Category Archives: Health Care

The health of our citizens

Life Expectancy vs HALE

Life Expectancy vs HALE

I recently read an ED OP in our local paper that was a reprint from a publication from a Minnesota paper. The writer was pointing out that while most EU countries were making positive progress to improve Life Expectancy, the US has been heading in the opposite direction for several years. The narrative stated that the CDC has placed part of the blame on drug overdoses and suicides. I did a bit of math on these areas and discovered that the increases in these areas has only had a minimal impact. The writer pointed out deficiencies in our health care system and noted increases in pregnancy mortality & heart disease, but again these numbers do not even come close to explaining away the problem.

My opinion is that the issue lies with our broken and extremely expensive healthcare system in combination with our inability (or unwillingness) to maintain our immune systems through regular exercise and moderation of caloric intake. Our healthcare system costs, on average, 2 ½ times that per capita average for EU countries. Yet, according to the World Health organization we only rank 31st in terms of quality of care. It is interesting that this is exactly the rank that the US has with respect to Life Expectancy, again 31st. You would think that since we spend so much on health care we should be getting the best?                                                                     I think it important to not be fooled by Life Expectancy as a true measure of quality. The better measure is one termed HALE (Health Adjusted Life Expectancy). Following is taken from Very Well Health: “How Is Healthy Life Expectancy Calculated? This is a bit complicated and uses lots of different data sources for each country. In a nutshell, the World Health Organization takes a country’s data like mortality rates and health status information and crunches them to look at things like how long people are expected to live with about 135 health conditions. The calculation looks at the mortality rate for different health conditions and adjusts it for the duration or severity of the illnesses.”

What this measures is your expectation of a healthy life span, not just how long we can keep you alive! Again, we fall far behind the EU and in fact we fall to 35th overall. The difference is significant. Currently our Life expectancy from birth stands at 79.3, but our HALE stands at only 69.1. Keeping us alive those additional 10 years is expensive and they are not our best years.

You might be surprised to learn that the following countries have a better HALE than the US: The United Arab Emirates, Slovenia, Malta, Maldives, Costa Rica, Chile & Cuba. Our HALE is equal to that of China.

Your immune system

Your immune system

I am convinced that the key to quality of life if our immune system. I have had this notion for the past 40 years after a discussion with my physician at the time who was an Internist.  Not surprisingly the medical community, as a whole, has been stressing the importance of bolstering the immune system as an effective means of health maintenance. Additionally, immune therapy is being prescribed as a potential cure for numerous ailments and most recently as an alternative therapy for certain forms of cancer!

Here’s the problem. As is customary with the “American” strategy to solving problems we focus on addressing issues after they become a problem. Not only is this not effective, it becomes an extremely expensive burden on tax payers. While immune therapy may have benefits they tend to be short term. If the habits that led to the immune deficiency are not addressed then expensive immune therapy will be required indefinitely and the effectiveness will diminish over time.

The sescret to a healthy immune system, for the vast majority of our citizens, is ridiculously simple as well as cost effective:

30 minutes a day of effective exercise where a person elevates their rate to at least 50% above their “at rest” rate

&

Reducing caloric intake to no more than 2,500 calories per day. While there may be benefit to restricting consumption to certain items or food groups using the general guideline of not eating any one food in excess is almost as effective. This procedure will save most folks money.

I may have recommended viewing this video in prior postings, but I find it helpful to view it periodically: https://www.youtube.com/watch?v=aUaInS6HIGo. If you follow the recommendations your will have a significantly better quality of life.

The best and most cost-effective way to address any issue to focus “upstream”. Addressing solutions to causes works.

Life Expectancy vs HALE

Life Expectancy vs HALE

I recently read an ED OP in our local paper that was a reprint from apublication from a Minnesota paper. The writer was pointing out that while most EU countries were making positive progress to improve Life Expectancy, the US has been heading in the opposite direction for several years. The narrative stated that the CDC has placed part of the blame on drug overdoses and suicides. I did a bit of math on these areas and discovered that the increases in these areas has only had a minimal impact. The writer pointed out deficiencies in our health care system and noted increases in pregnancy mortality & heart disease, but again these numbers do not even come close to explainingaway the problem.

My opinion is that the issue lies with our broken and extremely expensivehealthcare system in combination with our inability (or unwillingness) tomaintain our immune systems through regular exercise and moderation of caloricintake. Our healthcare system costs, on average, 2 ½ times that per capita average for EU countries. Yet, according to the World Health organization weonly rank 31st in terms of quality of care. It is interesting tha this is exactly the rank that the US has with respect to Life Expectancy, again 31st. You would think that since we spend so much on health care we should begetting the best?                                                                                                                                                                                                      I think it important to not befooled by Life Expectancy as a true measure of quality. The better measure isone termed HALE (Health Adjusted Life Expectancy). Following is taken from VeryWell Health: “How Is Healthy Life Expectancy Calculated? This is a bit complicated and uses lots of different data sources for each country. In a nutshell, the World Health Organization takes a country’s data like mortality rates and health status information and crunches them to look at things like how long people are expected to livewith about 135 health conditions. The calculation looks at the mortality ratefor different health conditions and adjusts it for the duration or severity of the illnesses.”

 What this measures isyour expectation of a healthy life span, not just how long we can keep you alive! Again, we fall far behind the EU and in fact we fall to 35thoverall. The difference is significant. Currently our Life expectancy from birth stands at 79.3, but our HALE stands at only 69.1. Keeping us alive those additional 10 years is expensive and they are not our best years.

You might be surprised to learn that the following countries have a better HALE than the US: TheUnited Arab Emirates, Slovenia, Malta, Maldives, Costa Rica, Chile & Cuba. Our HALE is equal to that of China.