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	<title>Comments on: Two interpretations of US health care cost vs. life expectancy</title>
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	<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/</link>
	<description>Strategies for Internet citizens</description>
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		<title>By: Stephen Craig Evans</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131385</link>
		<dc:creator><![CDATA[Stephen Craig Evans]]></dc:creator>
		<pubDate>Sun, 10 Jan 2010 15:47:03 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131385</guid>
		<description><![CDATA[Hi Jon,

If you are going to get picky about data, shouldn&#039;t you first think about terminology?

There is nothing (or at least very little) health and care about &quot;health care&quot;. And the dollar numbers are not &quot;costs&quot; but &quot;prices&quot;. Once you substitute &quot;medical expenses&quot; for &quot;health care&quot; and &quot;prices&quot; for &quot;costs&quot;, immediately there is an improvement as to how to look at this.

For example, my Blue Cross Blue Shield coverage helps me with my family&#039;s medical expenses. The expenses are based on prices of goods &amp; services.

So, you should still be left wondering about the relationship between longevity, modern medicine, and expenses.]]></description>
		<content:encoded><![CDATA[<p>Hi Jon,</p>
<p>If you are going to get picky about data, shouldn&#8217;t you first think about terminology?</p>
<p>There is nothing (or at least very little) health and care about &#8220;health care&#8221;. And the dollar numbers are not &#8220;costs&#8221; but &#8220;prices&#8221;. Once you substitute &#8220;medical expenses&#8221; for &#8220;health care&#8221; and &#8220;prices&#8221; for &#8220;costs&#8221;, immediately there is an improvement as to how to look at this.</p>
<p>For example, my Blue Cross Blue Shield coverage helps me with my family&#8217;s medical expenses. The expenses are based on prices of goods &amp; services.</p>
<p>So, you should still be left wondering about the relationship between longevity, modern medicine, and expenses.</p>
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		<title>By: Stephan Onisick</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131373</link>
		<dc:creator><![CDATA[Stephan Onisick]]></dc:creator>
		<pubDate>Sat, 09 Jan 2010 21:40:11 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131373</guid>
		<description><![CDATA[Could you give me some sample code adding attendess with DDAY.ical.

Thanks for your article.]]></description>
		<content:encoded><![CDATA[<p>Could you give me some sample code adding attendess with DDAY.ical.</p>
<p>Thanks for your article.</p>
]]></content:encoded>
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		<title>By: Jon Udell</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131343</link>
		<dc:creator><![CDATA[Jon Udell]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 22:46:12 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131343</guid>
		<description><![CDATA[OK, I tried the same thing using current OECD and WHO data, restricted to just the countries shown in these other examples, based on -- in addition to your OECD numbers -- this from WHO:

Healthy life expectancy (HALE) at birth (years) both sexes - http://www.who.int/whosis/indicators/compendium/2008/1hat

Interestingly, there&#039;s little if any difference arising from the different OECD and WHO definitions of life expectancy.

http://jonudell.net/images/who-vs-oecd.png

Now I want to revisit the book and review the argument and supporting data.

If you include all the countries, of course, you reframe the question of the longevity implications of US healthcare. In a whole-world view, we&#039;re near the top. In an advanced-industrial-democracies-only view, we&#039;re middle of the road.

But I&#039;m still left wondering about the relationship between longevity, health, and cost.]]></description>
		<content:encoded><![CDATA[<p>OK, I tried the same thing using current OECD and WHO data, restricted to just the countries shown in these other examples, based on &#8212; in addition to your OECD numbers &#8212; this from WHO:</p>
<p>Healthy life expectancy (HALE) at birth (years) both sexes &#8211; <a href="http://www.who.int/whosis/indicators/compendium/2008/1hat" rel="nofollow">http://www.who.int/whosis/indicators/compendium/2008/1hat</a></p>
<p>Interestingly, there&#8217;s little if any difference arising from the different OECD and WHO definitions of life expectancy.</p>
<p><a href="http://jonudell.net/images/who-vs-oecd.png" rel="nofollow">http://jonudell.net/images/who-vs-oecd.png</a></p>
<p>Now I want to revisit the book and review the argument and supporting data.</p>
<p>If you include all the countries, of course, you reframe the question of the longevity implications of US healthcare. In a whole-world view, we&#8217;re near the top. In an advanced-industrial-democracies-only view, we&#8217;re middle of the road.</p>
<p>But I&#8217;m still left wondering about the relationship between longevity, health, and cost.</p>
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		<title>By: Hadley Wickham</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131342</link>
		<dc:creator><![CDATA[Hadley Wickham]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 22:35:26 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131342</guid>
		<description><![CDATA[It&#039;s not the data that I&#039;m questioning - it&#039;s the presentation.  Look at the values on the x-axis - there is not the same amount of space between each one!]]></description>
		<content:encoded><![CDATA[<p>It&#8217;s not the data that I&#8217;m questioning &#8211; it&#8217;s the presentation.  Look at the values on the x-axis &#8211; there is not the same amount of space between each one!</p>
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		<title>By: Baz</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131338</link>
		<dc:creator><![CDATA[Baz]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 18:22:39 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131338</guid>
		<description><![CDATA[Sorry my reply crossed mid-flight there.

re the ranked data: This was in response to Hadley above. I just mean the points have been sorted by value along the x axis, then plotted above a label showing all of the actual values. There&#039;s no meaningful scale, as there was in the first graph, which makes it harder to spot outliers.

re your second point, I must&#039;ve misunderstood, I thought your third graph above was supposed to be the OECD vs OECD comparison, the others used mixed measures?

and finally re life expectancy... yes, which scale is used is highly contentious. Here in the UK this does come up in the debate every so often in a different context, as people generally want life-extending treatment no matter what the quality of that life would be; while NICE may recommend treatments based on quality-of-life adjusted outcomes.

Needless to say, politicians and journalists use different scales to suit the needs of their stories :(]]></description>
		<content:encoded><![CDATA[<p>Sorry my reply crossed mid-flight there.</p>
<p>re the ranked data: This was in response to Hadley above. I just mean the points have been sorted by value along the x axis, then plotted above a label showing all of the actual values. There&#8217;s no meaningful scale, as there was in the first graph, which makes it harder to spot outliers.</p>
<p>re your second point, I must&#8217;ve misunderstood, I thought your third graph above was supposed to be the OECD vs OECD comparison, the others used mixed measures?</p>
<p>and finally re life expectancy&#8230; yes, which scale is used is highly contentious. Here in the UK this does come up in the debate every so often in a different context, as people generally want life-extending treatment no matter what the quality of that life would be; while NICE may recommend treatments based on quality-of-life adjusted outcomes.</p>
<p>Needless to say, politicians and journalists use different scales to suit the needs of their stories :(</p>
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		<title>By: Baz</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131337</link>
		<dc:creator><![CDATA[Baz]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 17:47:24 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131337</guid>
		<description><![CDATA[Since I had the data to hand I whipped up a spreadsheet from the OECD data only
http://spreadsheets.google.com/pub?key=tIbcpECTpUUUYItNhM3pUWA&amp;output=html

...you can see this corresponds closely to Gelman&#039;s graph.]]></description>
		<content:encoded><![CDATA[<p>Since I had the data to hand I whipped up a spreadsheet from the OECD data only<br />
<a href="http://spreadsheets.google.com/pub?key=tIbcpECTpUUUYItNhM3pUWA&#038;output=html" rel="nofollow">http://spreadsheets.google.com/pub?key=tIbcpECTpUUUYItNhM3pUWA&#038;output=html</a></p>
<p>&#8230;you can see this corresponds closely to Gelman&#8217;s graph.</p>
]]></content:encoded>
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		<title>By: Jon Udell</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131336</link>
		<dc:creator><![CDATA[Jon Udell]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 17:44:07 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131336</guid>
		<description><![CDATA[&lt;i&gt;It appears the two diagrams are using ranked data for the x axis&lt;/i&gt;

Not sure what you mean by that. It&#039;s just years of life expectancy.

&lt;i&gt;Also, what OECD data set is this?&lt;/i&gt;

The one that was cited in the book -- which I can&#039;t find at the moment.

In any event, the point I&#039;m making is that that the recent revisualizations of this stuff are all based on OECD data alone, so far as I can tell. But a comparison of OECD and WHO data invites a discussion of which definition of life expectancy is appropriate -- and, so far as I&#039;ve seen, that discussion hasn&#039;t happened yet.]]></description>
		<content:encoded><![CDATA[<p><i>It appears the two diagrams are using ranked data for the x axis</i></p>
<p>Not sure what you mean by that. It&#8217;s just years of life expectancy.</p>
<p><i>Also, what OECD data set is this?</i></p>
<p>The one that was cited in the book &#8212; which I can&#8217;t find at the moment.</p>
<p>In any event, the point I&#8217;m making is that that the recent revisualizations of this stuff are all based on OECD data alone, so far as I can tell. But a comparison of OECD and WHO data invites a discussion of which definition of life expectancy is appropriate &#8212; and, so far as I&#8217;ve seen, that discussion hasn&#8217;t happened yet.</p>
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		<title>By: Jon Udell</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131334</link>
		<dc:creator><![CDATA[Jon Udell]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 17:37:47 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131334</guid>
		<description><![CDATA[I can&#039;t lay my hands on my copy of the book at the moment, but my recollection is that I recreated the first chart to match what was done in the book, and then made the second based on OECD vs WHO life-expectancy data -- both of which sources were cited in the book.]]></description>
		<content:encoded><![CDATA[<p>I can&#8217;t lay my hands on my copy of the book at the moment, but my recollection is that I recreated the first chart to match what was done in the book, and then made the second based on OECD vs WHO life-expectancy data &#8212; both of which sources were cited in the book.</p>
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		<title>By: Baz</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131333</link>
		<dc:creator><![CDATA[Baz]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 17:23:05 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131333</guid>
		<description><![CDATA[It appears the two diagrams are using ranked data for the x axis. Also, what OECD data set is this? Looking at the OECD dataset on their website (http://dx.doi.org/10.1787/544223472072 , see http://stats.oecd.org/Index.aspx?DataSetCode=CSP2009) gives US life expectancy in 2001 as 77.1, ranking 23d of the 36 OECD countries. There&#039;s a higher figure closer to what you give above for female life expectancy?]]></description>
		<content:encoded><![CDATA[<p>It appears the two diagrams are using ranked data for the x axis. Also, what OECD data set is this? Looking at the OECD dataset on their website (<a href="http://dx.doi.org/10.1787/544223472072" rel="nofollow">http://dx.doi.org/10.1787/544223472072</a> , see <a href="http://stats.oecd.org/Index.aspx?DataSetCode=CSP2009" rel="nofollow">http://stats.oecd.org/Index.aspx?DataSetCode=CSP2009</a>) gives US life expectancy in 2001 as 77.1, ranking 23d of the 36 OECD countries. There&#8217;s a higher figure closer to what you give above for female life expectancy?</p>
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		<title>By: Hadley Wickham</title>
		<link>http://blog.jonudell.net/2010/01/06/two-interpretations-of-us-health-care-cost-vs-life-expectancy/#comment-131331</link>
		<dc:creator><![CDATA[Hadley Wickham]]></dc:creator>
		<pubDate>Wed, 06 Jan 2010 16:27:18 +0000</pubDate>
		<guid isPermaLink="false">http://blog.jonudell.net/?p=2083#comment-131331</guid>
		<description><![CDATA[The x scale on those excel plots doesn&#039;t look right - they are not equally spaced.

It&#039;s also customary to put the (putative) response on the y axis, so the plots would be more natural with spending on the x and life-expectancy on the y.]]></description>
		<content:encoded><![CDATA[<p>The x scale on those excel plots doesn&#8217;t look right &#8211; they are not equally spaced.</p>
<p>It&#8217;s also customary to put the (putative) response on the y axis, so the plots would be more natural with spending on the x and life-expectancy on the y.</p>
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