USA has the highest maternal mortality rate of all industrialized countries

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Jaskalas

Lifer
Jun 23, 2004
33,576
7,637
136
This, from the OP's article, appears to provide a clear picture. The US trend is rising over time thanks to actual reporting changes. We're achieving more accurate numbers, and they are bad. California however, has bucked the trend. Clearly they did something right that must be studied, and copied.

Assuming California switched to accurate reporting.

 

J.Wilkins

Platinum Member
Jun 5, 2017
2,681
640
91
This, from the OP's article, appears to provide a clear picture. The US trend is rising over time thanks to actual reporting changes. We're achieving more accurate numbers, and they are bad. California however, has bucked the trend. Clearly they did something right that must be studied, and copied.

Assuming California switched to accurate reporting.

Thing is, in the rest of the western world the reporting is 100% accurate since it's legally required to establish.
 
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1prophet

Diamond Member
Aug 17, 2005
5,313
534
126
Typical. Let's go back for a second and take a look at a couple things. For instance, most European countries have legally mandated time off for both the new mother AND the new father. You don't think it helps when you have a C-section or a hard birth with postpartum depression to have the father at home to help out rather than stuck at work?

The US's 'free market' economy is totally screwed up when it comes to the amount of work we do and are expected to do as workers. If we're trying to compete with China, then's lets just go whole hog and institute mandatory 80 hour work weeks with no vacation at all. Or we can open our eyes to the fact that companies do not ever, ever, ever, have the well being of their employees at heart. Sleeping stations at work instituted for the 'good' of the employees, when in reality they were put in place so folks don't ever have an excuse to go home and stop working? 24x7 connectivity through cell phones with management that expects a response? Reclassification of workers to skirt overtime pay laws? I'm living through that right now.

Of course, if you think Trump is going to even attempt to fix this you're insane. I'm sure the companies will be 100% fair about the internet and everything else because Trump, Pai, and friends tell you so.

First of all you can't compete with China because your own greed and selfishness prevents that,

you want European/Canadian style guaranteed healthcare, labor rights, maternity/family leave, long paid vacations, retirement, good work environment, etc.,

yet you are unwilling to buy products made under those conditions because they are "ripping you off" so you buy made in Mexico, China, India, Bangladesh, etc. (usually made under conditions that your unions saved you from in this country's past), in this cheapest is best race to the bottom and then bitch and moan about the the lack of pay/benefits and your ever diminishing economic lifestyle.

And it's not just republicans any more, a lot of upper class liberals (like those in silicon valley who are pushing for tax payer funded basic income also known as trickle down version 2.0 to save us from the robot bogeyman they like to push) who embrace all our current social justice fads are secretly hoping for this republican tax break,

as for the deplorables that used to work in the factories and consistently swing the democrat lever during elections and built much of the infrastructure as well as paid the price for today's lifestyle, they can go swing in the wind as far as the new liberal elite are concerned and now they are getting their just desserts called Trump,

and no Trump ain't saving anyone, he just knew how to channel the anger and frustration which didn't just help him win the general election, but what is so easily forgotten in this impatient me first, always looking for a hero/savior from themselves, generation, he also beat the Koch backed establishment republicans.



Tech CEOs know inequality is bad. So why does Silicon Valley want tax cuts?
https://www.washingtonpost.com/news...ouldnt-lobby-for-them/?utm_term=.b71264d17cca

In the past year, as Silicon Valley has become a lightning rod for public anger over increasing inequality of wealth and power, tech giants have been discreetly supporting a slew of lobbyists to push corporate tax cuts, which may just inflame the very inequality that could turn public opinion against the industry.

Instead of simple tax cuts, tech leaders should deploy their army of lobbyists, policy wonks and economists to reimagine tax policy for a modern economy, where the gains from economic growth are increasingly divorced from working-class jobs and wages.

The tech industry’s secretive and unimaginative approach to tax reform is as hypocritical as it is self-destructive. Silicon Valley’s business and political leaders have spent the last year popularizing creative new ways to redistribute wealth through higher taxes as a response to automation and inequality. The tax cut, libertarian trickle-down approach just is not consistent with the actual politics of technologists.


 
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Cozarkian

Golden Member
Feb 2, 2012
1,352
95
91
This, from the OP's article, appears to provide a clear picture. The US trend is rising over time thanks to actual reporting changes. We're achieving more accurate numbers, and they are bad. California however, has bucked the trend. Clearly they did something right that must be studied, and copied.

Assuming California switched to accurate reporting.

Subsidized pregnancy disability leave and subsidized paternity leave?
 

woolfe9998

Lifer
Apr 8, 2013
16,189
14,102
136
Discredit a poor study - that's fine with me. But let's review where the US stands for a moment. A birth is expensive - and now with the shenanigans going on with insurance, a quick stay (4 days) due to complications can easily bankrupt most families - 100k+ in bills.

Countries like the UK give 52 weeks leave - mostly paid. US Law gives the woman, and only the woman, 12 weeks of UNPAID.

Most European countries allow for male paternity leave - because the kids have 2 parents hopefully. The US? Nope.

I can keep going. US healthcare - and specifically healthcare surround births, sucks giant donkey balls. I don't need statistics to tell me that we're way way behind. I won't even go into what happens with Postpartum depression when the female partner is left alone so the male can go back to work.

These are all valid observations. However, the quality of healthcare isn't the only thing impacting maternal mortality. One of the more common causes of maternal morality, for example, is preecplamsia. Preeclamsia can be caused by, among other things, being overweight. In the US we have higher rates of obesity than they do in Europe. I'm not saying our terrible health insurance system isn't affecting this. I'm just saying there may be other factors at play as well.
 
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Pulsar

Diamond Member
Mar 3, 2003
5,225
306
126
These are all valid observations. However, the quality of healthcare isn't the only thing impacting maternal mortality. One of the more common causes of maternal morality, for example, is preecplamsia. Preeclamsia can be caused by, among other things, being overweight. In the US we have higher rates of obesity than they do in Europe. I'm not saying our terrible health insurance system isn't affecting this. I'm just saying there may be other factors at play as well.

Certainly! I would classify that under culture change, and frankly I think it's started already. Right or wrong.... they start harping on the environment 20 years ago in elementary school and we got a generation of kids who took it seriously. For the last decade or more the teachers have talked alot about health, and I'm seeing that result too: a lot more graduates are running or excercising daily.

But when it comes to things we could change tomorrow, with our healthcare laws, we should be embarrassed that we haven't already. It's a direct result of the influence and money peddlers on the hill.
 
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woolfe9998

Lifer
Apr 8, 2013
16,189
14,102
136
Certainly! I would classify that under culture change, and frankly I think it's started already. Right or wrong.... they start harping on the environment 20 years ago in elementary school and we got a generation of kids who took it seriously. For the last decade or more the teachers have talked alot about health, and I'm seeing that result too: a lot more graduates are running or excercising daily.

But when it comes to things we could change tomorrow, with our healthcare laws, we should be embarrassed that we haven't already. It's a direct result of the influence and money peddlers on the hill.

No disagreement here. I am firmly in favor of a single payer system in this country. We should have had it years ago. I just wanted to caution against assuming that the entire difference in maternal mortality is due to poor health insurance when in fact it's hard to tease out how much is due to one cause versus another.
 
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WHAMPOM

Diamond Member
Feb 28, 2006
7,628
183
106
If we go by other data collection stats we can postulate an under-report of five to one.
 

Paratus

Lifer
Jun 4, 2004
16,846
13,777
146
This, from the OP's article, appears to provide a clear picture. The US trend is rising over time thanks to actual reporting changes. We're achieving more accurate numbers, and they are bad. California however, has bucked the trend. Clearly they did something right that must be studied, and copied.

Assuming California switched to accurate reporting.

California did.
From the article I linked.

Texas is not the first state to find itself dealing with a maternal health predicament. In the not-too-distant past, California health officials found that their maternal mortality numbers were alarmingly high. They launched an organization known as the California Maternal Quality Care Collaborative. Webinars and toolkits were rolled out to hospitals to serve as refresher courses on how to handle problems that can arise in childbirth. Projects targeted specific health metrics that were driving California’s mortality rate, such as preeclampsia and hemorrhages. Women identified as high risk for cardiovascular problems were given resources for managing them during pregnancy and postpartum. The collaborative also decided to target unnecessary caesareans, and the state committed to reducing their use for low-risk, first-time mothers to 23 percent.

All of these things made a difference. The study from the journal had to separate California’s numbers from the rest of the data because the state’s maternal mortality figures had dropped so dramatically as to skew the national picture.
 

IEC

Elite Member
Super Moderator
Jun 10, 2004
14,362
5,028
136
Wow, did Texas start reporting with actual numbers by 2011, or did the ACA hit them that hard?

Reporting changes and the challenges of a lot of comorbidities and geography, especially underserved rural areas (most of the state west of the Brazos).

We also have a lot of immigrants (legal and otherwise) who barely speak English and routinely get little or no prenatal care.
 
Nov 8, 2012
20,828
4,777
146
Certainly! I would classify that under culture change, and frankly I think it's started already. Right or wrong.... they start harping on the environment 20 years ago in elementary school and we got a generation of kids who took it seriously. For the last decade or more the teachers have talked alot about health, and I'm seeing that result too: a lot more graduates are running or excercising daily.

But when it comes to things we could change tomorrow, with our healthcare laws, we should be embarrassed that we haven't already. It's a direct result of the influence and money peddlers on the hill.

Do you have your head up your ass in daily life or something?

Last I checked, the only thing we hear about is people getting butt-hurt about trying to educate them on health - and instead are being taught to embrace fatasses as beautiful... even going as far as to say it isn't a choice.
 
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