This morning while on the radio I got a question, as time was running out, related to the Canadian health care system. The caller asked why I didn’t believe the Candian system to be successful when Canadians, on average, live longer and have lower infant mortality rates.
Leaving mortality rates (which are manipulated often, btw, see article here) aside for a moent, I briefly answered that statistics are difficult things. Life expectancy, though, is decidedly not a function of the health care system. There are hundreds of societal and cultural factors that have much greater impact on life expectancy than the health care system. Americans drive more, for example, and auto deaths in the US are much higher than in Canada.
As this article notes, if you want to see the impact of the health care system on life expectancy, you need to look at cases where the delivery system can save/not save lives. One important area here is cancer survival rates, which are highest in the US of all developed countries. A US citizen, contracting cancer, has a much higher survival rate than a Canadian in the same scenario.
The sad part is that proponents of a single payer system should know that these statistics are misleading, and that health care delivery is only one of many components of life expectancy, but they continue to use the statistic to convince the public that major reform is necessary. This type of one sided, uncritical use of statistics needs to be examined. If we are to seriously look at what needs to be fixed in our health care delivery systems, we need to move past misleading stats and actually examine the problems and solutions, not look for statistics that support our predetermined solutions.
And even if (and it’s not the case) the government taking over the health care system would increase life expectancy, is a small increase in the average life span worth a huge sacrifice in personal liberty? Because remember, average life span is just that, average. It does not mean that some individuals (the ones with liberty) don’t have shorter lives under the new system. And the system with the greatest liberty, in the long run, will be that which produces the greatest lives.
UPDATE: found another post today dealing with life expectancy and statistics that bears reading. Read it here.