A Downside of Efficient and Over-teched Health Care

For any Americans prone to the assumption that U.S. wealth and capitalist “efficiency” make for inherently better health care and a safer population, think again.

An array of studies suggest that the U.S. has steadily become a more dangerous place for women to give birth than many other countries around the globe. Although this is not “news” in the sense of catching authorities by surprise, the average American probably isn’t aware of the facts, let alone the implications.

I ran across the story by chance in a Jan. 18 piece by Nicole Montesano in the McMinnville News-Register.  As Montesano stated in her lead, women in the U.S. are more likely to die in the course of childbirth than new mothers in most of Europe, quite a bit of Asia, and even the Middle East. While maternal mortality has declined in most countries over the past 20 years, it has almost doubled back home. (Note a sharply worded dissent in the comments section by an apparent female physician, though. I also will note a few disagreements with various aspects of these claims below.)

What are the possible reasons for this apparent rise in maternal mortality here? A crossfire of factors come into play, including:

·      Rising age and obesity among expectant mothers in the U.S., both of which correlate with greater risk in carrying a baby to term

·      Less access to regular medical care among African-American women, who are therefore four times as likely to die during or shortly after childbirth

·      Relative infrequency of pre- and post-partum health care for all mothers and infants in the U.S.; apparently, national health care systems like those in Canada and Western Europe require more pre-natal medical visits and provide more care after birth than U.S. insurance companies do (or new mothers are inclined to seek)

The Day It Rained Indoors

Sunday night, I finally threw them in the dumpster.

It was a stack of books, coated with a film of sickly grey dust . . . mold that had been growing for more than two years. I had held on to them this long because, on the one hand, I needed to check which pieces of my collection were a dead loss so I could adjust my records, and on the other, I wasn’t eager to face the task. So they had stayed in storage until I could get around to it.

This unpleasantness goes back to late August 2009. I had lost my job the month before and was in the process of applying for unemployment benefits and looking for temp work.

And then our storage closet, on the top floor of the apartment building -- the seventh floor, mind you -- suffered a leak. The HVAC system for the supermarket on the ground floor broke down and leaked water into the roof, which seeped through the concrete and onto my stored boxes of books, photo albums, papers, compact discs, and videos.

You can see in this first photo how the moisture dripped down from the ceiling on the very top of a high stack of boxes, and smeared the label “Photos” on the top one on its way down to others below. It wasn’t a flood, per se, but for mostly paper goods, it was enough, particularly since the cardboard absorbed the water and held it so it had plenty of time to seep into the contents of each box.

In itself, the disaster was tough to take, but its timing was another punch in the ribs. In just a few days I was committed to leave on an expensive, packaged vacation Carole and I had planned for months. I had only a couple days to try to dry out my valuables, get some sense of the damage, put it all away somehow, and pack up and go (and trust that my stuff in the closet would not get rained on again when I was away and could do nothing about it!).

Happy New Year, but No, Thank You . . . No Resolutions

With the New Year come the usual print and broadcast stories about resolutions -- the ones we make and perennially break. It’s a ritual as dependable as Easter eggs and July firecrackers.

My local paper reports that Portlanders are crowding gyms across the city, and getting a brave start on what is evidently a common New Year’s resolution: to lose weight and build muscle, especially after six to eight weeks of steady holiday dining.

What’s interesting (but rather a sad commentary on the clash between declining newspaper resources and readership versus increasing dependence on the Internet on the part of both newspaper reporters and their current and former readers), is the fact that the lead-off sentence in the Oregonian print story, and the headline for yesterday’s online version . . . is pretty stale news. It may not even be accurate.

A little digging by the discriminating news consumer reveals that the “fact” that four out of five gym memberships go unused is based on a survey more than six years old. This week’s story in the Oregonian links to a Livestrong.com report from last April. You have to read to the very bottom of that one, in the eighth and final paragraph, to learn that the relevant statistic, “80 percent of 40 million Americans” is attributed to Medical News Today, but there’s no link.