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A while ago, I criticized a new paper on the supremacy of the U.S. healthcare system that was being touted by Gary Becker and Greg Mankiw. The paper, by Samuel Preston and Jessica Ho at the University of Pennsylvania, showed that mortality trends for prostate and breast cancer were much better in the U.S. than in other advanced countries. My main beef was that Preston and Ho's research design was too blunt to really pick up on why this was the case. But I see that an updated NBER version of the paper has more details on what could be behind the better U.S. outcomes.
On prostate cancer:
Declines in prostate cancer mortality have been attributed to both PSA screening and improvements in treatment ... An individual-level population model that used counterfactuals to simulate US mortality and incidence of advanced-stage prostate cancer concluded that two-thirds of the decline in mortality between 1990 and 1999, and 80% of the decline in distant-stage incidence, was attributable to expanded PSA testing (Etzioni et al. 2008).
As Democrats scramble to assemble a health care reform package that a majority of the party can support, Republicans have agreed on what they claim is a quick and easy way to reduce health insurance costs. In delivering the Republican reply to the President’s recent joint-session speech, Charles Boustany of Louisiana offered the GOP plan, saying "Let's also talk about letting families and businesses buy insurance across state lines. I and many other Republicans believe that that will provide real choice and competition to lower the cost of health insurance."
It's an approach conservatives have been talking up for a while. Probably its most vocal proponent is Representative John Shadegg of Arizona, who introduced the idea formally this July with "The Health Care Choice Act of 2009." But a closer examination shows that it's the "Drill baby Drill" of health care reform--a cynical slogan masquerading as a serious public policy solution.
This morning the Scottish government released the only person convicted in the 1988 Lockerbie bombing, Abdel Basset Ali al-Megrahi, after only serving eight years of a minimum 27-year-sentence for his role in the terrorist attack that killed
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