem Einkommen am stärksten zunehmen werden. Allerdings bedeutet es nicht, dass Sie die besten Ergebnisse erzielen, wenn Sie am meisten ausgeben. Die USA geben pro Kopf den höchsten Betrag für ihr Gesundheitssystem aus, aber Australien hat eine geringere Krebssterblichkeit bei geringeren Gesundheitsausgaben.
https://www.scimex.org/newsfeed/the-big-gap-in-cancer-care-across-different-countries
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I’ve linked to the news release in the post above. In this comment, for those interested, here’s the link to the peer reviewed journal article:
https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.35590
From the linked article:
There are striking disparities in the cost and availability of cancer drugs across different regions of the globe, with significant gaps between high- and low-income countries, according to international research. The study suggests that in the coming years, cancer incidence is expected to increase most significantly in low-income countries. Cancer mortality rates are also increasing in low-income countries, whereas they have levelled off in developed countries. However, it also shows that spending the most doesn’t mean you have the best outcomes. The US spends the highest amount per capita on its health care system, but Australia is one of several countries that have lower cancer mortality rates with lower health care expenditure.
Seems a miss in terms of causation. The US doesn’t have worse health outcomes despite spending more. The US spends more because they have worse health outcomes. Healthcare spending is almost zero for disease prevention, it’s marginal for disease cures, and the bulk of it is for disease maintenance.
The real driving factor is probably the US diet and sedentary lifestyle. Chemical is a bit higher in the US as well.
The US spends more, but most of it goes into insurance companies pockets, not into actual healthcare.
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In Australia, we put the money into actual healthcare.
I wonder how much of this is down to Australia **really** encouraging early detection?
We have extraordinarily high rates of some cancers in Australia. Notably skin cancer, because we‘re stuck directly under where the hole in the ozone layer is/was.
We **know** this, and so things like going for mole-mapping or going to a doctor ASAP to make sure of anything you think might have changed on your skin are very strongly encouraged. From childhood, habits about sunscreen and hats are drilled into us – you’re six years old, it’s still the end of summer and you forgot to bring a hat to school? You’re playing under a roof today!
Cancer detected early has significantly better outcomes. Maybe these country-wide habits help.
The US health insurance system is a joke. Insurance employees, not the doctors, get to decide if you are getting a certain necessary treatment.