Originally Posted by jtdavis:
Portions are working their way thru three committees. Somethings are best done carefully and right,
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I hope they can devise something to help people get health coverage. From what I have read, we pay the most in the world for medical care and have worse infant mortality and shorter life spans than other nations.
Devil is in the details or reporting in this case
The researchers compared data on infant health and mortality in the U.S.; Austria, whose rate of 3.8 is roughly average among European nations; and Finland, whose rate of 2.3 is one of the lowest in the world. One of the biggest differences, they found, was in the definition of what could be considered a live birth. “Extremely preterm births recorded in some places may be considered a miscarriage or still birth in other countries,” they wrote. Although the chance of survival for babies born before 23 weeks is low (the American Academy of Pediatrics recommends that doctors don’t resuscitate babies born before that point), they’re recorded as live births in the U.S.
In the U.S., babies are mostly fine while they’re in the hospital and during their first days at home—but over time, that changes.
“There’s a viability threshold—we basically have never been successful at saving an infant before 22 weeks of gestation,” says Emily Oster, a professor of economics at the University of Chicago and one of the study authors. “When you do comparisons, if other countries are never reporting births before that threshold as live births, that will overstate the U.S. number relative to those other places, because the U.S. is including a lot of the infants who presumably existed as live births.”
This difference in reporting, they found, accounted for around 40 percent of the U.S.’s relatively high rate compared to Austria and Finland, a result supported by the CDC report—when analysts excluded babies born before 24 weeks, the number of U.S. deaths dropped to 4.2 per 1,000 live births.