Opinion Americans are the worst patients in the world

[MiniCraque]

Right. Obese people tend to die much earlier than normal people.

And they live longer as time goes own.

Are you seriously arguing that the US population pyramid won't resemble Japan's eventually? Because fat people gonna die?

 

[The ScorpioN]

And they live longer as time goes own.

Are you seriously arguing that the US population pyramid won't resemble Japan's eventually? Because fat people gonna die?

Yeah. I think as obesity increases the life expectancy will decrease.
As long as we don't subsidize low IQ pigs with free healthcare, nature will take its course.

 

[AlexDB9]

This sitcom is a massive hate crime.

If it were made today the lefts heads would all explode in unison a la Kingsman

 

[MiniCraque]

Yeah. I think as obesity increases the life expectancy will decrease.
As long as we don't subsidize low IQ pigs with free healthcare, nature will take its course.

Might as well write a paper on that incredible insight since I have never seen anyone make that prediction.

 

[bufetadanacara]

Most other countries don't have frozen food sections the size that American grocery stores tend to have.

The average American's diet is terrible and consists of mainly processed food and huge portions. It's no wonder so many people are in poor health.

 

[Amerikuracana]

Damn son and this is why I try to keep disagreements as civil as possible on here, you don’t know the other persons history and I’d feel bad right now if I’d been an asshole to you before.

Dude I already have a bunch of kids.. It has been bad for my sex life a little, but looking 36 at 40 is not the worst thing that could have happened. I wasn't even going for sympathy. But thank you and you sound decent.

Yes, it SUCKS. And when the pharmacist handed my ex, who I drove to the Doctor, the same damn medicine, HE FREAKIN WARNED HER and I went into this big spiel about what happened to me. It was a little depressing at first, just all of a sudden having your skin loose when you flick it, and new wrinkles over night, but truth be told I was tired of looking 25.. Actually now, I really wish it wouldn't have happened, because looking young helps you get better jobs. Wtevr.

 

[Amerikuracana]

Pics or gtfo

*scurries out*

 

[Bald1]

Right. Obese people tend to die much earlier than normal people.

Obese people are quickly becoming the "normal people". Ain't that a bitch.

 

[WOW]

Fat Americans running the earth and their arteries into the ground with shameful gluttony <45><45><45>

Hey USA, get it together! We're praying for you!

 

[D 1 Wrestler]

And they live longer as time goes own.

Are you seriously arguing that the US population pyramid won't resemble Japan's eventually? Because fat people gonna die?

The life expectancy in the us has dropped three years in a row. The population is older because baby boomers. Once they die off and the current generation ages it wont be the case and it will never come close to Japan

 

[MiniCraque]

The life expectancy in the us has dropped three years in a row. The population is older because baby boomers. Once they die off and the current generation ages it wont be the case and it will never come close to Japan

...by an astounding 0.3 years. Combined. Three years is not a demographic trend. That's like looking at last year's winter and saying global warming is false. The overall trend is still of growth, even if that growth is significantly slower than other OECD countries.

Once boomers die off, Generation X (who outnumber boomers btw) will be old. Meanwhile fertility rates have been consistently dropping (THAT is a trend). The median age is going to rise. That is inevitable.

 

[Mike Hagger]

Americans in general are too often weirdos who play childish, moronic unproductive games at work, try to hate their neighbors, and overall have little class outside of historically well(er) off communities.

If you replaced unproductive games at work with unproductive internet politically fueled arguments.. I'd say you nailed war room Sherdoggers.

 

[superpunch]

?????

The american population has been getting older and it won't stop. If anything obesity rates will make it even worse.

Obesity and smoking actually lower long term healthcare costs by killing people before they’re senile and bed ridden for 10 years.

 

[MiniCraque]

Obesity and smoking actually lower long term healthcare costs by killing people before they’re senile and bed ridden for 10 years.

Any data behind that point?

 

[superpunch]

And they live longer as time goes own.

Are you seriously arguing that the US population pyramid won't resemble Japan's eventually? Because fat people gonna die?

The US will never resemble Japan’s because we have immigration. Japan is 99% ethnically homogeneous and doesn’t allow immigration to replace their low birth rates. The US won’t age as much.

 

[superpunch]

Any data behind that point?

It’s in the news all the time just google it

 

[MiniCraque]

It’s in the news all the time just google it

So... no?

 

[Wingslaught]

As most know american healthcare costs are highest in the world despite similar or worse outcomes than other countries, there are many reasons why but this guy pins some of the blame on the american patient. Poor diet, poor exercise, don't get regular checkups, don't take medications, demand tests and drugs they don't need, etc. Interesting read

But lost in these discussions is, well, us. We ought to consider the possibility that if we exported Americans to those other countries, their systems might end up with our costs and outcomes. That although Americans (rightly, in my opinion) love the idea of Medicare for All, they would rebel at its reality. In other words, we need to ask: Could the problem with the American health-care system lie not only with the American system but with American patients?

One hint that patient behavior matters a lot is the tremendous variation in health outcomes among American states and even counties, despite the fact that they are all part of the same health-care system. A 2017 study published in JAMA Internal Medicine reported that 74 percent of the variation in life expectancy across counties is explained by health-related lifestyle factors such as inactivity and smoking, and by conditions associated with them, such as obesity and diabetes—which is to say, by patients themselves. If this is true across counties, it should be true across countries too. And indeed, many experts estimate that what providers do accounts for only 10 to 25 percent of life-expectancy improvements in a given country. What patients do seems to matter much more.


Somava Saha, a Boston-area physician who for more than 15 years practiced primary-care medicine and is now a vice president at the nonprofit Institute for Healthcare Improvement, told me that several unhealthy behaviors common among Americans (for example, a sedentary lifestyle) are partly rooted in cultural norms. Having worked on health-care projects around the world, she has concluded that a key motivator for healthy behavior is feeling integrated in a community where that behavior is commonplace. And sure enough, healthy community norms are particularly evident in certain places with strong outcome-to-cost ratios, like Sweden. Americans, with our relatively weak sense of community, are harder to influence. “We tend to see health as something that policy making or health-care systems ought to do for us,” she explained. To address the problem, Saha fostered health-boosting relationships within patient communities. She notes that patients in groups like these have been shown to have significantly better outcomes for an array of conditions, including diabetes and depression, than similar patients not in groups.

American patients are frequently overtreated, especially with regard to expensive tests that aren’t strictly needed. The standard explanation for this is that doctors and hospitals promote these tests to keep their income high. This notion likely contains some truth. But another big factor is patient preference. A study out of Johns Hopkins’s medical school found doctors’ two most common explanations for overtreatment to be patient demand and fear of malpractice suits—another particularly American concern.

In countless situations, such as blood tests that are mildly out of the normal range, the standard of care is “watchful waiting.” But compared with patients elsewhere, American patients are more likely to push their doctors to treat rather than watch and wait. A study published in the Journal of the American Board of Family Medicine suggested that American men with low-risk prostate cancer—the sort that usually doesn’t cause much trouble if left alone—tend to push for treatments that may have serious side effects while failing to improve outcomes. In most other countries, leaving such cancers alone is not the exception but the rule.

as many prescriptions as possible.)


American patients’ flagrant disregard for routine care is another problem. Take the failure to stick to prescribed drugs, one more bad behavior in which American patients lead the world. The estimated per capita cost of drug noncompliance is up to three times as high in the U.S. as in the European Union. And when Americans go to the doctor, they are more likely than people in other countries to head to expensive specialists. A British Medical Journalstudy found that U.S. patients end up with specialty referrals at more than twice the rate of U.K. patients. They also end up in the ER more often, at enormous cost. According to another study, this one of chronic migraine sufferers, 42 percent of U.S. respondents had visited an emergency department for their headaches, versus 14 percent of U.K. respondents.

Finally, the U.S. stands out as a place where death, even for the very aged, tends to be fought tooth and nail, and not cheaply. “In the U.K., Canada, and many other countries, death is seen as inevitable,” Somava Saha said. “In the U.S., death is seen as optional. When [people] become sick near the end of their lives, they have faith in what a heroic health-care system will accomplish for them.”



https://www.theatlantic.com/magazine/archive/2019/07/american-health-care-spending/590623/

There could be some merits to this, but if you read between the lines in the last few paragraphs it looks like countries with UHC system expect older folks to accept death when it comes knocking so as not to be a drain on the system. **** that.

 

[Amerikuracana]

If you replaced unproductive games at work with unproductive internet politically fueled arguments.. I'd say you nailed war room Sherdoggers.

touche'

 

[pinger]

Most people are bad patients.

I was recovering from a critical case of pneumonia in a respiratory ward. I was surrounded by 50 year old smokers who had had lung operations bitching about not being able to go home as their lung function had not improved. They simply sat in bed rather than get up and do their rehab to help themselves get out of there.