On the outrageous cost of American healthcare

In France, an MRI costs $280, while in the U.S., an MRI costs $1080. At the Washington Post, Ezra Klein discusses this huge discrepancy:

There is a simple reason health care in the United States costs more than it does anywhere else: The prices are higher. That may sound obvious. But it is, in fact, key to understanding one of the most pressing problems facing our economy. In 2009, Americans spent $7,960 per person on health care. Our neighbors in Canada spent $4,808. The Germans spent $4,218. The French, $3,978. If we had the per-person costs of any of those countries, America’s deficits would vanish. Workers would have much more money in their pockets. Our economy would grow more quickly, as our exports would be more competitive. . . . In America, Medicare and Medicaid negotiate prices on behalf of their tens of millions of members and, not coincidentally, purchase care at a substantial markdown from the commercial average. But outside that, it’s a free-for-all. Providers largely charge what they can get away with, often offering different prices to different insurers, and an even higher price to the uninsured.
What about the new health care reform law? Klein offers the bad news: "The 2010 health-reform law does little to directly address prices." This is a stunning conclusion, given that Barack Obama's opening sales pitch for health care reform is that we need to do rein in the high cost of health care.
On October 15, 2008, then-Sen. Barack Obama (D-IL) promised the American people: “The only thing we’re going to try to do is lower costs so that those cost savings are passed onto you. And we estimate we can cut the average family’s premium by about $2,500 per year.

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Distorted memories make rational people act crazy

The way we remember the past determines how we understand the present and how we will act in the future. Consider this example: How do you remember 9/11? Many people remember 9/11 something like this: A group of people who are representative of ALL Muslims, who were part of a worldwide conspiratorial network of Muslims, hated that Americans have freedoms, so they began an endless violent onslaught against America in order to completely destroy America. For people who remember 9/11 like this, all of the following are “logical”: A) immensely wasteful Manichean American war-mongering worldwide, B) giving law enforcement the green light to deprive citizens of fundamental liberties, C) intense groupishness, leading to unabashed bigotry aimed at Muslims and other non-Christians and D) Doing everything possible (even at the expense of ignoring America’s decaying infrastructure) to attempt to protect Americans from violent Muslims, who could be lurking around every corner. [More . . . ]

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Guttmacher points out fraudulent abortion reseach

Guttmacher Institute recently sent me a mass email sternly criticizing false research suggesting that women who have had abortions are more likely to have mental illness. It turns out that this is not true. What is stunning is the abysmal methodology of the criticized research. Here is an excerpt from Guttmacher's site:

A study purporting to show a causal link between abortion and subsequent mental health problems has fundamental analytical errors that render its conclusions invalid, according to researchers at the University of California, San Francisco (UCSF) and the Guttmacher Institute. This conclusion has been confirmed by the editor of the journal in which the study appeared. Most egregiously, the study, by Priscilla Coleman and colleagues, did not distinguish between mental health outcomes that occurred before abortions and those that occurred afterward, but still claimed to show a causal link between abortion and mental disorders. The study by Coleman and colleagues was published in the Journal of Psychiatric Research in 2009 . . . . “This is not a scholarly difference of opinion; their facts were flatly wrong. This was an abuse of the scientific process to reach conclusions that are not supported by the data,” says Julia Steinberg, an assistant professor in UCSF’s Department of Psychiatry. “The shifting explanations and misleading statements that they offered over the past two years served to mask their serious methodological errors.” The errors are especially problematic because Coleman later cited her own study in a meta-analysis of studies looking at abortion and mental health. The meta-analysis, which was populated primarily by Coleman’s own work, has been sharply criticized by the scientific community for not evaluating the quality of the included studies and for violating well-established guidelines for conducting such analyses. “Studies claiming to find a causal association between abortion and subsequent mental health problems often suffer from serious methodological limitations that invalidate their conclusions,” says Lawrence Finer, director of domestic research at the Guttmacher Institute. “In thorough reviews, the highest-quality studies have found no causal link between abortion and subsequent mental health problems.” Even when identified, spurious research can have far-reaching consequences. Mandatory counseling laws in a number of states require women seeking an abortion to receive information, purportedly medically accurate, that has no basis in fact. Among other things, mandatory counseling can require that a woman be told that having an abortion increases her risk of breast cancer, infertility and mental illness. In reality, none of these claims are medically accurate. These laws not only represent a gross intrusion into the doctor-patient relationship, they serve to propagate misinformation, intentionally misinforming the patient on important medical matters.

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Barack Obama’s sad record on secrecy

Josh Gerstein sums up Barack Obama's massively disappointing record on secrecy at Politico, including this passage:

“Obama is the sixth administration that’s been in office since I’ve been doing Freedom of Information Act work. … It’s kind of shocking to me to say this, but of the six, this administration is the worst on FOIA issues. The worst. There’s just no question about it,” said Katherine Meyer, a Washington lawyer who’s been filing FOIA cases since 1978. “This administration is raising one barrier after another. … It’s gotten to the point where I’m stunned — I’m really stunned.” David Sobel, senior counsel at the Electronic Frontier Foundation, said that “despite the positive rhetoric that has come from the White House and the attorney general, that guidance has not been translated into real world results in actual cases. … Basically, the reviews are terrible.”

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One way to fight patent trolls

Farhad Manjoo gives us some good news in the wars against patent trolls:

When companies are sued for patent infringement, or when they’re proactively protecting themselves from an infringement claim, they often hire a prior art search firm to look for related inventions. But such searches tend to be expensive—you usually need to hire researchers in many different countries—and not all that effective, because even professional searchers tend to miss a lot of stuff. More than a decade ago, a young patent attorney named Cheryl Milone had a flash of insight for solving this problem: “I wondered, instead of looking for a needle in a haystack, what if you could ask each piece of hay if it’s a needle?” That might sound like some kind of riddle, but Milone’s insight has transformed patent litigation. In 2008, she founded Article One Partners, a firm that invites amateurs to look for prior art and rewards successful researchers with cash.

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