Free Markets, Free People

Daily Archives: August 1, 2009

Dodd, Cancer and Health Care “Reform” – Be Careful What You Wish For

First let me wish Sen. Chris Dodd a full recovery from the prostate surgery he will undergo soon to remove the cancer he’s been found to have.

But with all things personal, politicians try to turn them into “teachable moments” that support what they’re trying to do. And Dodd is no exception.

“I wanted to let you know that I’ve been diagnosed with an early stage of prostate cancer,” Dodd wrote. “Luckily, a routine test allowed my doctor to catch it at a very early stage, and my prognosis is excellent – we expect a full and speedy recovery. I want to assure you that I am feeling fine.”

“After the Senate adjourns at the end of next week, I’ll have surgery to remove the cancer,” Dodd wrote. “After a week or two of recuperation, I expect to be right back to work. After all, as a member of Congress, I have great health insurance. I was able to get screened, seek the opinions of highly skilled doctors, consider all the available options, and choose the treatment that was right for me.”

He added, in a reference to his current work to pass healthcare legislation, “I know you’ll agree that every American deserves the same ability. We have healthcare legislation to pass – and an election to win. And I can’t thank you enough for your support.”

The implication, of course, is that without universal health care or universal health insurance, detection and survival rates must be lower than they could be.

But a quick check of systems with universal care and insurance doesn’t at all back up the implication:

Survival was significantly higher in the United States for all solid tumors, except testicular, stomach, and soft-tissue cancer, the authors report. The greatest differences were seen in the major cancer sites: colon and rectum (56.2% in Europe vs 65.5% in the United States), breast (79.0% vs 90.1%), and prostate cancer (77.5% vs 99.3%), and this “probably represents differences in the timeliness of diagnosis,” they comment. That in turn stems from the more intensive screening for cancer carried out in the United States, where a reported 70% of women aged 50 to 70 years have undergone a mammogram in the past 2 years, one-third of people have had sigmoidoscopy or colonoscopy in the past 5 years, and more than 80% of men aged 65 years or more have had a prostate-specific antigen (PSA) test. In fact, it is this PSA testing that probably accounts for the very high survival from prostate cancer seen in the United States, the authors comment.

99.3% survival rate on prostate cancer in the US vs. 77.5% among the “universals”. How can that be, given Dodd’s indication that he’s just among the lucky ones? How in the world can the US, with such a badly broken system manage to save all but 0.7% of the prostate cancer patients, while the exemplar of universal care – Europe – loses 22.5% of theirs?

The PSA? It is a blood test. It is a test routinely run in the US when people have bloodwork done. And look at the testing for breast and colon cancer – isn’t that “preventive medicine”? So why aren’t the Europeans running all of these tests?

Good question. My guess would be cost. Here’s the result:

The age-adjusted 5-year survival rates for all cancers combined [Europe] was 47.3% for men and 55.8% for women, which is significantly lower than the estimates of 66.3% for men and 62.9% for women from the US Surveillance, Epidemiology, and End Results (SEER) program ( P < .001).

The point? Don’t buy into this “the system is broken” rhetoric in which politicians claim to have a better way of providing health care. My guess is a significant portion of Europeans diagnosed with various cancers would much rather be treated here than there.

~McQ

[HT: Carly B.]

The Revolt Of The Scientists

Apparently it is getting a little hot in the scientific community when it comes to AGW and skepticism. And it is the skeptics who are firing the broadsides. Melanie Phillips brings us the latest:

More and more scientists have just about had it up to here with the rubbish being put out as the ‘consensus’ on man-made global warming. Marc Morano reports how members of the American Chemical Society (ACS) have risen in revolt against the group’s editor-in-chief — with demands for his removal — after an editorial appeared claiming ‘the science of anthropogenic climate change is becoming increasingly well established.’

The editorial claimed the ‘consensus’ view was growing ‘increasingly difficult to challenge, despite the efforts of diehard climate-change deniers.’ The editor now admits he is ‘startled’ by the negative reaction from the group’s scientific members.

His readers had responded as you see in these two representative replies:

ACS member scientist Dr. Howard Hayden, a Physics Professor Emeritus from the University of Connecticut: ‘Baum’s remarks are particularly disquieting because of his hostility toward skepticism, which is part of every scientist’s soul. Let’s cut to the chase with some questions for Baum: Which of the 20-odd major climate models has settled the science, such that all of the rest are now discarded? […] Do you refer to ‘climate change’ instead of ‘global warming’ because the claim of anthropogenic global warming has become increasingly contrary to fact?’

William E. Keller wrote: ‘However bitter you (Baum) personally may feel about CCDs (climate change deniers), it is not your place as editor to accuse them—falsely—of nonscientific behavior by using insultingly inappropriate language. […] The growing body of scientists, whom you abuse as sowing doubt, making up statistics, and claiming to be ignored by the media, are, in the main, highly competent professionals, experts in their fields, completely honorable, and highly versed in the scientific method—characteristics that apparently do not apply to you.’

Some pretty heavy shots across the bow.  I’d love to see if Baum answers the two questions Dr. Hayden posed (especially the first).

ACS isn’t the only “revolt” that is taking place among scientists:

On May 1 2009, the American Physical Society (APS) Council decided to review its current climate statement via a high-level subcommittee of respected senior scientists. The decision was prompted after a group of 54 prominent physicists petitioned the APS revise its global warming position. The 54 physicists wrote to APS governing board: ‘Measured or reconstructed temperature records indicate that 20th – 21st century changes are neither exceptional nor persistent, and the historical and geological records show many periods warmer than today.’

The petition signed by the prominent physicists, led by Princeton University’s Dr. Will Happer, who has conducted 200 peer-reviewed scientific studies. The peer-reviewed journal Nature published a July 22, 2009 letter by the physicists persuading the APS to review its statement. In 2008, an American Physical Society editor conceded that a ‘considerable presence’ of scientific skeptics exists.

In addition, in April 2009, the Polish National Academy of Science reportedly ‘published a document that expresses skepticism over the concept of man-made global warming.’ An abundance of new peer-reviewed scientific studies continue to be published challenging the UN IPCC climate views.

I bring these sorts of examples up over and over again because it has become obvious that there is absolutely no scientific “consensus” concerning AGW – none. And those who continue to contend there is are, in fact, the real deniers.

~McQ