Hopsitals Kill

Hospitals Kill:

The Atlantic has an article that blames a father's death on the American health system.

Almost two years ago, my father was killed by a hospital-borne infection in the intensive-care unit of a well-regarded nonprofit hospital in New York City. Dad had just turned 83, and he had a variety of the ailments common to men of his age. But he was still working on the day he walked into the hospital with pneumonia. Within 36 hours, he had developed sepsis. Over the next five weeks in the ICU, a wave of secondary infections, also acquired in the hospital, overwhelmed his defenses. My dad became a statistic—merely one of the roughly 100,000 Americans whose deaths are caused or influenced by infections picked up in hospitals. One hundred thousand deaths: more than double the number of people killed in car crashes, five times the number killed in homicides, 20 times the total number of our armed forces killed in Iraq and Afghanistan. Another victim in a building American tragedy.

Oddly enough, that was precisely Mark Steyn's complaint with the Canadian health care system.

My father is currently ill, and the health "system" is doing its best to ensure it's fatal. When an ambulance has to be called, they take him to a different hospital according to the determinations of the bed-availability bureaucrats and which facility hasn't had to be quarantined for an infection outbreak. At the first hospital, he picked up C Difficile. At the second, MRSA. At the third, like the lady above, he got septicaemia. He's lying there now, enjoying the socialized health care jackpot — C Diff, MRSA, septicaemia. None of these ailments are what he went in to be treated for. They were given to him by the medical system.

Now, the first fellow says that those 100,000 deaths are "caused or influenced" by secondary infection. That "influenced" muddies the waters quite a bit. We don't know how many of those deaths are from the infection, versus from the original disease (with the infection just 'influencing' the course of that disease).

This study shows that the Canadian system infects 250,000 people a year with diseases. It lists only 8,000 deaths caused by those infections -- but it doesn't say how many are "influenced" by the infections. It's quite possibly rather more than 100,000.

The solutions being proposed in both cases are remarkably similar: clean your hands. Go through a basic checklist to make sure instruments are clean. A fair number of doctors aren't doing it in either country.

The problem isn't the payment system, then. The problem is the fact that hospitals collect people whose immune systems are already taxed by one disease or injury, and expose them to many other people with different diseases, many infectuous. The problem is that a number of sanitary techniques are not fully implemented. The Atlantic asserts that a government-run system would do it better, but the evidence suggests that there is no reason to believe that is the case.