Sex is not a factor

It's been interesting to watch the emergence and then control of feminism. When women first started asking for things like the vote, men slowly gave in but then made sure the changes had little effect - no female candidates to vote for. This manipulation of reality came under real pressure as the 1960's gave way to the 1970's and a new militancy was born. It seemed as though male privilege might actually crack. Well, we need not have worried. It may have taken a few more years than we expected, but the genie is now back in the bottle. Despite laws protecting women from discrimination, they are rarely used. Men continue to dominate in almost every area of activity and, remarkably, the majority of women have stopped publicly complaining. Well, perhaps there are odd moments when some speak out. You only have to think of Larry Summers and his remarks about the failure of women to excel in math, to see the possibility of change. But that possibility is swept away when you look at the recent midterm elections where more vitriol against candidates in general, and women candidates in particular, has been sprayed around without anyone thinking this odd. Think of witches and Halloween costumes to get the point. It seems everything is fair during elections.

When it comes to medicine, however, there are real differences that have a direct effect on the planning of our healthcare services. We are not just talking about the obvious need for separate maternity wards. The statistics of care form the basis of federal government policy-making. It takes years to train doctors and bring them up to a reasonable level of competence. Buying the land and getting zoning clearance for building hospitals and clinics is also a long-term task. Funding must be put in place, and pressure to get the projects through local and state procedures must be maintained. Think about it. There are more births than deaths every year. As people grow old, they use hospital services more often. Where are all the healthcare services going to come from over the next decades?

Perhaps surprisingly, more women than men use healthcare services to report disease or disorder. Ignoring accidents which tend to be men driving into each other, women take up more beds and are prescribed more painkilling medication than men. When it comes to pain, women seem more sensitive. Applying the precautionary principle, they use medical services whenever they believe there's a problem. As a result, they get better preventative treatment and live longer than men. In part, this is cultural. Macho men are expected to ignore pain and get on with life. Consulting a doctor is an admission of failure. So, the majority of new facilities and the focus of training will offer more support to women than men. That's where the "market" is for health services. In this, there's only one area of real equality. Pain relief using a drug like Ultram works equally well in men and women. Brain chemistry is not affected by sex. So, if you are a man in pain, you can buy Ultram online and keep your macho image intact. No one need ever know.