Good find tom. Conservatives in this country continue to parrot the corporate cartel speak that America is number one in health care. They are right. America is number one in COST per person spent. But at the bottom of the heap in outcomes.
"The great enemy of truth is very often not the lie – deliberate, contrived and dishonest – but the myth – persistent, persuasive, and unrealistic. Too often we enjoy the comfort of opinion without the discomfort of thought."
President John F. Kennedy
LOOK what counties are at the BOTTOM of the list in mortality rates, and what counties TOP the list in cost per person spent.
They are the SAME counties and they all have one thing in common:
Germany, USA, Portugal and Switzerland – all depend more heavily on profit-based, private health insurance provided primarily through the employer/employee relationship.
Our wealth care system puts all our businesses at a competitive disadvantage in the international marketplace. The cost of health insurance adds $1500 to the cost of every vehicle domestic automakers produce. Japanese manufacturers spend $200 per vehicle because Japan has universal health care.
America's health care is at the bottom of all industrialized countries.
A recent study reported in the Journal of the Royal Society of Medicine compared the amounts of money spent by nineteen Western countries on health care relative to their respective gross domestic product (GDP). The authors, Professor Colin Pritchard of the Bournemouth University School of Health and Social Care, and Dr. Mark Wallace of the Latymer School of London, ranked countries by the average percentage of GDP spent on health care between 1979 and 2005. They then looked at mortality rates for “all adults” (15-74 years old) and for just the “older” population (55-74) to determine a cost-effective ratio, i.e., how much “bang for the buck” each country has been getting for the money spent. The conclusions are striking.
Increasing Health Care Costs
It will come as no surprise that health care costs have gone up everywhere. In 1980, Sweden spent nine percent of its GDP on health care. The USA came in second at 8.8%. Most countries averaged about 7.1% of GDP. In 2005, the picture had changed. The United States was far in front of all other countries, spending an average of 12.2% of its GDP for all public and private health care costs. Germany was a somewhat distant second at 9.7%, with the average for all countries standing at 7.4%. In other words, while average health care expenditures increased from 7% to 7.4%, America’s costs jumped from 8.8% to 12.2% of GDP over the same span of time.
Mortality Rates
The study then looked at trends in mortality rates for both the entire adult population (15-74) and for older people (55-74). Deaths per million population were looked at, and the authors found that mortality rates had declined in segments of this population in every country, an indication that medical science has indeed improved over the past few decades.
Utilizing standard statistical tools and analysis, the authors then ranked the same 19 countries according to their effectiveness in reducing the mortality rate for the elderly populace ages 55 to 74. Comparing the amount of money spent by each country on health care and the reduced mortality rates, the countries fell into the following ranking:
1 Ireland
2 United Kingdom
3 New Zealand
4 Austria
5 Australia
6 Italy
7 Finland
8 Japan
9 Spain
10 Sweden
11 Canada
12 Netherlands
13 France
14 Norway
15 Greece
16 Germany
17 USA
18 Portugal
19 Switzerland
Conclusions
Take a look. America outspends everyone else by far on health care, and has shown the least amount of improvement on mortality rates, with the exception of Portugal and Switzerland. Why does the United States do such a poor job?
The authors give several potential reasons, including regional disparities in health care availability in a country as large as the US, the much higher rate of firearms-related homicides here, and the higher number of un-insureds we have. The study is, however, consistent with other reports that show the USA is doing a poor job of health care for its citizens. A recent UNICEF report looked at “well-being” of children among major industrialized countries (e.g. material wealth, family relationships, health care), and found the United States ranking 23rd of 24 countries reviewed.
Universal vs. Private Health Insurance
There is one factor common to the top 15 countries on the above list. They all have strong state funding of single-payer universal health care, instead of insurance based health care tied to employment. The bottom four countries – Germany, USA, Portugal and Switzerland – all depend more heavily on profit-based, private health insurance provided primarily through the employer/employee relationship.
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More money per person is spent on health care in the USA than in any other nation in the world, and a greater percentage of total income in the nation is spent on health care in the USA than in any United Nations member state except for East Timor. Although not all people are insured, the USA has the third highest public healthcare expenditure per capita, because of the high cost of medical care in the country. A 2001 study in five states found that medical debt contributed to 46.2% of all personal bankruptcies and in 2007, 62.1% of filers for bankruptcies claimed high medical expenses. Since then, health costs and the numbers of uninsured and underinsured have increased.
The USA pays twice as much yet lags behind other wealthy nations in such measures as infant mortality and life expectancy, though the relation between these statistics to the system itself is debated. Currently, the USA has a higher infant mortality rate than most of the world's industrialized nations. In the United States life expectancy is 42nd in the world, after some other industrialized nations, lagging the other nations of the G5 (Japan, France, Germany, UK, USA) and just after Chile (35th) and Cuba (37th).
Life expectancy in the USA is 42nd in the world, below most developed nations and some developing nations. It is below the average life expectancy for the European Union. The World Health Organization (WHO), in 2000, ranked the U.S. health care system as the highest in cost, first in responsiveness, 37th in overall performance, and 72nd by overall level of health (among 191 member nations included in the study). The Commonwealth Fund ranked the United States last in the quality of health care among similar countries, and notes U.S. care costs the most.
The USA is the "only wealthy, industrialized nation that does not ensure that all citizens have coverage" (i.e., some kind of private or public health insurance). In 2004, the Institute of Medicine report observed "lack of health insurance causes roughly 18,000 unnecessary deaths every year in the United States." while a 2009 Harvard study estimated that 44,800 excess deaths occurred annually due to lack of health insurance.
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