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The sturdy shack, measuring perhaps eight by 12 feet and 15 or so feet high, features a concrete block foundation, stout frame, peaked roof, small porch with wooden awning, multiple windows and walls of plywood covered on the outside with brown tarps, black plastic sheeting and lots of concealing forest duff.

TAVR (TAVI) is without a doubt one of the biggest advancements in modern medicine . Since the 1950’s surgeons have been able to operate on the aortic valve with open-heart surgery. Over decades surgical techniques have evolved to make open-heart aortic valve surgery safe and effective in those that require it. Typically aortic valve surgery requires patients to have a sternotomy incision (chest cracked open) and be placed on a heart-lung machine to provide access to the aortic valve. No matter how safe or effective this is, it is clearly a big ordeal for the patient and physician. Because open-heart surgery carries serious risks, a large group of patients – particularly the elderly – are considered too high risk to undergo open-heart surgery. Unfortunately this group would die from their aortic valve disease.

Consider this, you are the only people in the developed world without a single-payer health system. Everyone in Western Europe, Japan, Canada, Australia, Singapore and New Zealand has a single-payer system. If they get sick, they can devote all their energies to getting well. If you get sick, you have to battle two things at once, your illness and the fear of financial ruin. Millions of Americans go bankrupt every year due to medical bills, and tens of thousands die each year because they have no insurance or insufficient insurance. And don’t believe for a second that rot about America having the world’s best medical care or the shortest waiting lists: I’ve been to hospitals in Australia, New Zealand, Europe, Singapore, and Thailand, and every one was better than the “good” hospital I used to go to back home. The waits were shorter, the facilities more comfortable, and the doctors just as good.


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