Why don't we have one of these in Australia?

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PS
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Here is a link to the number 1 rated cancer hospital in the US. A multi disciplinary approach under the ONE roof. Not only this, but they provide Patient and Family Support along with other activites, such as medication and acupuncture, relaxation and stress management. They also deal with Palliative Care and Rehab medicine.

I have to ask, Why does Australia not have a facility like this?

http://www.mdanderson.org/patient-and-cancer-information/care-centers-an...

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samex
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Re: Why don't we have one of these in Australia?

Perhaps the new facility to be built as proposed by the late Chris O'Brien will be similar to this one. Not really sure.

S

PS
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Re: Why don't we have one of these in Australia?

I hope so. it seems like everyone else is ahead of us. It was so stressful having to take dad to this place, that place, not to mention uncomfortable for him, especially when he had to use a wheelchair. My father was an immigrant to Australia even though he could speak English, he still had trouble understanding at times and without native speakers (my brother and myself), it would have been an absolute nightmare for him.

I'm not just trying to whack our health system here, but some of these hospitals have been around for years in other countries and we have to lag behind everybody in the first world countries. Its dissapointing.

Butterfly
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Re: Why don't we have one of these in Australia?

From what I understand there is a cancer centre at most major public and private hospitals throughout metropolitan Australia.

I have been to a multidisciplinary team from the day of my diagnosis. All under one roof I have access to - Surgeon, radiotherapy specialist, medical oncologist, clinical nurse, dietician and social worker. It runs like a well oiled machine & I have felt nothing but well cared for right from the beginning up until now - 3 years after treatment. There are many issues with the current American health system which is why they are in the midst of changing it all. Plus from what I understand, the only patients most of these centres in the US will accept are those with insurance or the means to pay. My cancer centre is covered by medicare.

Downsides to both and neither are perfect. I know where I would rather be.

PS
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Re: Why don't we have one of these in Australia?

I'm glad your experience has been positive. but there are many that are not.

The issues that you refer to about US healthcare has nothing to do with the quality of care at all. It's all tied in with insurance, and you will find its "not" popular with the majority of citizens who are happy with their healthcare. There are problems, ie: not covering those with preexisting conditions and illegals who clog up their emergency centres because they can't get insurance, and the costs of medical procedures if you don't have insurance, but I can assure you, that it is 10 times better than the rubbish public health system in Australia. There are no waiting lists, you don't wait to see a doctor and the quality of care and service is far above what is received here, even with private health insurance (which covers very little).

My husband had insurance, I didn't work, but I was covered, I received state of the art treatment at the doctor, at the dentist and 70% was covered by his insurance, including medication. Of course if I didn't work and wasn't married I would have been sent to an emergency hospital which looks like your typical public hospital in Australia. In the US they cannot refuse you treatment at these hospitals.

The "socialist" experiment the democrats want to shove down the throat of America, you will find is partially responsible for his tanking poll numbers, and for two subsequent state elections both being won by the republicans after being won by the democrats in the federal election. Americans have seen what happens with public health systems in the UK and Canada and don't want their healthcare dictated to by the govt (which I totally support). In Canada in alot of places, doctors are so hard to see that in order to see a regular GP you have to particpate in a take a ticket system to dictate when the doctor will see you - fancy that.

Politics aside, medicare does not cover everything, neither does Private insurance (my father had the top level of insurance). You don't get anything for nothing in this world and that includes, top quality healthcare and state of the art facilities, and we don't have them in this country unfortunately.

The health system in this country on a whole is not up to par, and needs to lift its game.

I know where I'd rather receive health treatment if I needed it and it wouldnt' be here. My father lived here and to my regret, I went along with his wish to stay here instead of going to the US for treatment or a correct diagnosis and treatment plan.

I experience alot here in 5 years and the shocking things I saw, heard and witnessed in palliative care, public hospitals have made me realise that when I get seriously sick, I have alot to fear.

That's my opinion and I respect yours, but I've also experienced far better treatment and professionalism in the US in the medical field.

Re: Why don't we have one of these in Australia?

I have to say that i also have had a positive experience with this last bout of cancer. Also with my first bout and then when i was diagnosed with ms it was the same. Perhaps i am just one of the fortunate few. Smile

I cannot comment on the USA medical system but my aunts in the uk dont seem to have too many problems and my uncle recently has had to have extensive treatment for a problem he has had and hasnt had to wait for treatment.

Regards

Julie

Mez
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Re: Why don't we have one of these in Australia?

I'm with you Jules as for having a positive recent cancer experience.
Maybe we are both a couple of lucky ones? Smile

Butterfly
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Re: Why don't we have one of these in Australia?

Im sorry, I have just read your last post & are you saying your father was not correctly diagnosed or treated because he was here in Au?

We have some of the best, highly skilled, highly trained Doctors in the world. Our cancer research is also second to none (with more funding, even better).

Dont take your negative experience as the norm. I owe my Doctor's my life, like many of us on this site.

A lot of American Doctors living and working in Australia, surely that also says something.

bev
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Re: Why don't we have one of these in Australia?

I agree Vanessa,

Yes, with my gyno oncologist he has on his team: radiation oncologist, social workers, psychologist, etc. All a great team at Westmead.

Re: Why don't we have one of these in Australia?

I agree that there are hospitals that have the multidisciplinary approach, although, not all. I found it was easy enoughh to access though as my hospital didnt have those facilities under one roof. It is harder but doable i found.

Oh to live in an ideal world? Smile

Julie

Butterfly
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Re: Why don't we have one of these in Australia?

I was not referring to the politics of the health system in the US, my info is not based on a guess it is based on experiences I and other people have had. Unfortunatley, hospitals are somewhere I have spent too much time in my life, both I and my mother have had cancer (my mother twice), I have just lost my beautiful friend to cancer 3 months ago & the palliative care were absolutely amazing. My brother in law also passed away from cancer in Feb last year and the palliative care again were incredible.

My friend from the US was not so lucky, they could afford about 12 months worth of treatments, when her ovarian cancer recurred they had no insurance and no money left, their church rallied and raised nearly $30,000 so she could have the exact same chemo (cisplatin) that I was having but mine did not cost me one single cent (medicare covered). Alexia's was $2600 per treatment, she required them weekly for 6 weeks plus radiation - another $20,000. Sadly she lost her battle before the treatments were complete. So I guess my story is similar to yours although different countries, my point is neither is perfect.

Im sorry you have lost your father, it is a terribly emotional time. Im no advocate for public health systems. No doubts that there are plenty of issues that should be addressed to make our public system even better. But there are plenty of positives and negatives to both sides.

PS
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Re: Why don't we have one of these in Australia?

I appreciate what you've said, but believe me, I can't tell my story here, but lets say my father didn't die from his cancer. And my opinions are based on experience, fact and prior to my father's death.

I have experienced both systems, and believe me, I stand by what I've said. There are some great doctors here and some great medical staff here too obviously but too few and far between in my experience. The issues with public health systems in this country, the UK and in Canada are very well known outside these countries. There are reasons people from around the world go to the US for treatment, there not flooding Australia's borders for healthcare, and those that do come can't afford the treatments provided in the US. There is absolutely no way, that anyone could possibly even suggest the healthcare received in this country surpasses what is received in the US.

I am very Australian, but I won't defend a system with so many problems, that I have seen cost someone close to me his life. And I am not one case, but one of many. As for alot of US doctors working here, I can't confirm this, I can only state, that the payrate here wouldn't be enough to attract the very best (and from my discussion with my own Dr in the US, isn't fond of socialist medicine ie: public health care), I have yet to meet one American doctor, although my father's Aussie urologist (was brilliant) was US trained - he spend years at the Memorial Sloan Kettering Hospital in NY, no surprise there.

The point is no system is perfect, and we all have our preferences, I believe a much higher standard here is required. And certain legislations altered to not protect doctors and nurses who are negligent in their care.

Re: Why don't we have one of these in Australia?

When i was diagnosed with my first cancer which was amelanotic melanoma, the oncologist that treated me was highly regarded int he world for his work. So much so that he DID have patients coming from america to see him and see what he could do with them. This time i am under another very clever oncologist who gets great results, highly regarded throughout australia. My neurologist that i had for my ms, once gain highly regarded through australia. No idea where they trained, i just know they keep fixing me and for that i am thankful and grateful.

I agree with Vanessa, this is a sensitive subject and for those people who are currently being treated. You do need to be able to believe in your team and i think most do, i know that i do.

Butterfly
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Re: Why don't we have one of these in Australia?

As I said, Im sorry for your loss.

I do agree in part with what you are saying. And because we live in this great place, you have a right to voice it.

However, most of us on this site are relying right now on our doctors and the system to treat us for cancer, we rely on them to treat us with the latest technology and medicines. It is a sensitive subject when you are dealing with people who are at this very moment, just trying to survive. I guess we all have our horror hospital stories but I for one try to focus on the positives.

Sailor
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Re: Why don't we have one of these in Australia?

Hi everyone

I'm buying into this in a big way as I think we have a lto to be proud of here in this country. Yes you can cite places like the Sloan Kettering, but we aslo have places like thew world renowned Peter MacCallum Cancer Institute. It is all very well to cite the best of the US, which has a mauch large population that Australia, but we also need to look at the worst and the average. Irt may surprise people to know that according to WHO statistics our five year survival for all cancer is well ahead of the US and thrid in the world behind Sweden and Japan. Not bad for a population of 20M people in a country the size fo the US.

It is however, the aim of the government ot have two centres as good as anywhere in the world, the new one in Sydney that Chris O'brien fought for, and the Parkville Comprehensive Cacenr centre that will incorporate the Peter Mac.

Having experienced health care in the US and Eurpoe, I can say that I thank God each day that I was treated in Australia. The treatment I had was not avaialble in Europe and I could not have afforded it in the US. The treatment was given by a radiation oncologiost who is world renowned and at a centre that is a Beta test sight for one of the mnajhor medical suppliers hi tech equipment. Colleagues int he US were amazed at the equipment use to treat me - not yet avaialbel in the US at the time.

Yes there are probolems with our health system, but nowhere near the problems that they have int he use, where it costs 19% of their GDP compe=ared to an OECD avergae of 8% - we are 9%.

As I said, you have got me going.

Cheers

Sailor

Butterfly
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Re: Why don't we have one of these in Australia?

Sailor, you are so right. I knew those statistics existed but did not want to say anything as I didnt have the facts...you always do!

My Specialists are always off at a conference somewhere in the world, keeping up to date with the latest. I know they are the best in their field - worldwide, not just here in oz. Not only from a medical point of view but also bedside manner and their care for my well being is just amazing. As far as their training goes, second to none.

harker
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Re: Why don't we have one of these in Australia?

I think the conservative response to Obama's proposed health reforms has been disgraceful.

I have a multidisciplinary team ten minutes from home and most days I thank God I don't live in USA where many people get confused by complex discussions that have both public policy and individual liberty aspects.

PS
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Re: Why don't we have one of these in Australia?

Actually the response is both from democrats and conservatives. Its not politically motivated, poll after poll shows that the majority of Americans do not want socialised medicine - they do however want tort reform.

Poll numbers show that 80% of Americans are happy with their healthcare and don't want govt interference. I'm sure your also aware that Obamas popularity has tanked due to his healthcare reform ideology not to mention his inability to get the economy going.

PS
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Re: Why don't we have one of these in Australia?

This is an interesting excerpt from Scott W. Atlas, M.D., is a senior fellow at the Hoover Institution and a professor at the Stanford University Medical Center comparing socialised medicine in comparison to American medicine. March 2009:-

Fact No. 1: Americans have better survival rates than Europeans for common cancers.[1] Breast cancer mortality is 52 percent higher in Germany than in the United States, and 88 percent higher in the United Kingdom. Prostate cancer mortality is 604 percent higher in the U.K. and 457 percent higher in Norway. The mortality rate for colorectal cancer among British men and women is about 40 percent higher.

Fact No. 2: Americans have lower cancer mortality rates than Canadians.[2] Breast cancer mortality is 9 percent higher, prostate cancer is 184 percent higher and colon cancer mortality among men is about 10 percent higher than in the United States.

Fact No. 3: Americans have better access to treatment for chronic diseases than patients in other developed countries.[3] Some 56 percent of Americans who could benefit are taking statins, which reduce cholesterol and protect against heart disease. By comparison, of those patients who could benefit from these drugs, only 36 percent of the Dutch, 29 percent of the Swiss, 26 percent of Germans, 23 percent of Britons and 17 percent of Italians receive them.

Fact No. 4: Americans have better access to preventive cancer screening than Canadians.[4] Take the proportion of the appropriate-age population groups who have received recommended tests for breast, cervical, prostate and colon cancer:

Nine of 10 middle-aged American women (89 percent) have had a mammogram, compared to less than three-fourths of Canadians (72 percent).
Nearly all American women (96 percent) have had a pap smear, compared to less than 90 percent of Canadians.
More than half of American men (54 percent) have had a PSA test, compared to less than 1 in 6 Canadians (16 percent).
Nearly one-third of Americans (30 percent) have had a colonoscopy, compared with less than 1 in 20 Canadians (5 percent).
Fact No. 5: Lower income Americans are in better health than comparable Canadians. Twice as many American seniors with below-median incomes self-report "excellent" health compared to Canadian seniors (11.7 percent versus 5.8 percent). Conversely, white Canadian young adults with below-median incomes are 20 percent more likely than lower income Americans to describe their health as "fair or poor."[5]

Fact No. 6: Americans spend less time waiting for care than patients in Canada and the U.K. Canadian and British patients wait about twice as long - sometimes more than a year - to see a specialist, to have elective surgery like hip replacements or to get radiation treatment for cancer.[6] All told, 827,429 people are waiting for some type of procedure in Canada.[7] In England, nearly 1.8 million people are waiting for a hospital admission or outpatient treatment.[8]

Fact No. 7: People in countries with more government control of health care are highly dissatisfied and believe reform is needed. More than 70 percent of German, Canadian, Australian, New Zealand and British adults say their health system needs either "fundamental change" or "complete rebuilding."[9]

Fact No. 8: Americans are more satisfied with the care they receive than Canadians. When asked about their own health care instead of the "health care system," more than half of Americans (51.3 percent) are very satisfied with their health care services, compared to only 41.5 percent of Canadians; a lower proportion of Americans are dissatisfied (6.8 percent) than Canadians (8.5 percent).[10]

Fact No. 9: Americans have much better access to important new technologies like medical imaging than patients in Canada or the U.K. Maligned as a waste by economists and policymakers naïve to actual medical practice, an overwhelming majority of leading American physicians identified computerized tomography (CT) and magnetic resonance imaging (MRI) as the most important medical innovations for improving patient care during the previous decade.[11] [See the table.] The United States has 34 CT scanners per million Americans, compared to 12 in Canada and eight in Britain. The United States has nearly 27 MRI machines per million compared to about 6 per million in Canada and Britain.[12]

Fact No. 10: Americans are responsible for the vast majority of all health care innovations.[13] The top five U.S. hospitals conduct more clinical trials than all the hospitals in any other single developed country.[14] Since the mid-1970s, the Nobel Prize in medicine or physiology has gone to American residents more often than recipients from all other countries combined.[15] In only five of the past 34 years did a scientist living in America not win or share in the prize. Most important recent medical innovations were developed in the United States.[16] [See the table.

harker
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Re: Why don't we have one of these in Australia?

This thread is now absolute rubbish PS. Your irrational world view has little to do with us here in Australia, as evidenced by the single unsubstantiated mention of Australia in paragraph 7 of your diatribe.

I actually resent the way you are using this site.

Re: Why don't we have one of these in Australia?

Amwn Harker!

emmag (not verified)
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Re: Why don't we have one of these in Australia?

Good Morning all and I hope the holiday season hasn't been too stressful.

In the interests of maintaining a postive and supportive atmosphere in the forums, I think it might be time to draw this conversation to a close if you're all agreeable. Understandably there are many issues around cancer that can elicit strong opinions but we'd like the primary focus of Cancer Connections to be mutual support for people experiencing cancer, which I think you all do really well.

Thanks for your understanding

Emma G

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