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posted by martyb on Friday August 03 2018, @09:58AM   Printer-friendly
from the think-of-the-children's...-mother dept.

Arthur T Knackerbracket has found the following story:

The US has a shameful record when it comes to caring for its moms. As Ars has reported before, the rate of women dying during pregnancy or childbirth is higher—much higher—than in any other developed country. By some estimates, mothers die in the US at a rate six-times that seen in Italy and three-times the rate in the UK, for instance. And of those that survive, tens of thousands suffer devastating injuries and near-death experiences each year.

Nevertheless, health researchers, hospital organizations, policy makers, and state task forces have been working to understand and reverse the horrific numbers—often doing so with limited resources and reliance on volunteers. While reports have offered glimpses of the problem, a new investigation by USA Today provides one of the sharpest pictures yet.

Many of the pregnant women and mothers who suffer and die in this country do so from easily preventable, common complications—and hospitals know exactly what safety features and practices are needed to spare mothers' lives and suffering, they just aren't using them. Women are left to bleed to death because doctors don't bother monitoring blood loss. Women suffer strokes and seizures and even die because doctors and nurses fail to treat their high blood pressure in time. The bottom line is stunning, simple negligence.

[...] While high blood pressure is one of the top causes of maternal deaths and complications, experts estimate that up to 60 percent of hypertensive deaths are preventable.

Hemorrhaging is another common but easily treatable complication. Women can bleed to death in as little as five minutes during childbirth. Yet experts estimate that 90 percent of maternal deaths from extreme blood loss are preventable. Such strategies to avoid harms are simple things, like weighing bloody pads to monitor blood loss (not relying on inaccurate visual estimates), having medications and supplies to curb blood loss readily available in a mobile cart, and responding promptly to signs of trouble.

Such simple steps have been recommended by experts for years. But in interviews with USA Today, many hospitals admitted they weren't following guidelines.

To put the data in real terms, USA Todaytold the story of 24-year-old Ali Lowry, who bled internally for hours after delivering by Cesarean section in an Ohio hospital in 2013. Her blood pressure registered at alarmingly low levels—52/26, 57/25, 56/24, 59/27—for more than three hours before staff responded. By the time she was airlifted to another hospital for life-saving surgery, her heart had stopped and she needed a hysterectomy. She eventually settled a lawsuit with her doctor and the hospital, which denied wrongdoing.

-- submitted from IRC


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  • (Score: 2, Interesting) by Anonymous Coward on Friday August 03 2018, @06:48PM (4 children)

    by Anonymous Coward on Friday August 03 2018, @06:48PM (#716876)

    No, the "advantage" of Medicare is that it pools risk. With everyone in one pool, the average cost per person goes down, because the risk is spread across the entire population, it ends some types of rent seeking, and because there is only one "plan." True, some people will pay more, but we are already subsidizing people's healthcare, so that is a super small percentage (i.e. less than 5%). Multiple studies, even by Libertarian and right-wing groups show that Medicare for All would be less expensive, etc. because it is more efficient, among other benefits. This is even when you add it as an additional option for buy in. There is a reason why almost everyone who is eligible signs up for Part B, C, and D, and doesn't get private insurance, despite being available.

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  • (Score: 0) by Anonymous Coward on Friday August 03 2018, @06:53PM (1 child)

    by Anonymous Coward on Friday August 03 2018, @06:53PM (#716884)

    You prove it by competing in the market place. May the best pool win.

    • (Score: 0) by Anonymous Coward on Saturday August 04 2018, @03:27AM

      by Anonymous Coward on Saturday August 04 2018, @03:27AM (#717098)

      I would if I could, but the law won't allow them to do so. But as I said, in the demographics where enrolling in Medicare is allowed, they routinely stomp the competition in terms of sign-ups.

  • (Score: 1, Informative) by Anonymous Coward on Friday August 03 2018, @07:21PM (1 child)

    by Anonymous Coward on Friday August 03 2018, @07:21PM (#716910)

    Yes, that's a good point. I saw a couple hilarious (or at least I try to laugh here because otherwise I will be consumed by despair) pieces on Common Dreams and Alternet reporting this. Here's one: Reporting on Bernie Sanders' Medicare for All Plan Makes the Media Forget How Math Works [alternet.org] [FAIR].

    ...Scary headlines missed an important point in [Charles Blahous' study for the libertarian-leaning Mercatus Center at George Mason University]: In terms of total (federal, state and private) spending on healthcare, Sanders’ Medicare for All plan is actually projected to cost $2.1 trillion less than projections of spending under the current US healthcare system.

    My point about first mover was that medicare is a well-understood program. None of the private insurance providers have anywhere near the experience working with populations near or below the poverty line or experience with the level of governmental oversight we'd expect out of single payer healthcare that medicare does. Additionally, many social workers (for example, people at HHS offices and people who are involved in charity programs currently run by hospitals and community foundations--they pretty much all know each other in any given community too, that is, the professional networks are established and close-knit) have a lot of institutional knowledge about medicare.

    Medicare for all is a no-brainer if there ever was one.

    • (Score: 0) by Anonymous Coward on Saturday August 04 2018, @04:06AM

      by Anonymous Coward on Saturday August 04 2018, @04:06AM (#717110)

      Sadly the no-brainers still find it perplexing.