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Post by bracknellboy on Oct 15, 2024 19:10:08 GMT
www.statista.com/statistics/1376359/health-and-health-system-ranking-of-countries-worldwide/ is interesting...might have to scroll down a bit for UK at #34. Japan at #2 had about half the number of medical graduates per capita than UK. Point is, healthcare system outcome is not a simple direct correlation between number of home grown doctors relative to the population (in this case, Japan's cultural attitudes, efficiency of healthcare systems integration etc are massive factors) imo. and much healthier diets of course, historically: that is beginning to shift, with impacts on health.
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james100
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Post by james100 on Oct 15, 2024 19:54:50 GMT
www.statista.com/statistics/1376359/health-and-health-system-ranking-of-countries-worldwide/ is interesting...might have to scroll down a bit for UK at #34. Japan at #2 had about half the number of medical graduates per capita than UK. Point is, healthcare system outcome is not a simple direct correlation between number of home grown doctors relative to the population (in this case, Japan's cultural attitudes, efficiency of healthcare systems integration etc are massive factors) imo. I couldn't see the number of med grads per capita in that link? But surely its the number of qualified doctors that you might look at when comparing medical systems and general health? Home grown doctors. It depends which home and how difficult it is in that home to qualify as a doctor I would suggest. www.statista.com/statistics/283241/medical-graduates-per-100-000-inhabitants/ is a speparate link to the med grads which I didn't include before. I assume there is a close correlation to the qualified doctors.
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james100
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Post by james100 on Oct 15, 2024 20:10:36 GMT
www.statista.com/statistics/1376359/health-and-health-system-ranking-of-countries-worldwide/ is interesting...might have to scroll down a bit for UK at #34. Japan at #2 had about half the number of medical graduates per capita than UK. Point is, healthcare system outcome is not a simple direct correlation between number of home grown doctors relative to the population (in this case, Japan's cultural attitudes, efficiency of healthcare systems integration etc are massive factors) imo. and much healthier diets of course, historically: that is beginning to shift, with impacts on health. Well it's a long time since I used the Japanese system, but I would guess factors include 1) social unacceptability of obesity unless you are a sumo wrestler; 2) far earlier awareness of the economic impact of an aging population; 3) structure of the system itself which I'd clumsily describe as mostly state-limited price controlled private practice set up; and 4) preventative approach as fundamental starting point e.g. comprehensive 360 health assessment included in private insurance and compulsory to renew policy when I lived there. It is not perfect by any means with some black holes in key areas, but substantially and interestingly different from UK.
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benaj
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Post by benaj on Oct 15, 2024 21:08:10 GMT
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james100
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Post by james100 on Oct 15, 2024 21:40:12 GMT
Yes, the impact is slightly different in Asia, but per NHS/WHO definition of obesity as BMI > 30, and the WHO 2024 data here en.wikipedia.org/wiki/List_of_countries_by_obesity_rate Adults in Japan > BMI 30 = 4.94%, compared with UK 28.71% and US 42.87% which is obviously dramatic. I'm sure Novo Nordisk sees shiny Yen signs in the stigma they mention in the link and happy to read the Japanese government is being cautious around the rollout given the sometimes unhealthy lengths people already go to there for weight maintenance.
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Post by bracknellboy on Oct 16, 2024 6:58:16 GMT
Not quite sure what you are saying with this. It sounds like you are trying to say that the Japanese population is as prone to obesity*. But the quote you then go on to use if anything demonstrates the opposite of that hypothesis. Despite using a considerably lower BMI benchmark (25 vs 30) the %age is still lower in Japan. What would those %age numbers look like if the same benchmark had been used? Regardless, IIRC it is a fact that weight issues in Japan are increasing as diets become more westernised. Which is entirely predicatable: I don't recall anyone claiming in the past that the Asian physiology is less prone to obesity issues, only that lifestyle/diet/culture issues mean that as a population they are less prone.
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benaj
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Post by benaj on Oct 16, 2024 7:05:47 GMT
😅 My entire point is about the rollout of the weight loss drugs around the world recently. It caught my eyes after UK newspaper keep talking about it for days and they are approved for the gov for “appropriate” weight management who are seen as ”obese” and making all kind of excuses to persuade people taking the drugs.
Even assisted dying is being put on the table. Government nowadays want less financial burden related to public health as long as the aging population is manageable and not affecting the future economy to the undesirable position
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keitha
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Post by keitha on Oct 16, 2024 11:04:33 GMT
IMHO teaching people about healthy diet etc is important rather than drugs - far cheaper in the long run
I live in South Wales valleys, the diet of many up here is terrible, Greggs is regarded as nutritious !, I've been out with group of friends and some will order a meal and either ask for the veg to be left off the plate or just not touch it. I went out with my partner a few weeks ago and they delivered the next tables meals, they ate the meat and potatoes but didn't touch the dish of veg for the table, and then for dessert the 2 adults both had a sharing dessert each, and the kids big bowls of ice cream.
I know that at 5 foot 10 and just over 12 stone I'm a little overweight, yet I'm one of the thinnest people in the village,
I see kids round here that must have 32 or more inch waists and they are at junior school, one mum was complaining this summer that she couldn't get a 40 inch chest jacket to fit her 11 year old as it would hang down to his knees
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Greenwood2
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Post by Greenwood2 on Oct 16, 2024 12:14:43 GMT
😅 My entire point is about the rollout of the weight loss drugs around the world recently. It caught my eyes after UK newspaper keep talking about it for days and they are approved for the gov for “appropriate” weight management who are seen as ”obese” and making all kind of excuses to persuade people taking the drugs. Even assisted dying is being put on the table. Government nowadays want less financial burden related to public health as long as the aging population is manageable and not affecting the future economy to the undesirable position Lots of people are complaining about not being able to get the weight loss jabs, and are going private or lying about their BMI (upwards) to online Doctors to get them prescribed, the drugs are not without risk (lots of minor side effects and some less common really nasty ones) so only prescribed under medical supervision to people severely obese or with serious health problems due to being overweight. But people are determined to take them for just being overweight and without medical supervision. I hope there won't be a big mis-selling, mis-prescribing outcry coming in the future, 'Why didn't they tell me...'.
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adrianc
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Post by adrianc on Oct 16, 2024 13:49:31 GMT
IMHO teaching people about healthy diet etc is important rather than drugs - far cheaper in the long run Anybody that says they don't know about the very basics of a healthy diet has either been hiding under a rock, is lying, or is an idiot. They know. They don't care.
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keitha
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Post by keitha on Oct 16, 2024 15:46:51 GMT
IMHO teaching people about healthy diet etc is important rather than drugs - far cheaper in the long run Anybody that says they don't know about the very basics of a healthy diet has either been hiding under a rock, is lying, or is an idiot. They know. They don't care. "I don't like veg" is something I hear a lot and not just kids. My Granddaughter is fed chicken nuggets and chips by her dad, because that's what he eats and feeds his other kids on, he regards chips as a vegetable and has a similar attitude to tomato ketchup. He even takes them to mcDonalds for a burger for breakfast on a Saturday I'm told that the UK health people decided on 5 a day as that was the most they thought they could get people to eat, its higher elsewhere in Europe.
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adrianc
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Post by adrianc on Oct 16, 2024 16:04:00 GMT
Anybody that says they don't know about the very basics of a healthy diet has either been hiding under a rock, is lying, or is an idiot. They know. They don't care. "I don't like veg" is something I hear a lot and not just kids. Pathetic, isn't it? It's not that he's never been told basics of nutrition, is it? It's because he's lazy and incompetent. Not quite. 400g/day is a WHO recommendation, and five is the global standard. ifava.org/France, Germany and Norway go with five, as do US/Japan/NZ. Aus is slightly more complex with two fruit plus five veg.
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keitha
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Post by keitha on Oct 16, 2024 16:37:50 GMT
adrianc who introduced you to him, you have him to a T. He's the type that goes to a nice Greek island then complains he can't get John Smiths or Carlsberg
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Post by bracknellboy on Oct 18, 2024 10:59:17 GMT
... The consultant was great, and although she had given me the all clear, once I told her what was happening she referred me on. "His list is quite short so you will have an appointment in 6 weeks: that's why I'm referring you to him". Except of course 8 weeks later no appointment and no date for an appointment. After quite a bit of forensics and some phone calls I got an email off (to the consultant's secretary which I found on their private health care listing) and left a vmail somewhere. 10:30 the next morning I had an appointment for what was then a couple of weeks time. Except I've then had 5 or 6 electronic reschedule notices; several seemed to be no actual change, at most tweaking the duration. Then one changing it to a telephone appointment (despite the fact I was expecting a fresh ECG):followed by a telephone call confirming it would be remote, despite my protestations. 24 hours later it was changed again, back to Face to Face. Still never had a letter.
Its scheduled for Friday. I have printed off the last appointment letter and will take it with me. If I get a reschedule/cancellation/remade to telephone appointment I will ignore that and arrive with my letter. You definitely have to be proactive and chase everything. Don't take no for an answer. So bang on cue, yesterday - the day before the appointment - I got another call from the hospital to tell me it had been changed yet again, back to a telephone appointment. So we have gone from F2F, to telephone, to F2F, to telephone. In the space of about 2 weeks. Oh, on the same day I also received the letter telling me it had been changed to a telephone appointment. Except that was dated 9/10, and so related to 3 changes back. No doubt in a number of days I'll receive the one advising me it had been changed back to F2F, followed a few days later to one telling me it had been changed to a telephone appointment. And that was for a referral that had dropped into a block hole until I chased it, following a consultant appointment that had been cancelled, then remade, then attempted to be cancelled less than 24 hours beforehand (but which I turned up to anyway because I needed it). The doctors/nurses etc. may generally be great, but the systems are broken as hell.
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benaj
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Post by benaj on Oct 18, 2024 11:55:03 GMT
Broken as hell? may be not.
I managed to book Autumn Covid booster for family member using the Spring booster invitation. Last week, I also managed to book two flu vaccines appointments same day by phoning clinic reception. Although they are supposed to be seen at the same time, but one of them received an appointment confirmation 45 minutes apart by text. The nurse was happy to see both of them same time.
I thought the text was referred about an appointment the person didn’t know about.
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