Word: knaus
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...were stunned to find that it didn't make a bit of difference," says Knaus. "The tools that experts thought would work didn't." The reasons, suggests Lynn, are ingrained in our society. "Physicians are taught to save lives, that death is failure," she says. "Patients and families have come to expect miracles in every case. No one wants to give up too soon...
...pain and suffering. That is the disturbing conclusion of a massive study published last week in the Journal of the American Medical Association. "There is a tragic mismatch between the health care many seriously ill people want and what they get," says the University of Virginia's Dr. William Knaus, co-director of the study. "We don't know when or how to stop...
American researchers who have been involved in a Soviet-U.S. medical exchange program that has been going on since 1972 generally give the Moscow institute and its researchers high marks. Others have some reservations. George Washington University Internist William Knaus, author of Inside Russian Medicine, says of the center, "Individual projects might be comparable, but overall it would not compare with Stanford, the University of Texas, Harvard or the Mayo Clinic...
Spearheading the medical care effort are the nation's 900,000 physicians, twice as many as in the U.S., and a fourth of all the world's doctors. About 70% of them are women. Backing them up are 2.7 million nurses and feldshers, or paramedics. Notes Knaus: "Theirs is a people-intensive system, ours is machine-intensive...
Birth control is another area where the Soviets are lagging. The government's ideal family has three children, but couples are forced to use the unreliable rhythm method or coitus interruptus, with abortion as a backup. According to Dr. Knaus, Soviet men do not like condoms, diaphragms come in only one size, and the pill (which is just beginning to be manufactured within the U.S.S.R.) is regarded with skepticism and fear. Intrauterine devices are popular but in short supply. The result: in 1980 Soviet doctors performed an estimated 16 million abortions. Says Dr. Knaus: "The average woman...