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Search resuls for: "September Dawn Bottoms"


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Opinion | Fixing America’s Health Care System
  + stars: | 2023-08-23 | by ( ) www.nytimes.com   time to read: +1 min
To the Editor:Re “How Do We Fix the Scandal That Is American Health Care?,” by Nicholas Kristof, with photographs by September Dawn Bottoms (column, Aug. 20):Nicholas Kristof scratches the surface of the failures of the health care system in this country. I have been in practice for 28 years as a cardiologist and internist and have seen firsthand the miraculous breakthroughs in cardiac care as well as the appalling level of care typical in treatment of chronic diseases, especially among minority populations. Most care in this country is delivered by large for-profit and nonprofit entities (which function largely as for-profit entities but avoid taxes). These systems are incentivized to invest in high-end tertiary care, typically cardiac, orthopedic, neurosurgical and oncologic care, as they have the highest reimbursement. Our health care system needs to incentivize primary care and force nonprofit entities to allocate larger portions of their budgets to primary care or lose their nonprofit status.
Persons: Nicholas Kristof, Dawn Organizations: Health
It’s not just that life expectancy in Mississippi (71.9) now appears to be a hair shorter than in Bangladesh (72.4). Nor that an infant is some 70 percent more likely to die in the United States than in other wealthy countries. Nor even that for the first time in probably a century, the likelihood that an American child will live to the age of 20 has dropped. All that is tragic and infuriating, but to me the most heart-rending symbol of America’s failure in health care is the avoidable amputations that result from poorly managed diabetes. That noise of a saw on bone is a rebuke to an American health care system that, as Walter Cronkite reportedly observed, is neither healthy, caring nor a system.
Persons: It’s, Walter Cronkite Locations: Mississippi, Bangladesh, United States, American
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