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	<title>DrGreene.com &#187; Barbara O’Brien</title>
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	<description>putting the care into children&#039;s health</description>
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		<title>Cancer Treatment and Health Care Reform</title>
		<link>http://www.drgreene.com/perspectives/cancer-treatment-and-health-care-reform/</link>
		<comments>http://www.drgreene.com/perspectives/cancer-treatment-and-health-care-reform/#comments</comments>
		<pubDate>Thu, 05 Nov 2009 23:52:14 +0000</pubDate>
		<dc:creator>Barbara O’Brien</dc:creator>
				<category><![CDATA[Perspectives]]></category>
		<category><![CDATA[Cancer]]></category>
		<category><![CDATA[Healthcare]]></category>

		<guid isPermaLink="false">http://www.drgreene.com/?p=19681</guid>
		<description><![CDATA[One argument you may hear against health care reform concerns cancer survival rates. The United States has higher cancer survivor rates than countries with national health care systems, we&#8217;re told. Doesn&#8217;t this mean we should keep what we&#8217;ve got and not change it? Certainly cancer survival rates are a critical issue for people suffering from [...]]]></description>
				<content:encoded><![CDATA[<p></p><p><a href="http://www.drgreene.com/perspectives/cancer-treatment-and-health-care-reform/"><img class="alignnone size-full wp-image-19682" title="Cancer Treatment and Health Care Reform" src="http://www.drgreene.com/wp-content/uploads/Cancer-Treatment-and-Health-Care-Reform.jpg" alt="Cancer Treatment and Health Care Reform" width="506" height="339" /></a></p>
<p>One argument you may hear against health care reform concerns cancer survival rates. The United States has higher cancer survivor rates than countries with national health care systems, we&#8217;re told. Doesn&#8217;t this mean we should keep what we&#8217;ve got and not change it?<span id="more-19681"></span></p>
<p>Certainly cancer survival rates are a critical issue for people suffering from the deadly <a href="http://www.maacenter.org" target="_blank">mesothelioma cancer</a>.  So let&#8217;s look at this claim and see if there is any substance to it.</p>
<p>First, it&#8217;s important to understand that &#8220;cancer survival rate&#8221; doesn&#8217;t mean the rate of people who are cured of a cancer. The cancer survival rate is the percentage of people who survive a certain type of cancer for a specific amount of time, usually five years after diagnosis.</p>
<p>For example, according to the Mayo Clinic, the survivor rate of prostate cancer in the United States is 98 percent. This means that 98 percent of men diagnosed with prostate cancer are still alive five years later. However, this statistic does not tell us whether the men who have survived for five years still have cancer or what number of them may die from it <em>eventually</em>.</p>
<p>Misunderstanding of the term &#8220;survivor rate&#8221; sometimes is exploited to make misleading claims. For example, in 2007 a pharmaceutical company promoting a drug used to treat colon cancer released statistics showing superior survival rates for its drug over other treatments. Some journalists who used this data in their reporting assumed it meant that the people who survived were cured of cancer, and they wrote that the drug &#8220;saved lives.&#8221; The drug did extend the lives of of patients, on average by a few months. However, the <em>mortality</em> rate for people who used this drug &#8211; meaning the rate of patients who died of the disease &#8211; was not improved.</p>
<p>But bloggers and editorial writers who oppose health care reform seized these stories about &#8220;saving lives,&#8221; noting that this wondrous drug was available in the United States for at least a year before it was in use in Great Britain. Further, Britain has lower cancer survival rates than the U.S. This proved, they said, the superiority of U.S. health care over &#8220;socialist&#8221; countries.</p>
<p>This is one way propagandists use data to argue that health care in the United States is superior to countries with government-funded health care systems. They selectively compare the most favorable data from the United States with data from the nations least successful at treating cancer. A favorite &#8220;comparison&#8221; country is Great Britain, whose underfunded National Health Service is struggling.</p>
<p>It is true that the United States compares very well in the area of cancer survival rates, but other countries with national health care systems have similar results.</p>
<p>For example, in 2008 the British medical journal <em>Lancet Oncology</em> published a widely hailed study comparing cancer survival rates in 31 countries. Called the CONCORD study, the researchers found that United States has the highest survival rates for breast and prostate cancer. However, Japan has the highest survival for colon and rectal cancers in men, and France has the highest survival for colon and rectal cancers in women. Canada and Australia also ranked relatively high for most cancers. The differences in the survival data for these &#8220;best&#8221; countries is very small, and is possibly caused by discrepancies in reporting of data and not the treatment result itself.</p>
<p>And it should be noted that Japan, France, Canada and Australia all have government-funded national health care systems. So, there is no reason to assume that changing the way health care is funded in the U.S. would reduce the quality of cancer care.</p>
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		<title>Green Living: Avoiding Asbestos</title>
		<link>http://www.drgreene.com/perspectives/green-living-avoiding-asbestos/</link>
		<comments>http://www.drgreene.com/perspectives/green-living-avoiding-asbestos/#comments</comments>
		<pubDate>Wed, 04 Nov 2009 23:45:21 +0000</pubDate>
		<dc:creator>Barbara O’Brien</dc:creator>
				<category><![CDATA[Perspectives]]></category>
		<category><![CDATA[Cancer]]></category>
		<category><![CDATA[Environmental Health]]></category>

		<guid isPermaLink="false">http://www.drgreene.com/?p=19676</guid>
		<description><![CDATA[Going green used to be considered expensive and a luxury for those who could afford the trend. Now it appears that we are learning that not only is adopting more environmentally conscious attitudes good for our economic situation, but also our&#8230;.health? Yes, if we dig a bit deeper we can see that dirty industries and [...]]]></description>
				<content:encoded><![CDATA[<p></p><p><a href="http://www.drgreene.com/perspectives/green-living-avoiding-asbestos/"><img class="alignnone size-full wp-image-19677" title="Green Living: Avoiding Asbestos" src="http://www.drgreene.com/wp-content/uploads/Green-Living-Avoiding-Asbestos.jpg" alt="Green Living: Avoiding Asbestos" width="375" height="281" /></a></p>
<p>Going green used to be considered expensive and a luxury for those who could afford the trend. Now it appears that we are learning that not only is adopting more environmentally conscious attitudes good for our economic situation, but also our&#8230;.health? <span id="more-19676"></span>Yes, if we dig a bit deeper we can see that dirty industries and backwards policy is actually harming the health of the earth for our children and the health of her inhabitants today.</p>
<p>There are two levels of health consequences associated with dirty industry, both direct and indirect. The direct consequences are examples like increased asthma rates in areas with high smog indices. Chlorofluorocarbon release into the atmosphere has shown to decrease the filter of direct sunlight on the planet, resulting in more concentrated ultraviolet light reaching the surface of the earth. Perhaps it is no surprise then that in countries with depleted atmospheric gas, skin cancer rates are among the highest in the world.</p>
<p>The indirect health consequences are harder to see immediately, but closer examination reveals that these are, in fact, perhaps the most hazardous. Bi-products of dirty and backwards industries, such as coal and oil processing, include cancer causing substances like <a href="http://www.maacenter.org/asbestos/" target="_blank">asbestos</a> and benzene. A U.K. study conducted in 2002 indicated that coal and oil industry workers are at a much higher risk of developing  <a href="http://www.maacenter.org/mesothelioma/" target="_blank">mesothelioma</a> and leukemia.</p>
<p>Can we really afford to continue on the path we were on before? Investment in clean industry means not a healthier planet for our children and grandchildren, but also a healthier place for us to live today.</p>
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