There is just one small flaw: this study only had a look at people that made it alive to the hospital.
Also, as the study said in noumorus places, whilefor Germany, full statistics where available, the USA data is more hit and miss, and therefore not as granular as German data.
While it is true that Germany has one of the worst life expectancies in western Europe, this is attributed more to our style of live then our health care system.
Yes, and in the Rhineland, their target is almost 20 minutes.
I suspect that the reason Germany has the law to aid ambulances is because they have significant challenges making good response times.
I’m actually surprised the situation isn’t worse in rural areas of the US as the population density is so extremely sparse in some areas, you can hardly imagine
I would take that with a grain of salt, since the study here says it only deals with death inside of the hospital (which is what is expected of a system encouraging the individual to flee the expensive place as soon as possible):
Considering the markedly lower length of stay in U.S. hospitals, it seems likely that more deaths following AMI occur after hospital discharge in the U.S., compared to Germany. This assumption is supported by recent OECD publications, which also report U.S. 30-day AMI mortality based on linked data. This figure was at 9.3% in the year 2020, compared to 4.9% when based on unlinked data. For Germany, national 30-day AMI mortality figures based on linked data are not available to date. In other industrialized countries reporting both figures, the difference between mortality based on unlinked data and mortality based on linked data was not as pronounced as in the U.S. (e.g., 5.6% vs. 7.2% in France, 6.5% vs. 7.1% in Spain)
In addition, the median age of patients is quite a lot higher, and as we all know, we all die at some time. If i am in my 50s and have a heart attack, sign me up for a German hospital 100% of the time, at least i am not bankrupted afterwards if i survive.
Also, when a share of the people die on the way to the hospital, the least healthy ones get culled from the the statistics. Some of the people why die into ambulances in USA would die in the hospital in Germany.
The multiplier of 1,5 can therefore also tell about a lot of people dying because of ambulances being stuck in traffic jams. Only the healthiest will make it to the hospital.
That was actually accounted for by the study. The study was looking for differences in reporting between Germany and the US and if/how they are relevant
Germany has a higher mortality rate for heart attacks than the US
Source?
Source: SpringerMedizin.de https://share.google/Y3pDiTAszdpbbClj8
That’s just one of many such. It’s about 1.5 times the mortality rate
There is just one small flaw: this study only had a look at people that made it alive to the hospital.
Also, as the study said in noumorus places, whilefor Germany, full statistics where available, the USA data is more hit and miss, and therefore not as granular as German data.
While it is true that Germany has one of the worst life expectancies in western Europe, this is attributed more to our style of live then our health care system.
Ambulance waiting times cost lives.
That is a proven fact.
The national target for ambulance response time in the US is 9 minutes. It’s up to 19 in Germany
Also correct. The target. And how many times this target is reached?
All I see is that it’s nearly the same with the US more often being less than 8 minutes than Germany
https://www.facs.org/media-center/press-releases/2025/ems-call-times-in-rural-areas-take-at-least-20-minutes-longer-than-national-average/
https://www.jems.com/news/ambulance-wall-times-soar-nationwide/
https://nypost.com/2025/01/30/us-news/nyc-ambulance-response-times-for-life-threatening-emergencies-jump-as-emts-see-staffing-crunch/
Should I continue?
Yes, and in the Rhineland, their target is almost 20 minutes. I suspect that the reason Germany has the law to aid ambulances is because they have significant challenges making good response times.
I’m actually surprised the situation isn’t worse in rural areas of the US as the population density is so extremely sparse in some areas, you can hardly imagine
I would take that with a grain of salt, since the study here says it only deals with death inside of the hospital (which is what is expected of a system encouraging the individual to flee the expensive place as soon as possible):
In addition, the median age of patients is quite a lot higher, and as we all know, we all die at some time. If i am in my 50s and have a heart attack, sign me up for a German hospital 100% of the time, at least i am not bankrupted afterwards if i survive.
Also, when a share of the people die on the way to the hospital, the least healthy ones get culled from the the statistics. Some of the people why die into ambulances in USA would die in the hospital in Germany.
The multiplier of 1,5 can therefore also tell about a lot of people dying because of ambulances being stuck in traffic jams. Only the healthiest will make it to the hospital.
That was actually accounted for by the study. The study was looking for differences in reporting between Germany and the US and if/how they are relevant
It’s hard to measure for those that don’t try , but have to assume death will be declared in hospital for those on their way there.