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What Soviet Medicine Teaches US
Ludwig von Mises Institute ^ | Aug. 21, 2009 | Yuri N. Maltsev

Posted on 08/22/2009 11:11:45 PM PDT by givemELL

"In order to receive minimal attention by doctors and nursing personnel, patients had to pay bribes. I even witnessed a case of a "nonpaying" patient who died trying to reach a lavatory at the end of the long corridor after brain surgery. Anesthesia was usually "not available" for abortions or minor ear, nose, throat, and skin surgeries. This was used as a means of extortion by unscrupulous medical bureaucrats."

"Slavery certainly 'reduced costs' of labor, 'eliminated the waste' of bargaining for wages, and avoided 'unnecessary duplication and parallelism'."

"To improve the statistics concerning the numbers of people dying within the system, patients were routinely shoved out the door before taking their last breath."

"Being a People's Deputy in the Moscow region from 1987 to 1989, I received many complaints about criminal negligence, bribes taken by medical apparatchiks, drunken ambulance crews, and food poisoning in hospitals and child-care facilities. I recall the case of a fourteen-year-old girl from my district who died of acute nephritis in a Moscow hospital. She died because a doctor decided that it was better to save "precious" X-ray film (imported by the Soviets for hard currency) instead of double-checking his diagnosis. These X-rays would have disproven his diagnosis of neuropathic pain."

(Excerpt) Read more at mises.org ...


TOPICS: Business/Economy; Culture/Society; Government
KEYWORDS: hr3200; medicine; obamacare; russianmedicine; socialism; socializedmedicine; soviet; sovietmedicinr; sovietunion
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All Dems especially should note what they might be bestowing on themselves in time with single payer. "Feldshers, feldshers everywhere, and not a doc in sight".
1 posted on 08/22/2009 11:11:46 PM PDT by givemELL
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To: givemELL

Too bad its 1:30AM this article should be read by everyone on Earth


2 posted on 08/22/2009 11:30:24 PM PDT by GeronL (Toward the TOTUS State-Nightmare in Obamaland .. http://tyrannysentinel.blogspot.com)
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To: givemELL

“In order to receive minimal attention by doctors and nursing personnel, patients had to pay bribes.”

You want to increase corruption? All you got to do is centralize power. Market forces are so strong that even in a system with total control, and where everything is “free”, scarce products will always go to the highest bidder. In this case the “owner” of the product or service is the one that controls access to it and he will use all his creative power to make the most of his “ownership”.

You want to decrease corruption? Diffuse power as mucha s possible. That is why capitalistic countries under the rule of law will always have less corruption than authoritarian countries.


3 posted on 08/22/2009 11:42:24 PM PDT by aquila48
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To: givemELL

I remember my aunt’s stories about Soviet dental care in the late 1970’s. She lived in socialist Czechoslovakia, which was no picnic, but which had a much higher standard of care than the USSR. She and my uncle were on a bus tour of the USSR when she developed a severe toothache and had to see a dentist. She was appalled at the conditions. They had no anesthesia, and the dental office had only one very dull drill bit. Apparently none of the other dentists in town had any functioning dental drills at all. She underwent a root canal under very painful conditions, and was grateful not to have any further problems before reaching home. Her descriptions of the filthy facilities, ancient equipment and non-sterile drilling process gave me the creeps.


4 posted on 08/22/2009 11:50:10 PM PDT by Think free or die (The problem with socialism is that you eventually run out of other people's money - M.Thatcher)
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To: givemELL; RepublicanChick
Excellent article. This should be given to anyone who believes in the absurd fantasy that ZeroCare will give them FREE, high-quality, and easily accessible health-care.

It should also be noted that the two-tier system described below is already baked into the plan.

So, as in all countries with socialized medicine, a two-tier system was created: one for the "gray masses" and the other, with a completely different level of service, for the bureaucrats and their intellectual servants. In the USSR, it was often the case that while workers and peasants were dying in the state hospitals, the medicine and equipment that could save their lives was sitting unused in the nomenklatura system.

5 posted on 08/22/2009 11:51:11 PM PDT by kara2008 (Government cannot be the solution when government is the problem)
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To: givemELL

btt


6 posted on 08/22/2009 11:57:14 PM PDT by Zhang Fei (Let us pray that peace be now restored to the world and that God will preserve it always)
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To: givemELL
This should be posted again during daytime.  Everything was functioning exactly the same way in Romania, too. 

 

7 posted on 08/23/2009 12:13:29 AM PDT by OneHun
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To: givemELL

bookmark for mornin’


8 posted on 08/23/2009 12:19:50 AM PDT by tcrlaf ("Hope" is the most Evil of all Evils"-Neitzsche)
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To: kara2008

IMPORTANT POINT TO REMEMBER:

“ZeroCare will give them FREE, high-quality, and easily accessible health-care.”

The Democrats, and their willing allies in the MSM, gave everybody the impression they were getting FREE healthcare. Be sure to remind EVERYONE how mach that “Free” care is going to cost them!


9 posted on 08/23/2009 12:28:39 AM PDT by tcrlaf ("Hope" is the most Evil of all Evils"-Neitzsche)
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To: givemELL
I had a employee who was a dentist in communist Bulgaria.

She told me that she was given only a limited number of carpules of lidocaine every month and she had to ration them for only the worst cases. X-ray film and dental amalgam was also rationed.

She said that she and her fellow workers would be ordered out to march in “manifestations” on various occasions throughout the year. Attendance was compulsory. They would march and sing songs to the Great Leader.

10 posted on 08/23/2009 3:55:54 AM PDT by wintertime (People are not stupid! Good ideas win!)
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To: givemELL

Ludwig von Mises bump!


11 posted on 08/23/2009 3:57:51 AM PDT by Leisler
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To: givemELL

Entire article:

In 1918, the Soviet Union became the first country to promise universal “cradle-to-grave” healthcare coverage, to be accomplished through the complete socialization of medicine. The “right to health” became a “constitutional right” of Soviet citizens.

The proclaimed advantages of this system were that it would “reduce costs” and eliminate the “waste” that stemmed from “unnecessary duplication and parallelism” — i.e., competition.

These goals were similar to the ones declared by Mr. Obama and Ms. Pelosi — attractive and humane goals of universal coverage and low costs. What’s not to like?

The system had many decades to work, but widespread apathy and low quality of work paralyzed the healthcare system. In the depths of the socialist experiment, healthcare institutions in Russia were at least a hundred years behind the average US level. Moreover, the filth, odors, cats roaming the halls, drunken medical personnel, and absence of soap and cleaning supplies added to an overall impression of hopelessness and frustration that paralyzed the system. According to official Russian estimates, 78 percent of all AIDS victims in Russia contracted the virus through dirty needles or HIV-tainted blood in the state-run hospitals.

Irresponsibility, expressed by the popular Russian saying “They pretend they are paying us and we pretend we are working,” resulted in appalling quality of service, widespread corruption, and extensive loss of life. My friend, a famous neurosurgeon in today’s Russia, received a monthly salary of 150 rubles — one third of the average bus driver’s salary.

In order to receive minimal attention by doctors and nursing personnel, patients had to pay bribes. I even witnessed a case of a “nonpaying” patient who died trying to reach a lavatory at the end of the long corridor after brain surgery. Anesthesia was usually “not available” for abortions or minor ear, nose, throat, and skin surgeries. This was used as a means of extortion by unscrupulous medical bureaucrats.

“Slavery certainly ‘reduced costs’ of labor, ‘eliminated the waste’ of bargaining for wages, and avoided ‘unnecessary duplication and parallelism’.”To improve the statistics concerning the numbers of people dying within the system, patients were routinely shoved out the door before taking their last breath.

Being a People’s Deputy in the Moscow region from 1987 to 1989, I received many complaints about criminal negligence, bribes taken by medical apparatchiks, drunken ambulance crews, and food poisoning in hospitals and child-care facilities. I recall the case of a fourteen-year-old girl from my district who died of acute nephritis in a Moscow hospital. She died because a doctor decided that it was better to save “precious” X-ray film (imported by the Soviets for hard currency) instead of double-checking his diagnosis. These X-rays would have disproven his diagnosis of neuropathic pain.

Instead, the doctor treated the teenager with a heat compress, which killed her almost instantly. There was no legal remedy for the girl’s parents and grandparents. By definition, a single-payer system cannot allow any such remedy. The girl’s grandparents could not cope with this loss and they both died within six months. The doctor received no official reprimand.

Not surprisingly, government bureaucrats and Communist Party officials, as early as 1921 (three years after Lenin’s socialization of medicine), realized that the egalitarian system of healthcare was good only for their personal interest as providers, managers, and rationers — but not as private users of the system.

So, as in all countries with socialized medicine, a two-tier system was created: one for the “gray masses” and the other, with a completely different level of service, for the bureaucrats and their intellectual servants. In the USSR, it was often the case that while workers and peasants were dying in the state hospitals, the medicine and equipment that could save their lives was sitting unused in the nomenklatura system.

At the end of the socialist experiment, the official infant-mortality rate in Russia was more than 2.5 times as high as in the United States and more than five times that of Japan. The rate of 24.5 deaths per 1,000 live births was questioned recently by several deputies to the Russian Parliament, who claim that it is seven times higher than in the United States. This would make the Russian death rate 55 compared to the US rate of 8.1 per 1,000 live births.

Having said that, I should make it clear that the United States has one of the highest rates of the industrialized world only because it counts all dead infants, including premature babies, which is where most of the fatalities occur.

Most countries do not count premature-infant deaths. Some don’t count any deaths that occur in the first 72 hours. Some countries don’t even count any deaths from the first two weeks of life. In Cuba, which boasts a very low infant-mortality rate, infants are only registered when they are several months old, thereby leaving out of the official statistics all infant deaths that take place within the first several months of life.

In the rural regions of Karakalpakia, Sakha, Chechnya, Kalmykia, and Ingushetia, the infant mortality rate is close to 100 per 1,000 births, putting these regions in the same category as Angola, Chad, and Bangladesh. Tens of thousands of infants fall victim to influenza every year, and the proportion of children dying from pneumonia and tuberculosis is on the increase. Rickets, caused by a lack of vitamin D, and unknown in the rest of the modern world, is killing many young people.

Uterine damage is widespread, thanks to the 7.3 abortions the average Russian woman undergoes during childbearing years. Keeping in mind that many women avoid abortions altogether, the 7.3 average means that many women have a dozen or more abortions in their lifetime.

Even today, according to the State Statistics Committee, the average life expectancy for Russian men is less than 59 years — 58 years and 11 months — while that for Russian women is 72 years. The combined figure is 65 years and three months.[1] By comparison, the average life span for men in the United States is 73 years and for women 79 years. In the United States, life expectancy at birth for the total population has reached an all-time American high of 77.5 years, up from 49.2 years just a century ago. The Russian life expectancy at birth is 12 years lower.[2]

After seventy years of socialism, 57 percent of all Russian hospitals did not have running hot water, and 36 percent of hospitals located in rural areas of Russia did not have water or sewage at all. Isn’t it amazing that socialist government, while developing space exploration and sophisticated weapons, would completely ignore the basic human needs of its citizens?

“The filth, odors, cats roaming the halls, drunken medical personnel, and absence of soap and cleaning supplies added to an overall impression of hopelessness and frustration that paralyzed the system.”The appalling quality of service is not simply characteristic of “barbarous” Russia and other Eastern European nations: it is a direct result of the government monopoly on healthcare and it can happen in any country. In “civilized” England, for example, the waiting list for surgeries is nearly 800,000 out of a population of 55 million. State-of-the-art equipment is nonexistent in most British hospitals. In England, only 10 percent of the healthcare spending is derived from private sources.

Britain pioneered in developing kidney-dialysis technology, and yet the country has one of the lowest dialysis rates in the world. The Brookings Institution (hardly a supporter of free markets) found that every year 7,000 Britons in need of hip replacements, between 4,000 and 20,000 in need of coronary bypass surgery, and some 10,000 to 15,000 in need of cancer chemotherapy are denied medical attention in Britain.

Age discrimination is particularly apparent in all government-run or heavily regulated systems of healthcare. In Russia, patients over 60 are considered worthless parasites and those over 70 are often denied even elementary forms of healthcare.

In the United Kingdom, in the treatment of chronic kidney failure, those who are 55 years old are refused treatment at 35 percent of dialysis centers. Forty-five percent of 65-year-old patients at the centers are denied treatment, while patients 75 or older rarely receive any medical attention at these centers.

In Canada, the population is divided into three age groups in terms of their access to healthcare: those below 45, those 45–65, and those over 65. Needless to say, the first group, who could be called the “active taxpayers,” enjoys priority treatment.

Advocates of socialized medicine in the United States use Soviet propaganda tactics to achieve their goals. Michael Moore is one of the most prominent and effective socialist propagandists in America. In his movie, Sicko, he unfairly and unfavorably compares health care for older patients in the United States with complex and incurable diseases to healthcare in France and Canada for young women having routine babies. Had he done the reverse — i.e., compared healthcare for young women in the United States having babies to older patients with complex and incurable diseases in socialized healthcare systems — the movie would have been the same, except that the US healthcare system would look ideal, and the UK, Canada, and France would look barbaric.

Now we in the United States are being prepared for discrimination in treatment of the elderly when it comes to healthcare. Ezekiel Emanuel is director of the Clinical Bioethics Department at the US National Institutes of Health and an architect of Obama’s healthcare-reform plan. He is also the brother of Rahm Emanuel, Obama’s White House chief of staff. Foster Friess reports that Ezekiel Emanuel has written that health services should not be guaranteed to

individuals who are irreversibly prevented from being or becoming participating citizens. An obvious example is not guaranteeing health services to patients with dementia.[3]

An equally troubling article, coauthored by Emanuel, appeared in the medical journal The Lancet in January 2009. The authors write that

unlike allocation [of healthcare] by sex or race, allocation by age is not invidious discrimination; every person lives through different life stages rather than being a single age. Even if 25-year-olds receive priority over 65-year-olds, everyone who is 65 years now was previously 25 years. Treating 65-year-olds differently because of stereotypes or falsehoods would be ageist; treating them differently because they have already had more life-years is not.[4]

Socialized medicine will create massive government bureaucracies — similar to our unified school districts — impose costly job-destroying mandates on employers to provide the coverage, and impose price controls that will inevitably lead to shortages and poor quality of service. It will also lead to nonprice rationing (i.e., rationing based on political considerations, corruption, and nepotism) of healthcare by government bureaucrats.

Real “savings” in a socialized healthcare system could be achieved only by squeezing providers and denying care — there is no other way to save. The same arguments were used to defend the cotton farming in the South prior to the Civil War. Slavery certainly “reduced costs” of labor, “eliminated the waste” of bargaining for wages, and avoided “unnecessary duplication and parallelism.”

In supporting the call for socialized medicine, American healthcare professionals are like sheep demanding the wolf: they do not understand that the high cost of medical care in the United States is partially based on the fact that American healthcare professionals have the highest level of remuneration in the world. Another source of the high cost of our healthcare is existing government regulations on the industry, regulations that prevent competition from lowering the cost. Existing rules such as “certificates of need,” licensing, and other restrictions on the availability of healthcare services prevent competition and, therefore, result in higher prices and fewer services.

Socialized medical systems have not served to raise general health or living standards anywhere. In fact, both analytical reasoning and empirical evidence point to the opposite conclusion. But the dismal failure of socialized medicine to raise people’s health and longevity has not affected its appeal for politicians, administrators, and their intellectual servants in search of absolute power and total control.

Most countries enslaved by the Soviet empire moved out of a fully socialized system through privatization and insuring competition in the healthcare system. Others, including many European social democracies, intend to privatize the healthcare system in the long run and decentralize medical control. The private ownership of hospitals and other units is seen as a critical determining factor of the new, more efficient, and humane system.


12 posted on 08/23/2009 6:31:36 PM PDT by sickoflibs (Socialist Conservatives: "'Big government is free because tax cuts pay for it'")
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To: Harrius Magnus; mojitojoe; Pelham; mom2twinsn2; LongLiveTheRepublic; ConservativeOrBust; ...
The Peter Schiff/Redistribution Watch Ping. (Washington Bankrupting our Nation by Spending your past, present and future money!)

I put entire article at :comment#12

And original at :Mises link: What Soviet Medicine Teaches Us

13 posted on 08/23/2009 6:40:17 PM PDT by sickoflibs (Socialist Conservatives: "'Big government is free because tax cuts pay for it'")
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To: sickoflibs
So, as in all countries with socialized medicine, a two-tier system was created: one for the “gray masses” and the other, with a completely different level of service, for the bureaucrats and their intellectual servants. In the USSR, it was often the case that while workers and peasants were dying in the state hospitals, the medicine and equipment that could save their lives was sitting unused in the nomenklatura system.

The multimillionair liberal I know who's for ObamaCare plans on flying out of the country for her surgeries when it's passed... She's making the sacrifice for "the poor"... I suspect rich liberals and gov. workers will find another way - as they have in every country that tries this horror.

14 posted on 08/23/2009 6:50:04 PM PDT by GOPJ (Journalists are stenographers for Democrats - it wasn't always that way...)
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To: sickoflibs; justiceseeker93

Please excuse me while I vomit!

This is absolutely sickening; I’ve never known this of Russias healthcare history. Zero needs to be impeached NOW!


15 posted on 08/23/2009 6:52:33 PM PDT by Atom Smasher
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To: aquila48
You want to decrease corruption? Diffuse power as much as possible.

That is why capitalistic countries under the rule of law will always have less corruption than authoritarian countries.

A fundamental fact of life. But why do so few people understand it?

I would favor doubling the salaries of our legislators...if we could halve their responsibilities.

16 posted on 08/23/2009 6:54:35 PM PDT by okie01 (THE MAINSTREAM MEDIA: Ignorance on Parade)
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To: Atom Smasher; justiceseeker93
My neighbor is a retired surgeon who took his family to the USSR in the early 80s on a professional (international) trip to share technical methods and told me horror stories on the medicine and the food. No toilet paper, they used rags. This is not taught in school in fact in the 1980s schools built up the USSR.
17 posted on 08/23/2009 7:12:05 PM PDT by sickoflibs (Socialist Conservatives: "'Big government is free because tax cuts pay for it'")
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To: givemELL

Excellent!


18 posted on 08/23/2009 7:27:05 PM PDT by Lancey Howard
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To: kara2008

Another tier for elites such as Congress, the Senate, the Executive Office, and Union Members?


19 posted on 08/23/2009 8:03:25 PM PDT by LA Conservative (Abu Hussein is not my president, he's a Marxist brother)
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To: givemELL
the case of a fourteen-year-old girl from my district who died of acute nephritis in a Moscow hospital. She died because a doctor decided that it was better to save "precious" X-ray film (imported by the Soviets for hard currency) instead of double-checking his diagnosis. These X-rays would have disproven his diagnosis of neuropathic pain."

This is really the endgame of socialized medicine. And even then the Left will still defend atrocities like this, perhaps using "saving the planet by consuming fewer resources" as an excuse.

20 posted on 08/23/2009 8:31:06 PM PDT by denydenydeny ("I'm sure this goes against everything you've been taught, but right and wrong do exist"-Dr House)
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