Why is the comparison "Europe" vs the US. Is the data not OECD states comparison like every other similar comparison? 🤔
Edit: it's a 13 year old paper, not super quantitative in comparisons it often falls back to phrases like "on average so and so occurs later in 'Europe' than the US" without really a discussion of how that breaks down by European state, and without quantifying the size of the difference and confidence intervals. There are cultural aspects to cancer screening, in 2009 places were still very actively running ad campaigns to encourage cancer screenings, and these sort of cultural shifts aren't necessarily uniform. I don't think 13 year old results would necessarily be the same today. I don't think a European average is a good measure of US Healthcare performance. I don't think this is a public vs private debate as much as what guidelines are optimal debate. Further a fair analysis would look at lifetime mortality controlling for socioeconomic factors, the American system might do well for stuff that affects people ages 55+, but the issue might be that people die before these ages at higher rates due to how prohibitively expensive it is.
There is another problem with this study actually, by the time you get to age groups where cancer becomes more frequent you are more likely to qualify for medicaid. So of course the American Healthcare system starts doing well, it's just a European system for people at those age groups!
Why is the comparison "Europe" vs the US. Is the data not OECD states comparison like every other similar comparison? 🤔
Edit: it's a 13 year old paper, not super quantitative in comparisons it often falls back to phrases like "on average so and so occurs later in 'Europe' than the US" without really a discussion of how that breaks down by European state, and without quantifying the size of the difference and confidence intervals. There are cultural aspects to cancer screening, in 2009 places were still very actively running ad campaigns to encourage cancer screenings, and these sort of cultural shifts aren't necessarily uniform. I don't think 13 year old results would necessarily be the same today. I don't think a European average is a good measure of US Healthcare performance. I don't think this is a public vs private debate as much as what guidelines are optimal debate. Further a fair analysis would look at lifetime mortality controlling for socioeconomic factors, the American system might do well for stuff that affects people ages 55+, but the issue might be that people die before these ages at higher rates due to how prohibitively expensive it is.
There is another problem with this study actually, by the time you get to age groups where cancer becomes more frequent you are more likely to qualify for medicaid. So of course the American Healthcare system starts doing well, it's just a European system for people at those age groups!