The joys of socalized medical care...but not for the man who really wants it

Report: Amputations without anesthesia in NKorea
SEOUL, South Korea – North Korea's health care system is in shambles with doctors sometimes performing amputations without anesthesia and working by candlelight in hospitals lacking essential medicine, heat and power, a human rights watchdog said Thursday.

North Korea's state health care system has been deteriorating for years amid the country's economic difficulties. Many of its 24 million people reportedly face health problems related to chronic malnutrition, such as tuberculosis and anemia, Amnesty International said in a report on the state of the health care system.

For Obama voters, Amnesty International is not exactly the John Burch Society. It's decidedly leftist.

A 24-year-old defector from northeastern Hamkyong province told Amnesty that a doctor amputated his left leg from the calf down without anesthesia after his ankle was crushed by a moving train when he fell from one of the cars.

"Five medical assistants held my arms and legs down to keep me from moving. I was in so much pain that I screamed and eventually fainted from pain," said the man, identified only by his family name, Hwang. "I woke up one week later in a hospital bed."

The report was based on interviews with more than 40 North Koreans who have defected, mostly to South Korea, as well as organizations and health care professionals who work with North Koreans. Amnesty researchers did not have access to North Korea, one of the world's most closed countries.

The World Health Organization's director noted malnutrition was a problem in North Korea when she visited in April, the first such trip to the country since 2001.

But Margaret Chan (WHO President) who refused to be accompanied by foreign reporters on her visit, also praised the isolated regime for providing universal health coverage and said programs like one for child immunizations and its response to a malaria resurgence make it the "envy" of many other developing countries.

In its Thursday report, Amnesty raised questions about whether coverage really is universal, noting most interviewees said they or a family member had given doctors cigarettes, alcohol or money to receive medical care.

Doctors often work without pay, have little or no medicine to dispense and reuse scant medical supplies, the report said.

"People in North Korea don't bother going to the hospital if they don't have money because everyone knows that you have to pay for service and treatment," a 20-year-old North Korean defector named Rhee was quoted as saying. "If you don't have money, you die."

Many interviewees said they had to walk as long as two hours to get to a hospital for surgery, said Norma Kang Muico, an Amnesty researcher and author of the report.

Gee Margaret, that don't sound like universal health coverage ...and if it's so great why don't you and Kim Jong-il want reporters to show off the greatness of the system. Hell, Dr Berwick, the new head of our Medicare and Medicaid would like that, right? Not exactly.

In special deal, charity gives rationing advocate Berwick health coverage for life

Donald Berwick, recess-appointed by President Obama to head Medicare and Medicaid, is a well-known advocate of health care rationing and admirer of Britain's National Health Service. Rising health costs and limited resources "require decisions about who will have access to care and the extent of their coverage," Berwick wrote in 1999. Last year, he said, "The decision is not whether or not we will ration care -- the decision is whether we will ration with our eyes open." Of the NHS, Berwick says simply, "I love it," adding that it is "one of the great human health care endeavors on earth."

As it turns out, Berwick himself does not have to deal with the anxieties created by limited access to care and the extent of coverage. In a special benefit conferred on him by the board of directors of the Institute for Health Care Improvement, a nonprofit health care charitable organization he created and which he served as chief executive officer, Berwick and his wife will have health coverage "from retirement until death."

The provision is deep inside a 2009 audit report on the nonprofit's finances. On page 17 of that document, there is a paragraph headlined "Post Retirement Health Benefits":

During fiscal year 2003, the Institute created a postretirement health benefit plan for its Chief Executive Officer (CEO). It provides the CEO and his spouse medical insurance from retirement until death. The present value of the estimated cost of this benefit is approximately $120,000, which is being accrued over the CEO's estimated remaining service period. The amount expensed by the Institute for the years ended 2009 and 2008 related to this liability was approximately $12,000 and $17,000, respectively. At 2009 and 2008, approximately $84,000 and $72,000, respectively, was included in accounts payable and accrued expenses.

Berwick was the CEO in question; under the provision, he and his wife will be covered for the rest of their lives -- a benefit that was on top of the $2.3 million in compensation the nonprofit gave Berwick in 2008, the $637,006 in compensation he received in 2007, and the $585,008 he received in 2006.

The Institute describes its work as an effort "to accelerate improvement [in health care] by building the will for change, cultivating promising concepts for improving patient care, and helping health care systems put those ideas into action." ...

So he wants everyone else to be in a system that "...must, must be redistributive..." but he will like to be in a first rate system himself. Typical left wing hypocrisy.

Again Obama voters, how's that hope and change working out for you?