SciTech

Racial Disparities In US Cancer Treatment

novy.

Posted to SciTech on Thu Jan 10, 2008 at 09:16:19 AM EST (promoted by port1080). RSS.

US blacks receive inferior cancer treatment compared to whites. Disparities in treatment first documented in 1992 have continued despite all efforts to erase them. Researchers studied treatments for cancer given to more than 143,000 Americans over age 65 from 1992 to 2002 under Medicare, and their findings were published by American Cancer Society.

7,775 cases of colon cancer, 1,745 cases of rectal cancer, 11,207 cases of lung cancer, 40,457 cases of breast cancer, and 82,238 cases of prostate cancer were studied. All patients in this study were covered by government health insurance, so inability to pay for treatment had nothing to do with observed results. Whites were 19% more likely than blacks to receive surgical removal of lung cancer tumors, 27% more likely to get chemotherapy after surgery for rectal cancer, 24% more likely to get chemotherapy for colon cancer, 7% more likely to get radiation treatment after breast cancer lumpectomy, and 11% more likely to get surgical or radiation treatment for prostate cancer. Dr. Otis Brawley, chief medical officer of the American Cancer Society, opined,

"This sort of thing has been a problem in the United States for a long, long time. I think individual racism likely accounts for a small amount of it, but not a large amount. What I would refer to as institutional or societal racism accounts for a much larger component of it."
Survival rates were also lower for blacks. In one study, five-year survival rates for men treated for breast cancer were 90% among 456 white men and 66% among 34 black men. What about women with breast cancer? "Racial disparities in outcomes in women with breast cancer have been well studied." Disparities in outcomes get even worse for uninsured black people, who will seldom even be tested for breast cancer. Outcomes in cases involving asthma rather than cancer don't seem any better. Was Brawley right? Does outright racism exist in US medical systems? Can anything be done about it?

Tags: edited by Port1080, written by novy, cancer, race, healthcare (all tags)

This story: 41 comments (5 from subqueue)
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22

I blame the difference in hospital quality

3fingerspointback.

Fri Jan 11, 2008 at 01:04:29 PM EST

4.00 (interesting)

Even the US hospitals I've seen that are considered prestigious are stressful to work with, simply because the corporate environment is dysfunctional.  Communication across departments is strained or misunderstood, and a team of individually skilled people could lose a patient simply because an important chart doesn't show up in the right place at the right time.  In hospitals that serve poor areas, it may be that there are simply not enough resources to perform the standard of care for cancer.  Pressured to keep patients in-house instead of referring them to places that can handle the load, doctors will cut corners, skipping surgery for small tumors, or chemo if surgery is successful.  The LA Times got itself a Pulitzer by reporting just how poorly King/Drew served South Central LA, and I have no doubts that other ghetto hospitals are just as bad.

Getting better care when you're on Medicare may be as simple as moving to a less-dense area where the local hospitals don't have to maintain as much throughput.

(is 3fingerspointback)

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Re: Racial Disparities In US Cancer Treatment

thefadd.

Thu Jan 10, 2008 at 01:35:57 PM EST

none

Given that I don't support the use of cancer-causing chemotherapy as part of a cancer treatment regimen, paragraph two hardly concerns me. As for the final paragraph, a study regarding the treatment of breast cancer in men hardly seems like the study I'd peg for being most demonstrative of cancer cases.

That being said, the conclusions do jive with my anecdotal understanding of cancer treatment in the US. Dvandom said in the subQ, "unless they controlled carefully for economic status, all this really proves is that blacks tend to be poorer, and poor people get crap medical care" but economic status seems to be relatively controlled for in this study. Even still, I think we all know that years of racist policy have made African-Americans on average poorer than most other Americans. I do think, however, that blacks as a social set face an additional challenge of less trust in the system. This comes from years of racist policy but frequently today it is misplaced--not always mind you.

At the end of the day, though, I don't see anything that can be "done" from a policy perspective. Health is an individual thing and individuals have to take responsibility for their own health. This entails education and to educate adults about health person-to-person in the black community is going to take an African-American-led community level effort.

It is easy to buy small plaster models of what you think life is like.

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Re: Racial Disparities In US Cancer Treatment

ms sue.

Thu Jan 10, 2008 at 04:23:08 PM EST

4.00 (astute)

That being said, the conclusions do jive with my anecdotal understanding of cancer treatment in the US.

Although oddly humorous here,  you should go with "jibe."

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 09:01:11 AM EST

none

This study only included people on Medicare. All Medicare treatment gets paid for in same way and to same extent.

If you mean to claim that unequal medical care prior to age 65 caused different outcomes after age 65, that works for me, but that doesn't explain why treatments offered under Medicare itself were so different.

If black people were rejecting chemotherapy because they felt as you do, that would be one thing, but if they don't get offered chemotherapy, that would be another thing entirely.

Story quotes doctor as blaming "institutional racism" in medical system. Do you suggest he doesn't know what he talks about? Do you mean to say that institutional racism cannot be dealt with except by black people rising up and forcing doctors to treat them better? Do they need another civil rights movement to avoid dying  because they don't receive same treatment as white people, and if they don't have such movement they shouldn't expect equal treatment because "health is an individual thing and individuals have to take responsibility for their own health"?

2

Re: Racial Disparities In US Cancer Treatment

Dvandom.

Thu Jan 10, 2008 at 03:26:17 PM EST

none

Joshv's subq comment is also telling.  He points out that five-year survival rates are highly dependent on when you get diagnosed.  Even if every diagnosed cancer patient gets the same quality of treatment, someone without insurance is less likely to go to the doctor for regular screenings, and we're right back to the poverty link.  If you can't afford to see a doctor unless you're feeling really sick, you won't get diagnosed with cancer until it's pretty far along.

All that said, I agree with the previous comment about how poverty correlation with race is a result of generations of institutionalized racism.  But that's not the same as saying "blacks get poorer health care because they're black", which implies doctors are treating patients better or worse based on their skin color...when the only color that really matters is the color of your money.

This is not a signature.

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Re: Racial Disparities In US Cancer Treatment

joshv.

Thu Jan 10, 2008 at 05:29:31 PM EST

none

Well, my point was that even if you have two groups of people with access to the same level of healthcare, the mere reluctance of one group to visit the doctor could results in lower 5 year survival rates, even if both groups have roughly the same life expectancy, simply becomes of later diagnosis in the doctor-phobic.  A lower 5 year survival rate is not at all synonymous with a higher mortality rate, or earlier death.

On the whole I think that touting improved 5 year survival rates as evidence that we are winning in the "war on cancer" is a load of crap.  All it indicates is improved/earlier diagnoses.  It does not at all indicate the increased efficacy of treatment.

For example, let's say you and I both have cancer.  Our bad little cells mutated on the exact same day.  You get a yearly checkup, I freakin hate the doctor.  Suppose this cancer is relatively untreatable (never mind that fact that I think most cancers that can't be cut out are basically untreatable).  You get diagnosed a year after your cancer started, get treated, but end up dying 6 years after diagnosis, 7 years after your cancer started.  I on the other hand wait until I am bleeding from every orifice, and in terrible pain, go in to the hospital and die 8 years after my cancer started.  Now I actually lived longer than you did with cancer, but you are added to the 5 year survival rate statistics, and I am not.

In this perverse situation, it might even be that your treatment killed you sooner than my untreated cancer killed me, and yet you are counted as a positive statistic in some drug trial.

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Re: Racial Disparities In US Cancer Treatment

thefadd.

Thu Jan 10, 2008 at 05:53:28 PM EST

none

Well, if you wanna talk facts, the fact of the matter is that cancer comes and goes in everyone's system. The China Study demonstrated pretty conclusively that cancer is a dietary issue that stems from too much protein. Low protein diets avoided cancer no matter how many toxins they were exposed to while high protein diets developed cancer no matter how few toxins they were exposed to. To misquote myself again, this jives rather well with the anecdotal evidence that both cancer rates and protein consumption have increased sharply in the developed world over the past century plus.

It is easy to buy small plaster models of what you think life is like.

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Re: Racial Disparities In US Cancer Treatment

zyxwvutsr.

Thu Jan 10, 2008 at 06:16:13 PM EST

none

The China Study demonstrated pretty conclusively...
Conclusively? A book that's been charitably described as "a tower of vegan propaganda"?

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Re: Racial Disparities In US Cancer Treatment

thefadd.

Thu Jan 10, 2008 at 07:36:23 PM EST

none

Do you know any vegans who have died of cancer?

It is easy to buy small plaster models of what you think life is like.

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Re: Racial Disparities In US Cancer Treatment

zyxwvutsr.

Thu Jan 10, 2008 at 08:10:41 PM EST

none

Do you know any vegans who have died of cancer?
I don't know any vegans. Do you know if any Chinese person has died of cancer?

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Re: Racial Disparities In US Cancer Treatment

thefadd.

Thu Jan 10, 2008 at 08:21:41 PM EST

none

China Daily reports that 300 of every 100k residents of Shanghai report cancer but it doesn't say if any of them have died.

It is easy to buy small plaster models of what you think life is like.

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Breast Cancer In China

MayorBob.

Thu Jan 10, 2008 at 08:53:57 PM EST

5.00 (astute)

According to this information, the incidence of breast cancer in China is 18.7 per 100,000.  The death rate from breast cancer is 5.5 per 100,000.  Thus I guess the incidence of other types of cancer must be somewhere in the range of 200 to 280 per 100,000.  One would assume that a proportional number of Chinese die of their various forms of cancer.

On a side note, I find it rather touching somehow that you have found THE ANSWER to cancer.  I only hope that you never, ever are touched by cancer.  I'm certain that diet does play a role in whether you'll suffer from cancer.  But then so does heredity and being around chemicals in the work place or a water supply which has been fouled from industrial waste.  By the way, I have been close friends with a number of vegetarians and one Vegan in my life.  The Vegan and most of the vegetarians are alive.  The vegetarians who died did so a). from an auto accident, b). stroke, and c). prostate cancer.  

Illegitimi non carborundum.

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Re: Breast Cancer In China

thefadd.

Thu Jan 10, 2008 at 09:16:30 PM EST

none

Thanks dude, I'm glad I have, too. You don't know who I've known with cancer so you're concern is a little hollow but--to borrow your word--touching nonetheless. Vegetarianism is a far cry from veganism but for the record, I'm not a proponent of either. I was responding to Ken's highly incorrect swipe that the china study pushes veganism in some way. If I were going to recommend a diet for someone to explore it would be akin to that which joshv describes but everybody's needs are different.

It is easy to buy small plaster models of what you think life is like.

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Re: Racial Disparities In US Cancer Treatment

joshv.

Thu Jan 10, 2008 at 06:21:33 PM EST

none

Actually there are recent studies that indicate that carbohydrate intake is linked to cancer, there are some very promising animal models that actually saw tumor regression on a low/no carb diet, and researchers are starting to explore ketogenic diets as a form of cancer treatment in humans with some promising results so far.  http://charm.cs.uiuc.edu/users/jyelon/lowcarb.med/topic8.html

There are compelling microbiological reasons to believe that simple carbs are a powerful promoter of tumor growth, as almost all tumors switch to a very inefficient form of metabolize that can only burn glucose.  If you cut out carbs from the diet, blood sugar levels drop dramatically, and tumors can cells literally starve for energy, because they can't run on ketone bodies.

Interestingly, if you eat excess protein, your body can turn that into glucose in a process called gluconeogenesis.  Thus the ideal ketogenic diet is high fat, adequate protein, and low carb.

As for "THE CHINA STUDY", data based on retrospective population studies is some of the worst stuff from which to draw conclusions, in fact almost any conclusion can be made, because it's impossible to control for all variables.  Worse than that, you will only be able to observe correlations.  We humans love to see causation in every correlation, but wishing it don't make it so.  So you don't know if the kids are coming down with liver cancer because of protein consumption, or because of the chemicals in their water, or because of a spike in ice cream sales halfway around the world.

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Re: Racial Disparities In US Cancer Treatment

thefadd.

Thu Jan 10, 2008 at 07:42:00 PM EST

none

Eh, that's how anybody who I know that kicked cancer did it.

It is easy to buy small plaster models of what you think life is like.

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Re: Racial Disparities In US Cancer Treatment

Lou.

Thu Jan 10, 2008 at 10:02:20 PM EST

none

Actually there are recent studies that indicate that carbohydrate intake

Does liquor had a lot of carbs?  Not beer...but things like scotch et al?

It's the end of the world as we know it, and I feel fine

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Re: Racial Disparities In US Cancer Treatment

Steve Urkel.

Thu Jan 10, 2008 at 06:42:28 PM EST

none

Assuming the study is rigorous, how do you know that diet doesn't work only for people of Chinese descent?

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 09:20:29 AM EST

none

So black people should be blamed for receiving inferior medical care on grounds that they might be more reluctant to visit doctors, as if this evidence-free speculation stands proved as true? Does lower overall life expectancy mean anything? (No, they could be explained in some other way.) Do higher mortality rates for blacks covered by Medicare mean anything? (No, they could be explained in some other way.) Do higher survival rates for whites mean anything? (No, they could be explained in some other way.) Do doctors lie to you when they say that institutional racism accounts for poorer treatment for black patients? (No, they could be full of it.) Denial, denial, denial. You use statistical analysis as way to lie to yourself about what actually happens, to excuse what should be socially intolerable, to argue for doing nothing to rectify shameful situation.    

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Re: Racial Disparities In US Cancer Treatment

joshv.

Fri Jan 11, 2008 at 02:16:25 PM EST

none

I was talking about 5 year survival rates.  They are next to useless as a statistical measure of much of anything other than improved diagnostic capabilities and earlier diagnosis.  

There may be other problems with the statistics quoted in the study if the methods used to derived these statistics did not controlling for socio-economic status, as others have noted.  We know people who have lower socio-economic status get sicker more frequently, and die younger - whether white or black.  The question to answer is, do blacks and whites with similar SES and access to the same level of health care have significantly significantly disease rates or life expectancy.

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 02:22:32 PM EST

none

So you argue that by time Medicare kicks in, lower socio-economic status would lower life expectancy even if health care was identical thereafter? So major disparities in treatment between blacks and whites proved by these studies gets explained in your book by fact that blacks will have shorter life expectancy anyway so why bother to give them access to things like chemotherapy or radiation treatment? Or do you just argue that when blacks receive lower quality medical care, burden should be on them to prove that it doesn't amount to "harmless error"?

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Re: Racial Disparities In US Cancer Treatment

joshv.

Fri Jan 11, 2008 at 03:40:34 PM EST

none

You seem to enjoy putting words in my mouth.  I am saying that IF you want to do a proper comparison, the only difference between your cohorts should be race.  If these studies have other variables which are not controlled for, then there may be other explanations for the data that cannot be scientifically excluded.

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 04:17:56 PM EST

none

What part of

"Whites were 19% more likely than blacks to receive surgical removal of lung cancer tumors, 27% more likely to get chemotherapy after surgery for rectal cancer, 24% more likely to get chemotherapy for colon cancer, 7% more likely to get radiation treatment after breast cancer lumpectomy, and 11% more likely to get surgical or radiation treatment for prostate cancer"
provides improper comparison? You reject five-year survival statistics as meaningless? Fine. But what about these statistics? What additional information do you need after you consider that everyone in this study got their medical care paid for by government, but one group got shafted while another got best care money could buy? You don't believe there might be any correlation between getting best care available and getting inferior care? Would you want to be denied surgery, chemotherapy, or radiotherapy for cancer while patient next to you in line got them, because you happened to belong to wrong ethnic or racial group? Would you want to have to prove that being denied best care posed any special problem before being given level of care other people took for granted? How would you feel if someone explained that there might be other scientific explanations for why you were getting screwed and demanded that you prove otherwise?

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 04:21:00 PM EST

none

Sentence that read "You don't believe there might be any correlation between getting best care available and getting inferior care?" should have read "You don't believe there might be any correlation between getting best care available and surviving your bout with cancer?"

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Re: Racial Disparities In US Cancer Treatment

joshv.

Sun Jan 13, 2008 at 10:11:48 AM EST

none

As far as I am aware, I've made no specific claims about this particular research.

As for cancer treatment.  I am not aware of any scientific evidence that would lead me to believe that people who are treated for cancer live any longer than those who are not.  There are a few types of cancer that are very treatable using surgery, but on average, I think most people will live longer if they are never tested or treated for cancer.

"How would you feel if someone explained that there might be other scientific explanations for why you were getting screwed and demanded that you prove otherwise?"

I wasn't aware that "feelings" should have anything to do with science.  But perhaps you'd like to live in a world where researchers regularly fudge their results because they are worried that they might offend a particular group.  Oh wait, we already live in that world.  

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Re: Racial Disparities In US Cancer Treatment

novy.

Sun Jan 13, 2008 at 10:45:39 AM EST

none

"Specific types of cancer that are very treatable using surgery," like prostate cancer, one of those forms that were part of this study?

Do you claim that this study was "fudged" and that study in 1992 was "fudged"? Do you have any evidence to prove that, or have you invoked "feelings" to arrive at your conclusions?

Your point seems to be that since most cancer treatments accomplish nothing, getting worse treatment may actually be better for black people. Does that also mean that in terms of diseases which you wouldn't doubt were treatable that getting worse treatment might also be better? Or do you claim blacks only get shafted in medical care when it comes to cancer? Oh, I remember, this study was only about cancer, so you can claim blacks probably get medical care just as good as whites when it really matters. No wonder American blacks think so many whites really harbour racist sentiments when disingenuous arguments come so naturally.

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Re: Racial Disparities In US Cancer Treatment

joshv.

Mon Jan 14, 2008 at 10:37:55 AM EST

none

Are you aware that a large percentage of men over the age of 80 who died of some cause other than prostate cancer, have prostate cancer?  Prostate cancer is one of the least aggressive cancers.  If you get it later in life, it's not likely you are going to die of it, it's that slow.  Additionally, testing positive on a PSA screening test earlier in life doesn't tell us what kind of prostate cancer you will develop, aggressive or slow, or whether or not you even have prostate cancer.

Counter balance this with the effects of treatment - death (yes, people die in surgery and from infections contracted in the hospital), erectile dysfunction, increased risk of cardiovascular disease on some treatments, and incontinence and you will understand why "watchful waiting" is included in the standard of care for prostate cancer.  Basically this a fancy way of saying "do nothing".

Check out the following:  http://archinte.ama-assn.org/cgi/content/abstract/167/18/1944

"Ten-year specific survival was 83% (95% confidence interval [CI], 73%-93%), 75% (95% CI, 67%-83%), and 72% (95% CI, 66%-80%) for patients who underwent surgery, radiotherapy, and watchful waiting, respectively (P < .001)."

Note that although surgery appears to have the highest survival rate, it's confidence interval has significant overlap with the confidence interval of "watchful waiting" - doing nothing.  So this study failed to find a statistically significant difference between doing nothing and surgery.

Further we have "At 10 years, patients treated with radiotherapy or watchful waiting had a significantly increased risk of death from prostate cancer compared with patients who underwent prostatectomy (multiadjusted hazard ratio, 2.3 [95% CI, 1.2-4.3] and 2.0 [95% CI, 1.1-3.8], respectively). "

Again, notice the confidence interval, it goes down to 1.2 and 1.1 on the low end, this is a weakly significant result.  But the important fact here is that they don't quote overall mortality, presumably because there was no statistically significant difference.  Yes, if you don't have the cancer cut out, you are more likely to die of prostate cancer, but if you have it cut out, apparently it ups the the risk of your dying of something else.  Or maybe people die of so many things other than prostate cancer that those numbers swamp the slight increase in prostate cancer deaths in the untreated.

As for your other statements.  It's clear that increased access to health care is not always a positive thing.  The UK spends half of what we do in the US, per capita on health care, and their citizens have a very similar life expectancy when socio-economic factors are controlled for.   I honestly believe that a clean water supply and effective sewage systems, improved infant/childhood nutrition, antibiotics, and advances in trauma surgery are responsible for almost all the gains in life expectancy in the last 100 years.  The rest of our bulging health care apparatus does save lives, but at a significant cost, both in money, and in lives.  You risk infection just going in to a modern hospital.  You also have a significant risk of death due to mistreatment and misdiagnoses.

Now, would all this justify racial discrimination in the distribution of health care? Clearly not.  But if blacks are culturally predisposed to avoiding the doctor, for whatever reasons, I don't think it's doing them much harm.

I'll ask you this though.  As the people in the linked studies had similar health care benefits, how do you explain the differences in treatment?  Are thousands of white doctors across the US joining together in a massive conspiracy against the black man?

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Re: Racial Disparities In US Cancer Treatment

novy.

Mon Jan 14, 2008 at 03:41:38 PM EST

none

Fascinating final question ("As the people in the linked studies had similar health care benefits, how do you explain the differences in treatment?"). Rather than respond directly, I will quote "Dr. Otis Brawley, chief medical officer of the American Cancer Society, [who] opined, 'This sort of thing has been a problem in the United States for a long, long time. I think individual racism likely accounts for a small amount of it, but not a large amount. What I would refer to as institutional or societal racism accounts for a much larger component of it.'" He thinks "institutional or societal racism" accounts for differences in treatment, since he can't believe that "individual racism" on part of doctors accounts for more than "a small amount of it". What do you think he was trying to say? Do you think him so obviously ignorant that you can safely ignore his opinion?

As for prostate cancer, you might find Rudy Giuliani's rap interesting, since it shows what can be done with statistics. (He claims survival rates for prostate cancer in United Kingdom were 44%, that survival rates were higher in US because of superior health care, which claim you strongly reject.)

But just to make sure we understand one another, your contention has been that increased access to health care doesn't help any and that black people should consider themselves lucky they don't have access as good as white people. You don't practice Christian Science, do you?

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 09:13:58 AM EST

none

Doctor in story says black people get treated differently than white people, that "blacks get poorer health care because they're black" even when government pays equally for black and white health care (as in case of Medicare). You say "only color that really matters is the color of your money", but this story shows that even when blacks and whites have equal amounts of (government) money blacks don't get treated as whites do.

You and Joshv say five-year survival rates don't indicate higher mortality or death rates for blacks than for whites because whites just get diagnosed earlier because they have more money than blacks. I understand your argument, but what nonsense. People who can get diagnosed earlier do so because everyone knows early diagnosis increases your chances of survival. (Do I have to trot out studies to prove what should be obvious?) If you get diagnosed when your chances of survival have dropped substantially, do you really claim that that doesn't affect your chances of dying? Of course blacks have higher mortality and death rates, even if this particular statistic doesn't provide perfect measure of those higher mortality and death rates.

You don't want to believe what should be clear, that institutional racism in American medical system means black people receive inferior medical care even when they pay as much as whites. You want to think that can't really be true, and so you come up with disingenuous arguments to convince yourselves that poverty explains everything (as if poverty should be considered matter of individual choice). It doesn't. If you find it disturbing that blacks get screwed by medical system, maybe you should add your voice to those insisting that something be done about it instead of trying to sweep it under rug.  

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Re: Racial Disparities In US Cancer Treatment

Steve Urkel.

Fri Jan 11, 2008 at 03:36:15 PM EST

none

"People who can get diagnosed earlier do so because everyone knows early diagnosis increases your chances of survival"

No, you misundertand what Josh said. As these researchers from Dartmouth Medical School explain (in an article about how early detection can even make you worse off):

Don't those compelling five-year survival statistics of 80 percent vs. 15 percent prove that CT screening works? The short answer is no. You have to consider exactly how a five-year survival rate is figured. It is a fraction. Imagine 1,000 people diagnosed with lung cancer five years ago. If 150 are alive today, the five year survival is 150/1000, or 15 percent. Yet even if CT screening raised the five-year survival rate to 80 percent, it is entirely possible that no one gets an extra day of life.

The best way to understand this paradox is to work through a thought experiment. First, consider a group of people with lung cancer who will all die at age 70. If they first receive the diagnosis when they are 67, their five-year survival rate would be zero percent. But if these same people had received their diagnoses earlier - at, say, age 63 - the five-year survival rate would be 100 percent. Yet death would still come at 70 for all of them. Earlier diagnosis always increases the five-year survival statistic, but it doesn't necessarily mean that death is postponed.


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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 04:11:52 PM EST

none

Let's pretend for one moment that joshv and you were absolutely correct in claiming that survival rate should be considered utterly meaningless statistic. Key portion of story says

"Whites were 19% more likely than blacks to receive surgical removal of lung cancer tumors, 27% more likely to get chemotherapy after surgery for rectal cancer, 24% more likely to get chemotherapy for colon cancer, 7% more likely to get radiation treatment after breast cancer lumpectomy, and 11% more likely to get surgical or radiation treatment for prostate cancer."
Now, if you argue that surgery, chemotherapy, and radiation treatments don't do anything for cancer, that entire cancer "industry" amounts to scam that doesn't save any lives, then these disparities in treatment may truly be meaningless. If you would reject any surgical, chemotherapy, or radiation option if you had cancer, maybe blacks have no reason to gripe in your book. But if you would let someone perform surgery to remove tumour (prostate cancer, breast cancer, or otherwise), or if you would accept chemotherapy or radiation therapy for cancer, then blacks who get denied these options because they were black get not only screwed but set up for early deaths.
 

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Re: Racial Disparities In US Cancer Treatment

Steve Urkel.

Fri Jan 11, 2008 at 04:25:07 PM EST

none

"Let's pretend for one moment that joshv and you were absolutely correct"

It should be obvious we are.

"blacks who get denied these options because they were black "

Are people being denied because they are black?

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 04:38:36 PM EST

none

That was precisely what cancer doctors concluded based on study. But who can be sure of anything? Maybe Up is Down. Maybe sky could seem green if you want to believe it badly enough. Based on your second remark, It should be obvious at this point that you intended to be intellectually dishonest, and that your argument about five-year survival statistics was made in bad faith, to obscure what should have been obvious, that black people get screwed by medical system.

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Re: Racial Disparities In US Cancer Treatment

Steve Urkel.

Fri Jan 11, 2008 at 05:17:49 PM EST

none

"That was precisely what cancer doctors concluded based on study"

Where did they conclude blacks were being denied care because they were black? That's not what the article you linked to said. The study discovered "racial disparities in cancer care", which is caused by "enduring educational and socioeconomic inequities".

" Based on your second remark, It should be obvious at this point that you intended to be intellectually dishonest, and that your argument about five-year survival statistics was made in bad faith"

Maybe those medical researches I quoted are secretly members of the KKK? Now that you mention it, I think I saw them at a rally.

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Re: Racial Disparities In US Cancer Treatment

novy.

Fri Jan 11, 2008 at 06:23:14 PM EST

none

Pretend you didn't read quote in story. Pretend whatever you like. Sell your poison package to your friends at Stormfront because I don't buy it. But why deny it anyway? If white people have more power and hate black people like you do, why not just fly that flag and admit it, come out of closet and accept things as you want them to be? Because you still feel need to pretend that people who abuse power to harm others belong on same moral plane as (or even higher moral place than) people that they victimise? Because "black racists" would then be seen to have better reasons to hate people like you than you have to hate people like them? So what?

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Re: Racial Disparities In US Cancer Treatment

Steve Urkel.

Sat Jan 12, 2008 at 01:19:54 PM EST

none

That response was a bit unhinged, don't you think?

You were born in Belarus and live in Canada, I don't think you know anything about the plight of the American Negro.

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Re: Racial Disparities In US Cancer Treatment

novy.

Sun Jan 13, 2008 at 10:50:13 AM EST

none

True enough. We treat people equally up north (except for First Nations, who claim huge tracts of land that we still want to steal from them). All I had to go on was your media and old Soviet propaganda. If I had any doubts, though, you have confirmed that your media has it right. As for old Soviet propaganda, even stopped clock shows right time once or twice per day.

38

^ 34

Re: Racial Disparities In US Cancer Treatment

Lou.

Sun Jan 13, 2008 at 11:34:11 AM EST

none

"You were born in Belarus and live in Canada, I don't think you know anything about the plight of the American Negro."

Dangit...I tried looking up the class of fallacious argument to which your comment belongs but I didn't have any luck.  Can you help me out?

However, in the spirit of things I will play.  I call you out Gordon.  How much do you, a white American male born in the 20th century, know about the "plight of the American Negro"?

It's the end of the world as we know it, and I feel fine

39

^ 38

Re: Racial Disparities In US Cancer Treatment

Steve Urkel.

Sun Jan 13, 2008 at 01:40:26 PM EST

none

Fallacious? He has no personal experience with American race relations. Growing up in Minsk I doubt it was in the papers much, either.

"How much do you, a white American male born in the 20th century, know about the "plight of the American Negro"?

Pounds, baby, pounds.

8

other factors

Steve Urkel.

Thu Jan 10, 2008 at 06:22:42 PM EST

none

Did they correlate for marriage? Blacks are more likely to be unmarried. Think of the difference between a single woman diagnosed with cancer navigating the health care system on her own and a married woman diagnosed with cancer who has her husband to act as her advocate.

17

^ 8

In other words

Lou.

Thu Jan 10, 2008 at 10:06:56 PM EST

none

Unmarried black ho's ain't got a chance unless they got a strong player to do the heavy lifting for them.  Right?

You know what's funny though?  I just JUST got of the phone with a friend of mine who is a white cancer survivor who's husband ditched her when he found out she had the big C.  Funny old world, eh?

It's the end of the world as we know it, and I feel fine

21

^ 17

Re: In other words

Steve Urkel.

Fri Jan 11, 2008 at 01:00:51 PM EST

none

No. I realize I bear the burden of my past racially antagonistic comments, but I'm being serious when I think it's a real factor. There was an article recently in either the WSJ or the NYTimes about making sure you have an advocate, one of the examples was a woman whose husband went on leave from his investment banker job to manage her treatment and he got her into an experimental trial that he discovered through his own research.

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