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	<title>Comments on: The high US infant mortality canard</title>
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	<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/</link>
	<description>Conservatives deal with facts and reach conclusions; liberals have conclusions and sell them as facts.</description>
	<lastBuildDate>Fri, 10 Feb 2012 06:19:20 +0000</lastBuildDate>
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		<title>By: Bookworm Room &#187; The fraudulent health care metric underlying Obama Care</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-120061</link>
		<dc:creator>Bookworm Room &#187; The fraudulent health care metric underlying Obama Care</dc:creator>
		<pubDate>Wed, 27 Apr 2011 14:36:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-120061</guid>
		<description>[...] friends who also live under such systems.  The systems offer the bare minimum to everyone.  They fiddle with their infant mortality statistics.  If people have the money, they come to America for [...]</description>
		<content:encoded><![CDATA[<p>[...] friends who also live under such systems.  The systems offer the bare minimum to everyone.  They fiddle with their infant mortality statistics.  If people have the money, they come to America for [...]</p>
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		<title>By: Bookworm Room &#187; Lies, damn lies and statistics</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-106223</link>
		<dc:creator>Bookworm Room &#187; Lies, damn lies and statistics</dc:creator>
		<pubDate>Fri, 24 Sep 2010 05:40:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-106223</guid>
		<description>[...] infant mortality rate &#8212; except it turns out that other nations report lower numbers because they don&#8217;t count babies who are fragile at birth in their mortality statistics, while America does.  And of course, The [...]</description>
		<content:encoded><![CDATA[<p>[...] infant mortality rate &#8212; except it turns out that other nations report lower numbers because they don&#8217;t count babies who are fragile at birth in their mortality statistics, while America does.  And of course, The [...]</p>
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		<title>By: Mike Devx</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55432</link>
		<dc:creator>Mike Devx</dc:creator>
		<pubDate>Sat, 04 Jul 2009 18:28:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55432</guid>
		<description>Hi Ymar,
I thought I&#039;d review your post again so I could be more cogent, but I can&#039;t find that thread now.  But  in general I remember I liked what you wrote and agreed with it. I especially agreed with your response to my question as to whether the media had ever before acted in concert as the administration&#039;s mouthpiece, where I thought &quot;no&quot;.  You brought up the point about them covering for FDR, and acting as his administration&#039;s mouthpiece, which from my limited knowledge of history is correct on your part.</description>
		<content:encoded><![CDATA[<p>Hi Ymar,<br />
I thought I&#8217;d review your post again so I could be more cogent, but I can&#8217;t find that thread now.  But  in general I remember I liked what you wrote and agreed with it. I especially agreed with your response to my question as to whether the media had ever before acted in concert as the administration&#8217;s mouthpiece, where I thought &#8220;no&#8221;.  You brought up the point about them covering for FDR, and acting as his administration&#8217;s mouthpiece, which from my limited knowledge of history is correct on your part.</p>
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		<title>By: Ymarsakar</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55429</link>
		<dc:creator>Ymarsakar</dc:creator>
		<pubDate>Sat, 04 Jul 2009 18:17:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55429</guid>
		<description>And no, I have not seen that movie.

Btw, what did you think of my response concerning your question about Nixon?</description>
		<content:encoded><![CDATA[<p>And no, I have not seen that movie.</p>
<p>Btw, what did you think of my response concerning your question about Nixon?</p>
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		<title>By: Ymarsakar</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55428</link>
		<dc:creator>Ymarsakar</dc:creator>
		<pubDate>Sat, 04 Jul 2009 18:17:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55428</guid>
		<description>&lt;B&gt;Dang, Ymar, your imagery has been getting harsher lately - this is the second reference to “smashing their teeth into the concrete” I’ve run across.&lt;/b&gt;

I assure you, I&#039;ve said it much more than twice by now on the nets ; )

&lt;B&gt;You’ve said that your anger and hatred at what the Statists are up to has been growing ever larger… is the imagery an expression of that growing anger?&lt;/b&gt;

In part, yes, but it is also very convenient because I don&#039;t have to come up with another expression to communicate my meaning. It has become one of my stock phrases, like &quot;fake liberal&quot;. Although Leftist and Demoncrat are my preferred descriptors recently. If only because many Republicans and so called conservatives cannot be called a fake liberal, for they never portrayed themselves as allies of liberty in the first place.</description>
		<content:encoded><![CDATA[<p><b>Dang, Ymar, your imagery has been getting harsher lately &#8211; this is the second reference to “smashing their teeth into the concrete” I’ve run across.</b></p>
<p>I assure you, I&#8217;ve said it much more than twice by now on the nets ; )</p>
<p><b>You’ve said that your anger and hatred at what the Statists are up to has been growing ever larger… is the imagery an expression of that growing anger?</b></p>
<p>In part, yes, but it is also very convenient because I don&#8217;t have to come up with another expression to communicate my meaning. It has become one of my stock phrases, like &#8220;fake liberal&#8221;. Although Leftist and Demoncrat are my preferred descriptors recently. If only because many Republicans and so called conservatives cannot be called a fake liberal, for they never portrayed themselves as allies of liberty in the first place.</p>
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		<title>By: Mike Devx</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55421</link>
		<dc:creator>Mike Devx</dc:creator>
		<pubDate>Sat, 04 Jul 2009 17:46:56 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55421</guid>
		<description>Ymar, #9:
&gt;&gt; And I like to smash the Left’s teeth into the concrete of truth. 

Dang, Ymar, your imagery has been getting harsher lately - this is the second reference to &quot;smashing their teeth into the concrete&quot; I&#039;ve run across.  You&#039;ve said that your anger and hatred at what the Statists are up to has been growing ever larger...  is the imagery an expression of that growing anger?

Now to my aside.  The &quot;smashing teeth into concrete&quot; imagery catches my eye because of the movie &quot;American History X&quot;.  Was wondering if you&#039;d seen it, and if so, what you thought of it.  There&#039;s the scene where Norton&#039;s charismatic gang leader confronts the theives in his front yard, shoots at them - nailing one of them I think.  He drags him to the curb, screams at him for a while, then crushes his mouth into the concrete curb with his booted foot.  That moment of violence caused me to involuntarily spasm almost fetally in my theatre seat the first time I saw it.  In later viewings - again in the theatre - I paid careful attention to that scene... and you can&#039;t see anything violent.  It is *suggested* with a brilliance I think even beyond that of the Psycho shower scene.  (I&#039;d also note that I saw &quot;The Passion of the Christ&quot; in the theatres several times, and the sense of incredible violence you get during the scourging scene from the screen is also, you&#039;ll find, not evident on the screen, but much of it is again brilliantly *suggested* with careful editing.)

In any case, my admiration for &quot;American History X&quot; - the last role I enjoyed Edward Norton in - stems from his incredible portrayal of leadership and how most other people can be led (by the nose) by that kind of charismatic, powerful leadership.  (For better or for worse.)</description>
		<content:encoded><![CDATA[<p>Ymar, #9:<br />
&gt;&gt; And I like to smash the Left’s teeth into the concrete of truth. </p>
<p>Dang, Ymar, your imagery has been getting harsher lately &#8211; this is the second reference to &#8220;smashing their teeth into the concrete&#8221; I&#8217;ve run across.  You&#8217;ve said that your anger and hatred at what the Statists are up to has been growing ever larger&#8230;  is the imagery an expression of that growing anger?</p>
<p>Now to my aside.  The &#8220;smashing teeth into concrete&#8221; imagery catches my eye because of the movie &#8220;American History X&#8221;.  Was wondering if you&#8217;d seen it, and if so, what you thought of it.  There&#8217;s the scene where Norton&#8217;s charismatic gang leader confronts the theives in his front yard, shoots at them &#8211; nailing one of them I think.  He drags him to the curb, screams at him for a while, then crushes his mouth into the concrete curb with his booted foot.  That moment of violence caused me to involuntarily spasm almost fetally in my theatre seat the first time I saw it.  In later viewings &#8211; again in the theatre &#8211; I paid careful attention to that scene&#8230; and you can&#8217;t see anything violent.  It is *suggested* with a brilliance I think even beyond that of the Psycho shower scene.  (I&#8217;d also note that I saw &#8220;The Passion of the Christ&#8221; in the theatres several times, and the sense of incredible violence you get during the scourging scene from the screen is also, you&#8217;ll find, not evident on the screen, but much of it is again brilliantly *suggested* with careful editing.)</p>
<p>In any case, my admiration for &#8220;American History X&#8221; &#8211; the last role I enjoyed Edward Norton in &#8211; stems from his incredible portrayal of leadership and how most other people can be led (by the nose) by that kind of charismatic, powerful leadership.  (For better or for worse.)</p>
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		<title>By: Cycle Cyril</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55417</link>
		<dc:creator>Cycle Cyril</dc:creator>
		<pubDate>Sat, 04 Jul 2009 17:41:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55417</guid>
		<description>Another distortion this statistical practice creates is in the survival tables.

Most other industrialized countries report much longer average survival from birth than America.  But because they do not include those infants born alive but premature or underweight (who do have a high mortality rate), or die within a day of a normal birth, theses countries artificially have a longer average survival compared to the US.  

In the US, because of their inclusion, the children dying in their neonatal period creates an illusion of a shorter average survival and thus a worse healthcare system.

I view this a way of the various governments hiding their dismal records concerning neonatal deaths and thus avoid paying for the research and material and the personnel for these neonates at the time of their births and any additional care they may need in the future.</description>
		<content:encoded><![CDATA[<p>Another distortion this statistical practice creates is in the survival tables.</p>
<p>Most other industrialized countries report much longer average survival from birth than America.  But because they do not include those infants born alive but premature or underweight (who do have a high mortality rate), or die within a day of a normal birth, theses countries artificially have a longer average survival compared to the US.  </p>
<p>In the US, because of their inclusion, the children dying in their neonatal period creates an illusion of a shorter average survival and thus a worse healthcare system.</p>
<p>I view this a way of the various governments hiding their dismal records concerning neonatal deaths and thus avoid paying for the research and material and the personnel for these neonates at the time of their births and any additional care they may need in the future.</p>
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		<title>By: BrianE</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55398</link>
		<dc:creator>BrianE</dc:creator>
		<pubDate>Sat, 04 Jul 2009 16:33:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55398</guid>
		<description>Thank you BW for your post de-bunking the infant mortality myth. There are a couple of other popular reports often used to advance government-run health care.
One is the supposed poor quality of health care standing of the US, and the other the amount of spending by the US compared to other countries.
Here is an article from Cato Institute explaining the WHO quality of care issue. Sorry for the lengthy comment, but I think it is worth the lengthy explanation. 
&lt;blockquote&gt;Armed with supposedly objective reports showing the American medical system is among the worst in the developed world, candidates left and right -- but mostly left -- are plugging ambitious plans to &quot;fix&quot; healthcare. Invariably, their plans call for more government intervention
But is lack of government really the problem -- and if so, how would we know? Healthcare interventionists frequently cite the World Health Organization&#039;s World Health Report 2000, which studied the performance of 191 countries&#039; healthcare systems -- and awarded the U.S. a dismal rank of number 37. While the WHO rankings are touted as an objective measure of the relative performance of healthcare systems, in reality they depend on a number of ideological or logically incoherent assumptions.
The WHO rankings are based on a constructed index of five factors. One factor is &quot;health level,&quot; defined as a country&#039;s disability-adjusted life expectancy. Another is &quot;health responsiveness,&quot; which includes desirable characteristics of healthcare like speed of service, protection of privacy, and quality of amenities.
Both of these are sensible indicators of health quality, but they constitute only 37.5 percent of each country&#039;s score. The other 62.5 percent encompasses factors only tenuously connected to the quality of care -- and that can actually punish a country&#039;s ranking for superior performance.
Take &quot;Financial Fairness&quot; (FF), worth 25 percent of the total. This factor measures inequality in how much households spend on healthcare as a percentage of their income. The greater the inequality, the worse the country&#039;s performance.
Notice that FF necessarily improves when the government shoulders more of the health spending burden, rather than relying on the private sector. To use the existing WHO rankings to justify more government involvement in healthcare is therefore to engage in circular reasoning, because the rankings are designed to favor greater government involvement. 
The ostensible reason to include FF in the health index is to account for people landing in dire financial straits because of their health needs. Yet the FF factor worsens for every household that deviates from the average percentage of income spent on healthcare, regardless of whether the deviation is on the high side or low side.
That means the FF factor doesn&#039;t just penalize a country because some households are especially likely to become impoverished from health costs; it also penalizes a country because some households are especially unlikely to become impoverished from health costs.
The other two factors, &quot;health distribution&quot; and &quot;responsiveness distribution,&quot; are no better. Together worth 37.5 percent of a country&#039;s score, these factors measure inequality in health level and responsiveness. Strictly speaking, neither measures healthcare performance, because inequality is distinct from quality of care. It&#039;s entirely possible to have a healthcare system characterized by both extensive inequality and good care for everyone.
Suppose, for instance, that Country A has health responsiveness that is &quot;excellent&quot; for most citizens but merely &quot;good&quot; for some disadvantaged groups, while Country B has responsiveness that is uniformly &quot;poor&quot; for everyone. Country B would score higher than Country A in responsiveness distribution, despite Country A having better responsiveness for even its worst-off citizens.
What if the quality of healthcare improves for half of the population, while remaining the same for the other half? This should be regarded as an unambiguous improvement: some people get better off, and no one gets worse off. But in the WHO index, the effect is ambiguous because the improvement could increase inequality.
The WHO rankings have also been adjusted to reflect efficiency: how well a country is doing relative to how much it spends. In the media, however, this distinction is often lost.
Costa Rica ranks higher than the United States (number 36 versus number 37), but that does not mean Costa Ricans get better healthcare than Americans. Americans most likely get better healthcare -- just not as much better as could be expected given how much we spend. If the question is health outcomes alone, without reference to spending, we should look at the unadjusted ranking, where the U.S. is number 15 and Costa Rica is number 45. (And even the number 15 rank is problematic, for all the reasons discussed above.)
The WHO rankings implicitly take all differences in health outcomes unexplained by spending or literacy and attribute them entirely to health system performance. Nothing else, from tobacco use to nutrition to sheer luck, is taken into account. These variables were excluded largely because of underlying paternalist assumptions about the proper role of the health system.
If the culture has a predilection for unhealthy foods, there may be little healthcare providers can do about it. Conversely, if the culture has a pre-existing preference for healthy foods, the healthcare system hardly deserves the credit. Some people are happy to give up a few potential months or even years of life in exchange for the pleasures of smoking, eating, having sex, playing sports, and so on. The WHO approach, rather than taking people&#039;s preferences as given, deems some preferences better than others, and then praises or blames the health system for them.
Those who cite the WHO ranking to justify greater government involvement in the health system are assuming what they&#039;re trying to prove. The WHO healthcare ranking system does not escape political bias. It advances ideological assumptions that most Americans might find questionable under the guise of objectivity.&lt;/blockquote&gt;
http://www.cato.org/pub_display.php?pub_id=9259</description>
		<content:encoded><![CDATA[<p>Thank you BW for your post de-bunking the infant mortality myth. There are a couple of other popular reports often used to advance government-run health care.<br />
One is the supposed poor quality of health care standing of the US, and the other the amount of spending by the US compared to other countries.<br />
Here is an article from Cato Institute explaining the WHO quality of care issue. Sorry for the lengthy comment, but I think it is worth the lengthy explanation. </p>
<blockquote><p>Armed with supposedly objective reports showing the American medical system is among the worst in the developed world, candidates left and right &#8212; but mostly left &#8212; are plugging ambitious plans to &#8220;fix&#8221; healthcare. Invariably, their plans call for more government intervention<br />
But is lack of government really the problem &#8212; and if so, how would we know? Healthcare interventionists frequently cite the World Health Organization&#8217;s World Health Report 2000, which studied the performance of 191 countries&#8217; healthcare systems &#8212; and awarded the U.S. a dismal rank of number 37. While the WHO rankings are touted as an objective measure of the relative performance of healthcare systems, in reality they depend on a number of ideological or logically incoherent assumptions.<br />
The WHO rankings are based on a constructed index of five factors. One factor is &#8220;health level,&#8221; defined as a country&#8217;s disability-adjusted life expectancy. Another is &#8220;health responsiveness,&#8221; which includes desirable characteristics of healthcare like speed of service, protection of privacy, and quality of amenities.<br />
Both of these are sensible indicators of health quality, but they constitute only 37.5 percent of each country&#8217;s score. The other 62.5 percent encompasses factors only tenuously connected to the quality of care &#8212; and that can actually punish a country&#8217;s ranking for superior performance.<br />
Take &#8220;Financial Fairness&#8221; (FF), worth 25 percent of the total. This factor measures inequality in how much households spend on healthcare as a percentage of their income. The greater the inequality, the worse the country&#8217;s performance.<br />
Notice that FF necessarily improves when the government shoulders more of the health spending burden, rather than relying on the private sector. To use the existing WHO rankings to justify more government involvement in healthcare is therefore to engage in circular reasoning, because the rankings are designed to favor greater government involvement.<br />
The ostensible reason to include FF in the health index is to account for people landing in dire financial straits because of their health needs. Yet the FF factor worsens for every household that deviates from the average percentage of income spent on healthcare, regardless of whether the deviation is on the high side or low side.<br />
That means the FF factor doesn&#8217;t just penalize a country because some households are especially likely to become impoverished from health costs; it also penalizes a country because some households are especially unlikely to become impoverished from health costs.<br />
The other two factors, &#8220;health distribution&#8221; and &#8220;responsiveness distribution,&#8221; are no better. Together worth 37.5 percent of a country&#8217;s score, these factors measure inequality in health level and responsiveness. Strictly speaking, neither measures healthcare performance, because inequality is distinct from quality of care. It&#8217;s entirely possible to have a healthcare system characterized by both extensive inequality and good care for everyone.<br />
Suppose, for instance, that Country A has health responsiveness that is &#8220;excellent&#8221; for most citizens but merely &#8220;good&#8221; for some disadvantaged groups, while Country B has responsiveness that is uniformly &#8220;poor&#8221; for everyone. Country B would score higher than Country A in responsiveness distribution, despite Country A having better responsiveness for even its worst-off citizens.<br />
What if the quality of healthcare improves for half of the population, while remaining the same for the other half? This should be regarded as an unambiguous improvement: some people get better off, and no one gets worse off. But in the WHO index, the effect is ambiguous because the improvement could increase inequality.<br />
The WHO rankings have also been adjusted to reflect efficiency: how well a country is doing relative to how much it spends. In the media, however, this distinction is often lost.<br />
Costa Rica ranks higher than the United States (number 36 versus number 37), but that does not mean Costa Ricans get better healthcare than Americans. Americans most likely get better healthcare &#8212; just not as much better as could be expected given how much we spend. If the question is health outcomes alone, without reference to spending, we should look at the unadjusted ranking, where the U.S. is number 15 and Costa Rica is number 45. (And even the number 15 rank is problematic, for all the reasons discussed above.)<br />
The WHO rankings implicitly take all differences in health outcomes unexplained by spending or literacy and attribute them entirely to health system performance. Nothing else, from tobacco use to nutrition to sheer luck, is taken into account. These variables were excluded largely because of underlying paternalist assumptions about the proper role of the health system.<br />
If the culture has a predilection for unhealthy foods, there may be little healthcare providers can do about it. Conversely, if the culture has a pre-existing preference for healthy foods, the healthcare system hardly deserves the credit. Some people are happy to give up a few potential months or even years of life in exchange for the pleasures of smoking, eating, having sex, playing sports, and so on. The WHO approach, rather than taking people&#8217;s preferences as given, deems some preferences better than others, and then praises or blames the health system for them.<br />
Those who cite the WHO ranking to justify greater government involvement in the health system are assuming what they&#8217;re trying to prove. The WHO healthcare ranking system does not escape political bias. It advances ideological assumptions that most Americans might find questionable under the guise of objectivity.</p></blockquote>
<p><a href="http://www.cato.org/pub_display.php?pub_id=9259" rel="nofollow">http://www.cato.org/pub_display.php?pub_id=9259</a></p>
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		<title>By: SADIE</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55390</link>
		<dc:creator>SADIE</dc:creator>
		<pubDate>Sat, 04 Jul 2009 15:21:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55390</guid>
		<description>highlander

Where is NOW?

They&#039;re renamed themselves. 
NOW is now called GONE (Generation of No Equality).</description>
		<content:encoded><![CDATA[<p>highlander</p>
<p>Where is NOW?</p>
<p>They&#8217;re renamed themselves.<br />
NOW is now called GONE (Generation of No Equality).</p>
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		<title>By: Ymarsakar</title>
		<link>http://www.bookwormroom.com/2009/07/03/the-high-us-infant-mortality-canard/comment-page-1/#comment-55381</link>
		<dc:creator>Ymarsakar</dc:creator>
		<pubDate>Sat, 04 Jul 2009 14:41:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.bookwormroom.com/?p=7244#comment-55381</guid>
		<description>The truth isn&#039;t out there. I got it right here. And I like to smash the Left&#039;s teeth into the concrete of truth. Very useful, that Truth there.</description>
		<content:encoded><![CDATA[<p>The truth isn&#8217;t out there. I got it right here. And I like to smash the Left&#8217;s teeth into the concrete of truth. Very useful, that Truth there.</p>
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