[ibogaine] speaking of health care,
sara119 at xs4all.nl
Fri Mar 12 11:46:58 EST 2004
It's good to know that in some places people do have good health care.
You can change England and Wales , to Holland and Sweden, Or Israel and
Van: HSLotsof at aol.com [mailto:HSLotsof at aol.com]
Verzonden: vrijdag 12 maart 2004 4:57
Aan: ibogaine at mindvox.com
Onderwerp: Re: [ibogaine] speaking of health care,
I am poor (no money that is) and very thankful I live in NYC where I
fantastic medical care for leukemia. I am in remission approaching four
years at this time. I have always had luck with good doctors. I guess if
going to get good medical care NYC is as good a place as any.
In a message dated 3/11/04 9:46:29 PM, sara119 at xs4all.nl writes:
>Wednesday March 10, 2004
>Rich people are more likely to survive cancer than poor people in England
>and Wales, and the gulf in their life chances has been steadily widening,
>according to research released yesterday.
>The prognosis for most cancers has been improving but an international
>of researchers backed by Cancer Research UK revealed yesterday that it
>the affluent who are profiting the most from today's faster diagnosis and
>better treatment, while the prospects for the poor lag years behind. If
>cancer patients were equal, an extra 3,000 lives could be saved every five
>years, they estimate.
>Their analysis of data from the English and Welsh cancer registries,
>published yesterday in the British Journal of Cancer, reveals the
>seriousness of the health divide. While the government pointed out that
>national cancer plan was published just after the period for which we have
>survival figures, the widening of the socio-economic gulf over the previous
>15 years, in spite of initiatives to address health inequalities, bodes
>Most shocking was the disparity in the survival rates of men five years
>after a diagnosis at some point between 1996 and 1999 of cancer of the
>larynx. The gap between rich and poor was 17.2%. For men diagnosed with
>cancer of the rectum, the gap was 9.4% and for women 8.3%, for women with
>cancer of the colon it was 7.3% and for women with myeloma it was 7.7%.
>"We have evidence of trends in survival which are, generally speaking,
>good news," said Michel Coleman, professor of epidem
>iology at the London School of Hygiene and Tropical Medicine and leader
>the team, "but for 28 of those 33 cancers [16 were studied in men and 17
>women] there is a substantial difference between rich and poor and it has
>been getting worse."
>It appeared from their data on 2.2 million adult patients that trends in
>deprivation were linked to trends in survival. "Where survival is
>increasing, deprivation is also increasing," said Professor Coleman. In
>he said, "a 5% gain in survival is on average associated with a 1.5%
>worsening in the deprivation gap". In women, the gap appeared to increase
>the slightly slower rate of 1% for every 5% improvement in survival
>The reason for the lower survival rates of poorer people are not to do
>less access to newer, more expensive drugs, say the researchers. Nor is
>to do with access to a particular hospital, since all see a mixture of
>classes. They do not know exactly what is happening, but speculate that
>worst off are not getting diagnosed as fast or treated as well as the
>Rich people are quicker to go to the doctor when they suspect something
>wrong and know how to demand attention.
>"We don't have hard evidence that the issue of stridency, or if you like
>communication and demanding approaches to doctors, underpins differences
>survival, but there is evidence the rich and poor do get diagnosed at
>slightly different stages of disease," Professor Coleman said.
>"Maybe the firmness with which patients address the healthcare system does
>have an impact."
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