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6493. robertjayb - 4/22/2005 5:10:11 AM

Passing the health care buck...(Paul Krugman)

The United States spends far more on health care than other advanced countries. Yet we don't appear to receive more medical services. And we have lower life-expectancy and higher infant-mortality rates than countries that spend less than half as much per person. How do we do it?

An important part of the answer is that much of our health care spending is devoted to passing the buck: trying to get someone else to pay the bills.

6494. alistairconnor - 4/22/2005 9:22:57 AM

Could countries with socialized medicine such as France keep their medical expenses so low if their society was as litigious as ours, assuming they allowed similar patient rights? I doubt it.

Patient rights...

You seem to be asserting, Con, that American patients have rights that French patients don't? What rights would they be?

French patients have the right to sue their doctors if they want to, and that's on the increase, unfortunately. But still relatively rare : victims of medical accidents are, in general, adequately, if not generously, looked after by the public system; and courts are not generous in their awards to patients, at least not compared to the US.

6495. robertjayb - 4/22/2005 8:27:07 PM

More Ezra Klein:

The Health of Nations: Germany

6496. robertjayb - 4/22/2005 8:41:44 PM

Medical Malpractice Policy: France...(Electoral Math)

6497. robertjayb - 4/22/2005 8:47:59 PM

Law and Medicine: United Kingdom...(Electoral Math)

6498. robertjayb - 4/22/2005 8:53:54 PM

Law and Medicine: Germany...(Electoral Math)

6499. jexster - 4/23/2005 2:31:58 AM

The United States spends far more on health care than other advanced countries. Yet we don't appear to receive more medical services. And we have lower life-expectancy and higher infant-mortality rates than countries that spend less than half as much per person. How do we do it?


By Passing the Buck - Krugman

6500. Magoseph - 4/26/2005 9:29:06 AM

Have you ever heard of such a remedy for a Charlie horse?

The Olympics organizers used to teach their athletes the following method to almost immediately stop the pain of a Charlie horse. My family and I have been using it for over fifty years and I guarantee you that it works.

When the pain begins pinch your upper lip between your thumb and index finger. By upper lip I mean your upper lip including the bit of flesh between your two nostrils. Pinch it hard while simultaneously pulling down. This will hurt a bit but you will begin to almost immediately feel the Charlie horse subsiding. The only expanition I have for how it works is that it may be akin to Chinese acupuncture. But how it works is not important. What is important is that it does work....

6501. Macnas - 4/26/2005 9:49:13 AM

What is a charlie horse?

6502. Magoseph - 4/26/2005 9:56:01 AM

Here's a Google's explanation, Mac.

Charley horse: A cramp in a muscle in the leg, usually caused by a strain or injury. A charley horse can last anywhere from a few seconds to a quarter of an hour, and occasionally longer. It is not uncommon for one to recur repeatedly before it finally goes away.

The term "charley horse" is generally believed to be American baseball slang. One story involves Charley (Old Hoss) Radbourn (1853-1897) who was rounding third base when he developed a cramp in his leg. As he limped home, a player asked, "What's the matter, Charley Hoss?" "My leg is tied up in knots." Charley replied. From then on, when a baseball player's leg cramped, he called it a charley horse.

6503. Macnas - 4/26/2005 10:43:48 AM

Ah yes, thanks Mago.

6504. wonkers2 - 4/26/2005 9:41:16 PM

The latest on those pesky wisdom teeth. Here.

6505. Magoseph - 4/27/2005 3:43:25 PM

I had two wisdom teeth taken out the last two weeks--prevention, said the dentist, at this point in your life. I guess by now I should be glad to have all my teeth, but one that recently broke and soon will be an implant.

6506. concerned - 4/30/2005 12:23:31 AM

I've seen data that indicates that Kelloggs All-Bran cereal has about half the glycemic index rating of most popular cereals. I'll have to check some out since I don't care to make more of a production out of breakfast by preparing foods than I have to.

Looks like I should start moving toward nuts for munchies too since they seem to have very low glycemic indices.

6507. arkymalarky - 4/30/2005 12:38:08 AM

Bob eats lots of nuts. You really ought to try that Kashi seven grain cereal. Tastes a lot better than All Bran, too.

6508. concerned - 4/30/2005 7:18:08 AM

Any idea how Kashi rates as far as GI or loading? Btw, I notice that tofu looks pretty bad there, and pasta can be pretty good if its al dente.

6509. concerned - 4/30/2005 7:56:30 AM

I downloaded a GI listing for breakfast cereals from which I excerpted the following:

Rice Bran 27
Kelloggs' All Bran Fruit 'n Oats 55
Kelloggs' Guardian 59
All-bran 60
Red River Cereal 70
Bran Buds 75
Special K 77
Oat Bran 78
Kelloggs' Honey Smacks 78
Muesli 80
Kelloggs' Mini-Wheats (whole wheat) 81
Bran Chex 83
Kelloggs' Just Right 84
Porridge (oatmeal) 87
Life 94
Nutri-grain 94
Grapenuts 96
Sustain 97
Shredded Wheat 99


I don't know exactly what the 'rice bran' is that's referred to, but the Kelloggs All Bran looks like the best of the bunch that's actually available. Compare to Cheerios at 106, Total at 109 and Cornflakes at 119. For whatever reason, there's no mention of Kashi in this list.

6510. arkymalarky - 4/30/2005 6:48:13 PM

It's excellent, but I'll get some specific info when I go downstairs later and post it. It's not a major brand, but it's in lots of stores and is growing in popularity. I'd never heard of it before last summer, and they have it in our grocery store. If you can get it there, it's pretty easy to get.

6511. thoughtful - 5/1/2005 2:01:24 PM

While in general the GI will point you in the right direction, I'm very suspicious of how it is calculated and some of their findings. For example, according to this list frosted flakes which are each doused in sugar coating are only 55 vs. plain cornflakes at 83. That just makes no intuitive sense.

Further, eating your food in combination can affect the 'glycemic effect' as fats and proteins and fiber will slow down the speed with which the sugars are absorbed in the system. So in my book, it's easier to limit rather than eliminate the very sweet and dampen their effect by combining them with other low-sugar foods. So, for example, it's better to eat peanut butter on a cracker rather than plain crackers. Also, when you balance your meals and snacks, you will feel full faster and eat less. Carbos take a long time to register with the digestive system so are easily overeaten. Far harder to overeat fats as you will feel sick if you do.

Also for that reason, drinking calories is not a good idea as that goes right into sugar in the body leading to an insulin rush. Things like soda, fruit juices, alcoholic drinks all cause a sugar rush. Artificial sweeteners are no better. Better to drink water and eat your calories instead. More satisfying too.

6512. wonkers2 - 5/8/2005 1:37:54 PM

Alzheimer's Here.

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