AmyTuteurMD

AmyTuteurMD
Bio
Dr. Amy Tuteur is an obstetrician-gynecologist. She received her undergraduate degree from Harvard College and her medical degree from Boston University School of Medicine. Dr. Tuteur is a former clinical instructor at Harvard Medical School.

Editor’s Pick
NOVEMBER 23, 2009 9:08AM

Insured breasts matter more

Rate: 9 Flag

insured breasts

Every year, for lack of timely screening and treatment, hundreds of women will die of breast cancer. No, I’m not talking about the change in mammography screening guidelines for women aged 40-49. I’m talking about women of any age who will not have access to mammography or treatment if a healthcare reform bill is not passed. Without health insurance, these women will die preventable deaths.

Republicans have exploited the release of the new mammography guidelines to argue that the Obama administration does not care if more women die of breast cancer. Ironically, their opposition to a public option for health insurance virtually condemns up to 600 women per year to die a preventable death from breast cancer. Republicans apparently believe that insured breasts matter more.

That seems a rather bizarre distinction to make. I could understand, though not agree, if they claimed that Republican breasts matter more. They have an interest in making sure that women who will vote for them will live to return to the polls each year. But the distinction between women who are insured and those who are uninsured crosses political lines.

I could understand, though not agree, if Republicans insisted that profits matter more and supported the new guidelines to benefit their friends in Big Insurance who depend upon them to vote against healthcare reform. The US Preventive Services Task Force recommended ending routine yearly mammograms for women aged 40-49 because the data show that the risks of false positives, unnecessary biopsies and unnecessary breast cancer treatment outweigh the benefits. That can only be helpful to insurance companies who can increase profits by reducing marginally effective and ineffective procedures.

But, instead, the Republicans claim to base their opposition to the new screening guidelines on their reverence for life. They insist that President Obama, in a crass effort to save money, is rationing mammography. To hear them tell it, it is worth virtually any amount of money to save even one additional woman from becoming a breast cancer fatality. Yet the reality is that they are only concerned about the breasts already covered by health insurance.

Republicans are apparently unmoved by the fact that up to 600 women die each year because their lack of health insurance prevents timely access to mammograms, diagnostic procedures and breast cancer treatment. Insuring the breasts of the uninsured would have a far larger effect than merely saving those 600 lives (each one of which is supposedly valuable enough to justify the spending of any amount of money). That’s because the benefit would not be limited to preventing deaths from breast cancer. Current estimates suggest that as many as 45,000 people die preventable deaths every year because of lack of health insurance.

Republicans claim to oppose healthcare reform because it is too expensive. But according to them it’s worth almost any amount of money to prevent a single death. They also oppose healthcare reform because they claim it will lead to rationing. But there is no more brutal form of rationing than to ration health insurance itself, giving it arbitrarily to those who happen to work for an employer who chooses to provide access to insurance and denying it to everyone else.

Do insured breasts really matter more? Or are the Republicans hypocritically exploiting women’s fear and misunderstanding over the new guidelines in order to score political points? If Republicans truly care about making sure that not a single woman dies a preventable death from breast cancer, they’d be clamoring for a quick vote on healthcare reform, and they’d vote for a public option as the best way to end preventable deaths from breast cancer.

Otherwise, we’d be forced to conclude that Republicans don’t really care at all about saving lives and are just a bunch of hypocrites using fear mongering to divert attention from their self serving support of the insurance industry. And they wouldn’t want us to reach that conclusion, would they?

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Ineluctably logical.
Right-on, as usual!

I can has health insurance?
I'm just going to wait for Zorkna, official representative of the Republican Party on Salon, to post here. He'll explain how only wealthy people deserve health care, how the "NIWH" is evil incarnate, and how you will be the first against the bullet-pocked wall when his hero, Glenn Beck, rallies the American Nazi Party to power again.
You've forgotten the A-1 Republican talking point. Those uninsured people just need to work harder and move up the food chain. Then they'll have a better job with benefits. So, if you're supporting a family of four on a combination of landscaping and Burger King, you're supposed to quit and go to community college and get a better job. But you better not use a dime of public money while you're getting there. If you happen to die along the way from a preventable disease (before you make that magical leap up the food chain) well then too bad for you.
froggy:

"Those uninsured people just need to work harder and move up the food chain. "

That's indeed what they say, but how can they square it with the claim that it is worth almost any amount of money to save the life of even one person with breast cancer?
Somebody had to say it. :-) Thanks, Dr. Amy.
Ah yes, Dr. Amy.

We're talking "these" people and "those" people. These people, the insured, have lives worth saving. Those people, the uninsured, don't. They're not even on the food chain yet. Fuggeddaboutem.
First I maintain it is my civil duty as a responder to state that I hold all boobs in the utmost respect, insured or not, ignorant or informed, opinionated or apathetic, except of course, for myself, now that I have a clear and concise realization of why I claim my name to be fitting.

Why o why have I chosen the misguided approach of providing health benefits that have averaged $5 million a year for the last 20 years for an average of 800 people I work with day in and day out. Granted an employer self insured plan as we have been using has not raised premiums for the last three years while keeping the employee contribution of costs at a unforgivable 25% of the average annual cost of $6.7 million. Damn, I could be $100 million ahead, yet removing all mirrors in my home would be the consequence. Yeah okay, I am content with my decision to be a responsible boob.

Okay I admit the medical care in my backwoods neck of the woods is a completely church controlled monopoly that dictates the cost of coverage for only about 350,000 individuals. Yeah we ain't that big of a deal for the balance of America to even consider to be worth picking the pepper out of the fly shit for. For me to even remotely consider questioning the social contributions of our illustrious health care provider will undoubtedly be cannonized as the eight deadly sin.

I willing conclude and seek your support in maintaining my name to be apropos since I could have easily passed on my moral responsibility to my demorepub politician who has not the faintest comprehension of what it is like to daily wonder how am I going to make it in our backward woods of a community.

Yes Dr. Tuteur, I do concur with your summation that one side of the political road employs sensation and emotion to further their agenda and yet I can with straight face and clean heart maintain that what ever side of the road a politican claims to walk all their defecated residue has an unsavory aroma.

Excuse my lack of eloquence and statiscal documentation I am merely an individual who avoids either side or middle of the road.

I choose to pen my own epitah as:

"Dumbfuck dies walking down the middle of the freeway by his own free choice".
There has long been a marked preference for disembodied body parts in consumer cultures, just look at the opposition to a tax on plastic surgeons for botox compared to the relative quiet on the facts you mention Amy. Botox makes a forehead or other part stand forth, separately, weirdly, from the whole person, as do augmented breasts. We will soon see the federal subsidization of face transplants--mark my word. The 'person' is being methodically dismembered.
I guess if everyone were insured then all women could get tested
and save lives. So it seems the real question is being ignored. Why,
even assuming we get everyone insured are the guidelines changing
to essentially limit what insured people are getting now.
This is the real question is it not. For you currently insured people, do you not have a question/concern about the change?
If your wish comes true, and Socialized Medicine comes to the people of the United States, I hope you will remember what you will have done to all women who will not get adequate treatment because of the terrible inefficiencies of the Federal Government running anything. If you think there are problems with the Health Care System today, just wait until the people who run Social Security, Medicare, Medicaid, Veterans' Administration, Housing, Agriculture, Diplomacy, Commerce, et al.

So many countries have tried to provide everything to everyone, and it simply does not work. Canada, UK, Russia, France, Italy, and number of African nations, India, Pakistan, et al.

We are as doomed as a nation as was the Former Soviet Union when the needs of the people were governed by a central government. Some people simply will not learn from others, and it seems the Liberals of this nation fall into that category.
In the meantime, we must be very very careful to completely and totally ignore the following:
http://www.mayoclinic.com/health/male-breast-cancer/DS00661

Don't even have the gall to so much as mention it.
Just let them die.
After all, they're "only" men.

We can now fully expect the typical salon in coming of, "Oh, you poor baby. You are a mysoginist."

OK, let's hear it.
Right on! The US is far behind other industrial nations in infant mortality and life expectancy. The country's life expectancy is 42nd in the world, after most rich nations, coming in last of the G5 right behind Chile (35th) and Cuba (37th). Life expectancy in the US is ranked 50th in the world . The World Health Organization in 2000, ranked the U.S. health care system as the highest in cost, first in responsiveness, 37th in overall performance, and 72nd by overall level of health (among 191 member nations included in the study).

According to the Institute of Medicine of the National Academy of Sciences, the United States is the "only wealthy, industrialized nation that does not ensure that all citizens have coverage. Their report states that "Lack of health insurance causes roughly 18,000 unnecessary deaths every year in the United States." A 2009 Harvard study published in the American Journal of Public Health found a much higher figure of more than 44,800 excess deaths annually in the United States due to Americans lacking health insurance. The total number of people in the United States, whether insured or uninsured, who die because of lack of medical care was estimated in a 1997 analysis to be nearly 100,000 per year.
HMichaelHawley:

"If your wish comes true, and Socialized Medicine comes to the people of the United States, I hope you will remember what you will have done to all women who will not get adequate treatment because of the terrible inefficiencies of the Federal Government running anything."

Spare me the Republican talking points designed to scare the gullible. The most efficient form of health insurance in the US today is Medicare, the government run insurance.
Ralph Tingley:

"A 2009 Harvard study published in the American Journal of Public Health found a much higher figure of more than 44,800 excess deaths annually in the United States due to Americans lacking health insurance. The total number of people in the United States, whether insured or uninsured, who die because of lack of medical care was estimated in a 1997 analysis to be nearly 100,000 per year."

We should be ashamed that we allow people to die for lack of basic healthcare.
Trying not to be too depressing here, but in Conserva-land, it would seem the following function applies:

If X = (White, Anglo, Male) and (Moneyed or self-assessed "Christian")
then
Result = 1
else
Result = 0

Any other consideration (such as a supporter belonging to black, latino, female, or other constituencies) irrelevant.

Non-people simply don't even enter their thought process unless they are directly linked to a need for votes. Hence the breasted IQ vacuum from Alaska currently infecting the airwaves.

I'd bet she gets coverage.