News
America’s Health Care Crisis: Big Spending, Poor Outcomes
It is for this reason that the passage of this report makes such a compelling argument for people to seek for overhaul of the entire American health cares system.
United States – The health system in the U.S has crumbled, a shocking new study reveals.
The US ranks last among ten developed countries in three measures of health care: saving lives, in terms of affordability and in guaranteeing equal access to good quality care for all people regardless of gender, ability to pay or where they live, according to the study by The Commonwealth Fund, an independent nonprofit group, released Thursday, as reported by NBC News.
Lowest Life Expectancy and Preventable Deaths
As per recent research, people in the U.S. die youngest and suffer the highest rate of potentially preventable deaths in spite of nearly $2.2 trillion or nearly twice more as a percentage of the gross domestic product being spent on health care more than any other country in this ranking.
Recent polls show that health care is one of the voter concerns in the upcoming November presidential election. Accounting to the Vice President Kamala Harris, expansion on the Affordable Care Act known as Obamacare has been proposed. Former President Donald Trump has offered limited information about his heath care policy; his running mate, JD Vance, has only called for deregulation.
Thursday’s findings are likely to prove, according to the researchers, that the US is actually the country that spends the most but gains the least for its money.
“No other country in the world expects patients and families to pay as much out of pocket for essential health care as they do in the U.S.,” Dr. Joseph Betancourt, the president of The Commonwealth Fund, said on a call Wednesday discussing the new findings.
Ironically, the steep price people pay doesn’t guarantee superior care.
Long Wait Times and Shortages
“We are undersupplied with the things that people need most,” including doctors and hospital beds, Dr. David Blumenthal, the former president of The Commonwealth Fund, said on the call. “That’s one of the reasons why you have to wait so long in the United States for specialty care and one of the reasons why no one can find a primary care physician.”
Thursday’s findings were obtained after consolidating survey responses from tens of thousands of primary care physicians and residents from high-income countries from the past three years.
The researchers examined how the U.S. compared with nine other countries: Australia, Canada, France, Germany, Netherlands, New Zealand, Sweden, Switzerland, and the United Kingdom. Each country was graded into five categories: four key areas include access, the process of care, cost and administrative requirements, equity, and health gains.
Not a single country could be placed at the extremities in all those parameters the statistics presented just now provided. The three countries that were ranked highest overall were Australia, the Netherlands, and the UK. Australia and the Netherlands had the least healthcare expenditure, the report noted.
The researchers pointed out that the US is among seven countries that perform ‘exceptionally’ poorly.
These concerns performed poorly or worse in nearly every benchmark area except one: the care process, in which scores trailed only New Zealand’s. Personalization objects include preventive services such as mammograms and flu vaccinations, as well as patient engagement.
Thus, details such as hospitals’ billing, insurance claims, and out-of-pocket costs, through which the patient and doctors get entangled, place the U.S. only one step ahead of the last place in terms of administration.
Widespread Inequality and Access Issues
The U.S. figured at second last also in equity; more people in lower income brackets said they could not afford the care they required, and more men and women said they had experienced unfair treatment or discrimination.
Most importantly, the U.S. reported the lowest life expectancy and high preventable and treatable excess deaths compounded by the pandemic.
That was up slightly from 76.4 years in 2021, primarily because of COVID-19 as per the most recent CDC data from the United States.
“That is a new finding,” Blumenthal said. “We have never had a pandemic-related finding in a previous report, and it shows that, unfortunately, our general low performance held in our performance on Covid mortality.”
Advanced medical care out of reach for many
Lawrence Gostin, the Georgetown University’s O’Neill Institute for National and Global Health Law director was kind to note that these results corroborate other studies that place the United States among the worst peer countries on almost all major health measures such as life expectancy, child and maternal mortality, health access and fairness.
Gostin pointed out that many of America’s most vulnerable, including racial minorities and people with low incomes, can hardly rely on insurance. Moreover, due to the high charges for facility rendition, many clients surrender the service or postpone obtaining medical care.
In view of this, Gostin summarized the situation, saying, “The United States offers maybe the best health care in the world, but everyone has to pay for it out-of-pocket.” “In a sad cruel irony, quality health care remains a privilege rather than a right.”
Dr. Adam Gaffney, a critical care physician at the Cambridge Health Alliance in Massachusetts, pointed out that the U.S. differs from the other countries in one critical area: free medical treatment for all the citizens of the country.
“A universal health care system can make a difference,” Gaffney said, “not only because everyone is covered and can see a doctor when they need to, but because they have a long-standing health care provider who can provide counsel and advice and treatment and prevention of common conditions.”
In prior Commonwealth Fund surveys, the U.S. was ranked last; however, the researchers attempted to not compare from report to report because the new one changed questions and the countries involved.
Opportunities for Reform
Thursday’s report also provided recommendations that could improve the health of the country’s population, with an emphasis on decreasing the price of medical services and making insurance more accessible, as reported by NBC News.
“The shortcomings of the United States are clear from this international analysis, but so are the opportunities for change,” said Reginald Williams II, vice president of the International Health Policy and Practice Innovations program at The Commonwealth Fund.
News
Bridging the Gap: Police Training for Black Autistic Youth
Improved police training and awareness are essential to ensure safer, more understanding interactions with Black autistic youth.
United States: Black parents with teenagers with autism have concerns about their children’s vulnerability when they encounter police officers.
Key Findings from the Study
A study published on Dec. 16 in the Autism Journal has revealed that aspects like reduced eye contact observed in children with autism may make police consider them to be guilty, as reported by HealthDay.
Sadly, police officers do not learn that these actions are typical among children with autism, families informed scholars.
Voices of the Researchers
“It’s important for everyone to understand that the parents in this study said they were hopeful, which we interpreted as Black caregivers’ faith that interactions between officers and Black autistic youth could be better,” said lead researcher Ashlee Yates Flanagan, a clinical psychologist at the Children’s Hospital of Philadelphia Center (CHOP) for Autism Research.
Researchers reveal important themes to improve interactions between police and Black autistic youth https://t.co/4KaqLTKU8M
— Continental Clinical (@Conti_Clinical) December 16, 2024
“This demonstrates that there’s space for improvement in training, and we can take what we know from this study and explore it further,” Flanagan added in a CHOP news release.
During the interviews, four distinct themes surfaced:
- The caliber of police officer education
- Inappropriate police enforcement of typical autistic behaviors
- The overt threat of injury and death
- Families believe that police officers may become aggressive towards gestures and responses that are normal for AS children but not for other children, as the study indicated.
Some families said that training might make police see these differences in conduct, which should bring about tolerance and perseverance that could enhance the relations between children and the police.
CHOP Researchers Identify Key Ways to Improve Police Interactions with Black Autistic Youthhttps://t.co/8wlvNa0HUu pic.twitter.com/RhpNeYSc0f
— Autism and Friends (@autismtalknd) December 17, 2024
“In this study, we captured rich narratives from stakeholders who have not been represented well in prior research, but whose thoughts and perspectives are critical for knowing how to improve outcomes for Black autistic youth and police,” said senior researcher Julia Parish-Morris, a scientist in the CHOP Center for Autism Research, as reported by HealthDay.
“Our findings suggest that there is a lot of room for growth in training for police officers and that Black parents of Black autistic youth carry hope that outcomes can be improved,” Parish-Morris added.
News
AI Breakthrough Simplifies Lung Disease Testing
This AI breakthrough promises faster, more accessible, and cost-effective COPD diagnosis with a single CT scan.
United States: Research says that people with breathing problems can know whether they are suffering from COPD with the help of a new lung AI test.
AI Offers a One-Scan Solution for COPD
The newly developed AI can accurately diagnose COPD using data from a single chest CT scan performed as a person inhales, researchers reported Dec. 12 in the journal Radiology: Cardiothoracic Imaging, as reported by HealthDay.
The researchers said it can also inform from that scan how severe a person’s COPD is.
So far, doctors have required two CT scans to diagnose and assess COPD — one when the person has taken a deep breath and one when he or she has exhaled.
“Our study shows that COPD diagnosis and staging is feasible with a single CT acquisition and relevant clinical data,” said researcher Kyle Hasenstab, an assistant statistics and data science professor at San Diego State University.
A Growing Global Health Concern
COPD is defined as a systemic group of lung diseases that become worse over time and make it difficult for individuals in the community to breathe. COPD is chronic, and there is no known treatment for the disease, although it ranks third in deaths globally, according to the researchers’ background information.
The researchers added that spirometry, a lung function test that tests the amount of air, including vital capacity, that a patient can inhale and exhale, has been the primary approach toward identifying COPD.
Some hospitals already use CT images of the lungs to help diagnose COPD because the images can point out lung tissue that might be limiting breath, Hasenstab said.
“However, this type of protocol is not clinically standard across institutions,” Hasenstab said; this is due to the fact that it requires additional training for the staff to be able to take good CT images as well as to be able to interpret them.
Scientists believed that if the AI could read CT scans for COPD, more people could be provided with CT scans, despite a lack of training.
How the AI Works
To provide answers for this study, the researchers captured the inhaled and expelled lung CT scans of nearly 8,900 patients who were tested from November 2007 to April 2011 and their spirometry results.
The average age of patients was 59, and all patients were smokers.
Benefits of the AI Tool
The team then utilized the CT scans and the clinical data to teach the AI to forecast spirometry outcomes.
Study findings indicated that the AI could identify COPD by relying on one of the CT scans and could reasonably express how severe the COPD had become.
Researchers pointed out that when they introduced clinical data, the accuracy of the AI was enhanced.
Researchers also discovered that the AI’s performance was similar when the patients had to hold their breath during the CT scan or when they were breathing normally, as reported by HealthDay.
“Reduction to a single inspiratory CT acquisition can increase accessibility to this diagnostic approach while reducing patient cost, discomfort, and exposure to ionizing radiation,” Hasenstab said in a journal news release.
News
Screen Time Wrecks Preschoolers’ Sleep and Behavior
Excessive screen time disrupts preschoolers’ sleep and behavior, underscoring the need for controlled device usage and better sleep habits.
United States: Excessive use of electronic devices threatens preschoolers’ sleep and urges the child to become a terror of the house, new research shows.
Screen Time and Sleep: A Vicious Cycle
Researchers said poor sleep worsens children’s ability to focus and be less hyperactive and moody, as published in Early Child Development and Care on 12th December.
Worse still, cylinders can occur where kids spend a lot of time in front of screens, leading to poor sleeping habits and consequently increased screen time, as reported hy HealthDay.
“Our results suggest the presence of a positive feedback loop, wherein increased screen time and sleep disturbances exacerbate each other through cyclic reinforcement, heightening the risk of hyperactive attention problems, anxiety, and depression,” said researcher Dr. Bowen Xiao, an expert in children’s socio-emotional functioning and developmental psychopathology with Carleton University in Canada.
The Research: Insights from Parents
To gather data, the authors administered questionnaires to the 571 mothers of preschool children aged between 3 and 6 years attending seven public kindergartens in Shanghai.
Moms recorded the number of daily hours their children spent with a TV, smartphone, computer, or any other screen-based device. They also asked them questions to determine any possible behavioral issues that their kids may have, as well as the quality and duration of sleep their children get.
“Our results indicate that excessive screen time can leave the brains of preschool children in an excited state, leading to poor sleep quality and duration,” said researcher Yan Li, an expert in preschool education from Shanghai Normal University.
Researchers also pointed out that other studies have shown that children’s screen use can cause emotional issues and hyperactivity.
According to this study, screen time may be the cause, according to the experts.
Screen Time’s Impact on Sleep
“This poor sleep may be due to postponed bedtimes caused by screen viewing and the disruption of sleep patterns due to overstimulation and blue-light exposure,” added lead author Shujin Zhou, a doctor of psychology at Shanghai Normal University.
“Screen use might also displace time that could have been spent sleeping and increase levels of physiological and psychological arousal, leading to difficulties in falling asleep,” Zhou said in a journal news release.
Therapeutic Implications
According to Zhou, these findings may help guide future therapies for young children’s mood and hyperactivity issues.
“The implications of our study are two-fold: first, controlling screen use in preschool-age children can help alleviate behavioral problems and poor sleep quality, and second, sleep interventions and treatments can be effective in mitigating the adverse effects of screen time on behavioral issues,” Zhou noted, as reported hy HealthDay.
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