Healthcare Really is Better Today Than it Used to Be

Let our journalists help you make sense of the noise: Subscribe to the Mother Jones Daily newsletter and get a recap of news that matters.

Austin Frakt writes today about a new journal article describing the vast strides we’ve made in treating heart disease over the past 50 years:

Improvement in care for patients with cardiovascular disease is one of the great medical success stories of the 20th century, complementing great strides in public health. We owe this triumph of medicine to the interdisciplinary efforts at enhancement to the technology of care (from devices to drugs to surgical technique), evidence from clinical trials, and dissemination of best practice and lifestyle improvements via education programs.

And don’t forget money! All this interdisciplinary wonderfulness is, needless to say, one of the reasons that healthcare costs so much more today than it did in the 50s. Back then, the article says, patients with acute myocardial infarction “were placed in beds located throughout the hospital and far enough away from nurses’ stations that their rest would not be disturbed. Patients were commonly found dead in their beds, presumably from a fatal tachyarrhythmia.”

Not any longer, and because of that survival rates are far higher than they used to be. Ditto for infant mortality, which this post reminded me of. A couple of years ago I posted a copy of the hospital bill for my delivery in 1958, which came to about $1,000 in inflation-adjusted dollars. But as my mother reminded me, that’s because the hospital didn’t do much of anything back then. When she arrived, they put her in a room that had….a bed, a bedside table, and a telephone. That’s it. In the delivery room, there was….a bed and a doctor. No epidurals, no beeping machines, no phalanx of specialists, and no real-time monitoring of every vital sign known to man.

Today an ordinary, uncomplicated delivery costs upwards of $10,000. Is that worth it? Well, as the chart above shows, infant mortality in the United States has dropped from 26 per thousand to about 6 per thousand over the past 50 years. There are multiple reasons for this, but all that technology is one of them. We spend a lot of unnecessary money in our healthcare system, and we tend to (rightly) focus a lot of attention on that. But we also spend a lot of pretty valuable money. That fact that newborns and heart attack patients are both a lot less likely to die these days is pretty good evidence of that.

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate