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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsStudy: US loses billions on unnecessary C-sections
I found this interesting.
By Elise Viebeck - 01/07/13 03:55 PM ET
The United States could save billions of dollars on maternity and newborn care if pregnant women cut down on unnecessary cesarean sections, according to new research.
A study out Monday from Truven Health Analytics found that C-sections cost 50 percent more than vaginal births, with private insurers paying an average of $27,866 for a C-section in 2010 compared with $18,329 for a natural delivery.
Medicaid paid significantly less for each procedure, though the cost disparity lingered with $13,590 for a C-section and $9,131 for a natural delivery.
C-sections cost more than natural births because they require a longer recovery period in the hospital.
As major surgeries, C-sections also use more medical resources and pose a higher risk of complication to both women and infants, resulting in more care overall.
Groups behind Monday's Truven study argued for payment reforms to incentivize natural childbirth for most women.
http://thehill.com/blogs/healthwatch/public-global-health/275955-study-us-loses-billions-on-unnecessary-c-sections?wpisrc=nl_wonk
This is an older article but I think in Ontario our costs are lower and C-sections not done as much as in the US
Keep in mind that We in Ontario do not pay for doctors or hospitals so there is no bill.
http://www.settlement.org/discuss/topic.asp?TOPIC_ID=15280
and childbirth patients in hospital. Uncomplicated vaginal deliveries made up two
thirds of this amount, or 43% of all pregnancy and childbirth patients. The relative
percentages are similar when vaginal deliveries as a proportion of total pregnancy
and childbirth spending are considered. In-hospital vaginal deliveries comprised about 61% of total spending on pregnancy and childbirth patients, with uncomplicated
vaginal deliveries accounting for 38% of total in-hospital pregnancy and childbirth
spending. The average cost per patient of an uncomplicated vaginal delivery in a
Canadian hospital was $2,700#151;for a complicated delivery it was about $3,200 per
patient. For all vaginal births combined, the average cost per patient was $2,800.
RB TexLa
(17,003 posts)one way or another.
snooper2
(30,151 posts)postulater
(5,075 posts)and medically necessary C-Sections.
Patient pays the extra for the convenience ones. Sounds like a deal.
LisaLynne
(14,554 posts)gkhouston
(21,642 posts)And I say this as someone who was giving my husband messages to relay back to my boss about what I'd left unfinished at work while I was in labor.
shiningseas1971
(34 posts)because I had to have a c-section due to complications and it sucked LOL.
historylovr
(1,557 posts)My daughters were born in military hospitals in the 1990s and the staff encouraged vaginal births, including VBAC. I had no idea so many women were still having C-Sections. I wonder if that variety of reasons mentioned includes higher payments for the hospitals.
alcibiades_mystery
(36,437 posts)Past your due date? Here's pitosin. Oh, the pitosin is super painful? Here's an epidural. Oh, nothing's happening? Let's do caesarean.
That's the experience of many American women for childbirth.
shiningseas1971
(34 posts)and he said that you are lying Sir. A lot of Canadians do have to purchase additional health care now. The cost of their universal health care is so high that even Canada is rethinking the whole situation. The gentleman I spoke with told me that the USA should not do our healthcare the way that Canada did theirs. He said that all Canadians now have to purchase additional healthcare because the universal care is only for basic basic things.
ceile
(8,692 posts)where does the poster say anything about turning the US system into a Canadian style one? And where are your links to back up what your "Canadian" said?
shiningseas1971
(34 posts)because what part of I spoke with a Canadian don't you understand? I run a business where I speak with people who are of different nationalities. Did I ask for a link when the oriental couple, that stayed at my establishment, offered me a recipe to something they offered me to try? No, I did not. I asked the gentleman about their healthcare system because I was curious. He told me of his experiences. Yup, but he is going to lie to me. Look, if you support the new Universal Healthcare, that's fine with me. If I make a comment about someone saying that Canada's isn't so great, then I'm lying. Why? It was his opinion, that's all. Personally, I think that Insurance companies need to all be flushed down the proverbial toilet. Along with the high malpractice insurance that all doctors have to pay.
ceile
(8,692 posts)I didn't say you were lying. I just asked you back up what you said from the "Canadian" with facts. Now you're saying it's his opinion...convenient.
And "oriental"? What year is it? 1970?
shiningseas1971
(34 posts)That's a good one considering that I was born in 1971. It was this last summer. I run a motel and we get a wide variety of nationalities that stay at our establishment. Are you accusing me of lying about the oriental couple? Prove it. I apologize for accusing the original poster for lying. I got carried away. The Canadian gentleman told me that it was the same for the whole country.
ceile
(8,692 posts)that's the second time you've accused me of that. enjoy your stay.
riverbendviewgal
(4,253 posts)I have lived here and always have been covered by OHIP.
I have supplemental insurance that costs me $1600 a year. It covers my hearing aid, (govt pays $500, insurance covers $400 and I pay the rest every 5 years) It covers my dental care, I pay 20 percent the insurance covers the rest. It covers my prescription drugs , I paid 20 percent but now that I am 65 the govt pays all but $100 annual I pay. It covers Massage up to $600 annual and eyeglasses. It also covers semi-private room costs.
Other wise. ALL doctor visits are free,, flu shots are free,, lab tests are free. Hospital charges are free.
EG: Sept 2011 I had a detached retina. Had an MRI, and then laser operation by eye surgeon. Eye check ups to see how progressing
and had to travel 2 hour drive one way so ohip paid for my gasoline -This is called travel grants...and if a overnight stay is needed because the MRI or appointment is too early we also get our motel paid for.
Now my son in april 1998 at almost 25 went to work one day and was perfectly healthy. He had seizures at work and was operated for a brain tumor in 3 days. He had 2 more brain surgeries, chemotherapy, blood transfusions, radiation and 4 weeks in intensive care and 1 week in palliative care in the hospital. cost ZERO!!!!!!!!!!!!!!!!!!! He had the same treatments as Ted Kennedy who had the same brain tumor.
My husband his dad was diagnosed in July 1998 with Non Hodgkin's Lymphoma. He had operation,, radiation, chemotherapy (2 kinds) stem cell harvesting, blood transfusions, month long stay in hospital after one month, then finally 3 months in hospital palliative care.
COST = ZERO!!!!!!!!!!!!!!!!!!!!
pLUS The government gave me $2300 for each of them toward their funeral expenses
YOU SIR ARE A REPUBLICAN, I believe - spreading lies about my country. !!!!!!!!!!!!!!!!!!!!!!!!!!
shiningseas1971
(34 posts)because you still have deductibles. I am trying to point out that there are a lot of people here in the USA think that Canada has free healthcare when you do not. I asked the gentleman about it and he told me of his experiences. And, How dare you call me a RE-Pube-blican! I wouldn't wipe my feet on those people!
riverbendviewgal
(4,253 posts)Did you not read that the hospital , and doctor care of myself and son and husband did not have deductibles.
My son and husband's treatments cost thousands and thousands.
I don't mind paying a part of my hearing aid, glasses, dental care and prescriptions. those are the deductibles
I can write them off and the supplemental extra health care from my income taxes. Also I can write off parking fees for the hospital when it is needed to go to them when treatments or stays at hospital are scheduled.
You still sir have not given us the details.
Believe me ..It is very wonderful to go and be with your son and husband who have cancer and not have to worry one bit about getting any medical bills. It is wonderful to have treatment the same day seeing your optomistrist that has seen I have a detached retina and get surgery the same day.
It seems you are spreading lies....If they are not lies ...tell us your canadan friend's experiences and what he had to pay.
shiningseas1971
(34 posts)for something, but I cannot recall what it was. He also said that the high taxes that Canadians pay on for ex: cigarettes, was supposed to pay for the healthcare. I already apologized for saying that the original poster was a liar, what do you want blood? He did say that the USA should not model our healthcare after Canada's. I was curious about Canada's healthcare so I asked him about it. There are so many people here that think our new so called Obamacare is going to be free, when its not. Also, those same people say that it will be just like Canada's.
riverbendviewgal
(4,253 posts)which is better than Obama's...We don't have to go through insurance companies to get our basic care. Our doctors don't have to ask for approval to do medical procedures.. We don't have to worry about changing or losing jobs that may make us lose our health care.. It never happens . we have it from the day we are born to the day we die.
Yes, I am very, very happy we have very high taxes on our cigarettes because cigarettes cause medical problems.
No, Your Obamacare is not going to be free like mine. You still have millions of people not having health care, waiting for the year of 2014 for relief or medicare to kick in.
We in Canada, except for your friend, love our health care. it keeps getting better. The government negotiates the pharmaceuticals as well to keep our prescription drug costs down. That is why friends in South Carolina get their drugs online from Canada. I think that is wrong.. They diss your president but get our prescription drugs.
subterranean
(3,427 posts)You are correct that it's not free, though, because people pay for it through their taxes. I think most Canadians understand that.
riverbendviewgal
(4,253 posts)and we do pay higher taxes than the USA.
but my taxes last year were 25 percent federal and provincial together.
I figure that is fair. I would much rather have it like this and have all my fellow Canadians including myself have health care.
There were no medical bills during my son and husband's cancer battle. I did not have to declare bankruptcy like many Americans do when they are given medical bills after their loved ones died.
LeftyMom
(49,212 posts)The two issues are related.
Manifestor_of_Light
(21,046 posts)A reasonable C-section rate is 10-15%.
Major abdominal surgery is not easy but it beats mom and child dying in childbirth, which still happens in a lot of countries.
dkf
(37,305 posts)Delivery mode shapes the acquisition and structure of the initial microbiota across multiple body habitats in newborns
Upon delivery, the neonate is exposed for the first time to a wide array of microbes from a variety of sources, including maternal bacteria. Although prior studies have suggested that delivery mode shapes the microbiota's establishment and, subsequently, its role in child health, most researchers have focused on specific bacterial taxa or on a single body habitat, the gut. Thus, the initiation stage of human microbiome development remains obscure. The goal of the present study was to obtain a community-wide perspective on the influence of delivery mode and body habitat on the neonate's first microbiota. We used multiplexed 16S rRNA gene pyrosequencing to characterize bacterial communities from mothers and their newborn babies, four born vaginally and six born via Cesarean section. Mothers skin, oral mucosa, and vagina were sampled 1 h before delivery, and neonates skin, oral mucosa, and nasopharyngeal aspirate were sampled <5 min, and meconium <24 h, after delivery. We found that in direct contrast to the highly differentiated communities of their mothers, neonates harbored bacterial communities that were undifferentiated across multiple body habitats, regardless of delivery mode. Our results also show that vaginally delivered infants acquired bacterial communities resembling their own mother's vaginal microbiota, dominated by Lactobacillus, Prevotella, or Sneathia spp., and C-section infants harbored bacterial communities similar to those found on the skin surface, dominated by Staphylococcus, Corynebacterium, and Propionibacterium spp. These findings establish an important baseline for studies tracking the human microbiome's successional development in different body habitats following different delivery modes, and their associated effects on infant health.
http://www.pnas.org/content/early/2010/06/08/1002601107.abstract
Translation...a baby gains valuable microbiome exposure during natural childbirth.
http://www.economist.com/node/21560523
A healthy adult human harbours some 100 trillion bacteria in his gut alone. That is ten times as many bacterial cells as he has cells descended from the sperm and egg of his parents. These bugs, moreover, are diverse. Egg and sperm provide about 23,000 different genes. The microbiome, as the bodys commensal bacteria are collectively known, is reckoned to have around 3m. Admittedly, many of those millions are variations on common themes, but equally many are not, and even the number of those that are adds something to the bodys genetic mix.
And it really is a system, for evolution has aligned the interests of host and bugs. In exchange for raw materials and shelter the microbes that live in and on people feed and protect their hosts, and are thus integral to that hosts well-being. Neither wishes the other harm. In bad times, though, this alignment of interest can break down. Then, the microbiome may misbehave in ways which cause disease.