Global Healthcare Comparison
I was recently discussing views on the American healthcare system with an Irish friend living in China. That got me theorizing and wondering if other countries have similar, or different, approaches.
In this post, I’m going to talk about a specific subset of healthcare – how it’s a business in the United States, and how cultural dynamics, I feel, play into this.
Here is my theory. Over the past 5 or so years, I’ve noticed a disturbing trend. Drug companies seem to be capitalizing on gullibility, advertising, and financial incentives to make billions of dollars off health concerns. Bodily issues, that have probably been around for centuries, are now being given an ugly name. Here’s how this plays out.
STEP 1: Create Ugly Name for Non-life-threatening bodily challenge. i.e. CREATE A PROBLEM. So, say your nose itches a lot, they suddenly call it “HEFFERITIS”, or whatever ugly name they make up that sounds bad enough that you know you don’t want it. You might have had it for a long time, and been doing just fine, but now you see a TV commercial that lists your symptoms, and attaches a name to them, and convinces you that you have a problem. For many people, if they see it on TV, it must be true. In other words, the drug companies pay for advertising and convince us we have a problem that needs to be fixed.
STEP 2: CREATE SOLUTION TO THE PROBLEM. Now that the problem has been laid out, and it’s on TV, so it must be true, the drug companies can promote their new drug. Because you now feel you have a problem that needs to be fixed, you suddenly need to have this drug, it’s the perfect solution. Here’s the thing, the SIDE EFFECTS ALONE are worse than the problem! So, let’s take Hefferitis – you start off with an itchy nose, but if you take this wonder drug, you MAY end up with: “itchy feet, diahrrea – sometimes fatal, hallucinations, urges to kill people – sometimes fatal, depression from wanting to kill people – sometimes leading to suicide, dizziness, loss of vision – which may be temporary, loss of bladder control, temporary immune dysfunction, hair loss, neck rash – sometimes fatal…..” (And this is honestly only a slight exaggeration, you should see these ads!)
STEP 3: FINANCIAL BENEFIT TO DOCTORS WHO SELL SAID DRUGS: So, now you’ve seen the commercial, you know you have Hefferitis, and you go to your doctor to get his or her thoughts. They are being financially compensated to sell said drug, so recommend it to you and tell you the side effects only happen 2% of the time, and so it’s unlikely to happen to you, and if it does, you can stop taking the drugs.
I just saw a perfect example of this – there is a recent advertisement on the television for “Menorrhagia” – heavy menstrual bleeding. We’ve been living with this for centuries, but now apparently, it’s a disease that needs a cure, oh, and just stay tuned, I’m sure the new drug will follow soon! Marketing first – get us all in a panic, and wanting the cure, and then when the drug comes out, we’ll run and buy it!
I guess eliminating pain and suffering might be a good cause, however, the side effects of the drugs seem more painful and to cause more suffering, than the problem of origin.
I don’t mean to belittle anyone that might have Hefferitis or any other problem that I cannot commiserate with. I suffer from arthritis and high cholesterol myself, and recently herniated two discs in my neck, so I can understand how intense pain and aggravation would lead someone to seek out a remedy. I just feel like in the US, it’s not really about a cure, it’s about making executives at drug companies more wealthy, which is highlighted to me by:
- The fact that we have drugs with such bad side effects
- We’ve made it socially acceptable for KIDS to take drugs (e.g. ADD) but then try and tell them “Just say No to drugs” – conflicting message if you ask me
- Insurance companies are miserable when it comes to medical reimbursement, but any drug with a generic form, or one that has no generic seems less problematic for them to pay for
So, I wonder, for those of you living outside the US, do you also see advertisements as I mention in this post? Do you feel that your country’s healthcare approach is for your good, for the good of a corporation, or a combination? Please leave your comments!









