Medicine

Healthcare in United States costs nearly twice as much as other rich nations

Healthcare in United States costs nearly twice as much as other rich nations

The U.S. spent almost 18 percent of its gross domestic product (GDP) on health care in 2016.

Researchers used data from 2013-2016 on about 100 metrics that underpin healthcare spending, and confirmed what experts have long known - that the United States "has substantially higher spending, worse population health outcomes, and worse access to care than other wealthy countries".

Nor does America have too many high-paid specialists.

"We know that the U.S.is an outlier in healthcare costs, spending twice as much as peer nations to deliver care".

The study confirmed that the USA has substantially higher spending, worse population health outcomes, and worse access to care than other wealthy countries. But he finds that four main areas account for most of the difference in health care costs between the United States and other rich countries: drug prices; the popularity of high-volume, high-margin procedures like knee replacements, angioplasties and C-sections; the widespread use of costly CT scans and MRIs in the US; and high administrative costs.

The good news is that despite poor overall outcomes, when people are sick, the quality of delivered healthcare is quite high. The U.S. also had the lowest health-adjusted life expectancy, or the average length of time a person lives in good health: 69 years, compared to a mean of 72 years in the other areas.

Senior author Dr Ashish Jha, professor of Global Health at Harvard University, said it's well known that the USA spend way more than peer nations to deliver care, but the common beliefs as to why these costs are so high - too many doctor visits, hospitalizations and procedures - aren't accurate.

But cost varied widely when it came to drugs.

Per capita spending for pharmaceuticals was $1,443 in the US, compared with a range of $466 to $939 in other nations.

Americans also appear to pay more for diagnostic tests and office visits, Woskie said.

Belief: The quality of healthcare is much lower in the US than in other countries. It's not necessarily that a lot of it is unnecessary, because our volume is similar.

What does explain higher spending in the U.S.is administrative complexity and high prices across a wide range of healthcare services.




Doctors and nurses are also paid more generously in the United States.

Doctors' pay was also much more, with the average salary for a general practice physician in the United States at $218,173, compared to other countries where the range was $86,607-$154,126.

Administrative costs of care-activities related to planning, regulating, and managing health systems and services-accounted for 8% of total healthcare costs, compared with a range of 1%-3% for other countries.

That's not just because the United States has a complicated insurance setup, either.

Other causes of unneeded spending are the overuse of expensive health services, low social spending, and the lack of an adequate number of primary health physicians.

"There's something funky about the USA system that's not just about the administrative inefficiencies of having more than one payer", Woskie said. During their study, it was found that the United States is spending twice the amount of its wealth on its health care.

"This work suggests that some of the more straightforward or simple solutions that have been posed are unlikely to address it in full", Woskie said.

The study will be published March 13, 2018 in JAMA (Journal of the American Medical Association).

The new analysis is "ambitious and comprehensive", and "represents a major advance" in understanding America's health care spending patterns, according Katherine Baicker, who cowrote an accompanying editorial.

But Baicker cautioned that even this study can not provide a direct apples-to-apples comparison between countries, given variations in the way health care is provided between countries.

Jha said whether the U.S. moves toward more private healthcare, as advocated by Republicans, or to single-payer healthcare, as advocated by liberal Democrats, price tags on all American health services need to be addressed. "It can tell you how different policies are going to affect the health care that we get, but it can't tell us what our priorities are".


  • Broncos appear to be among frontrunners for Nate Solder

    Broncos appear to be among frontrunners for Nate Solder

    Whether Thomas returns or not, the Browns are expected to pursue a tackle and might target New England's Nate Solder . It was just past year that Cleveland made Kevin Zeitler the highest-paid guard in National Football League history.
    Rajya Sabha polls: Congress plays caste card in its nominations from Karnataka

    Rajya Sabha polls: Congress plays caste card in its nominations from Karnataka

    He claimed that senior BJP leaders had "brought in lawyers" to put pressure on the returning officer not to accept his nomination. The nomination of Independent Paresh Moolani was rejected since it was not backed by the statutory number of proposers.
    Signing of IPP contracts on hold

    Signing of IPP contracts on hold

    The 27 projects include wind, solar photovoltaic (PV) and concentrated solar power (CSP) technologies. The combination of all these factors will have dire consequences for the working class and the poor .
  • Packers sign Muhammad Wilkerson to 1-year deal worth up to $8M

    Packers sign Muhammad Wilkerson to 1-year deal worth up to $8M

    With Wilkerson now in the fold, the Packers have a formidable defensive line that also includes Mike Daniels and Kenny Clark . The longtime Jet recorded just eight sacks in the past two seasons, and he struggled to consistently generate pressure.
    Will Marcus Smart play again this season? Celtics 'just don't know'

    Will Marcus Smart play again this season? Celtics 'just don't know'

    With Marcus Smart (thumb) also uncertain for Wednesday's contest, Terry Rozier should be in line for big minutes in the backcourt. Theis and Smart were both hurt in Sunday's game, with Smart's injury occurring when he dove to the floor.
    Toys R Us is going out of business, closing all stores

    Toys R Us is going out of business, closing all stores

    Toys R Us has not spoken publicly about closing all its USA stores, and a spokeswoman declined to comment on that possibility. The company later announced plans to close around 182 of its stores.
  • Trump's Suggestion of

    Trump's Suggestion of "Space Force" Becomes Instant Meme

    Mr Trump said on Tuesday he wants a new military branch to be developed that recognises space as a "theatre of war". But this pronouncement during his address to the Marines at Miramar Air Station was unexpected.
    Case Keenum reportedly plans to sign with the Broncos

    Case Keenum reportedly plans to sign with the Broncos

    But if it eventually happens, the day Cousins signed with the Vikings could be remembered as the moment that changed it all. Prior to the injury, Bridgewater had the full support of Minnesota's coaching staff as a popular breakout candidate.
    Brent Celek Released by Eagles, Will Enter Free Agency

    Brent Celek Released by Eagles, Will Enter Free Agency

    Celek, the Eagles' longest-tenured player to that point, was set to cost $5 million against the Eagles' salary cap for 2018. The Eagles are now strapped for cap space and will stand to save $4 million with Celek's release.
  • Quarterback Teddy Bridgewater to Sign With Jets

    Quarterback Teddy Bridgewater to Sign With Jets

    The leg injury pulled a 180 on Bridgewater's career coming off an 11-win season and playoff appearance with the Vikings. The Vikings have since moved on to Kirk Cousins, while Bridgewater lands in NY with a chance to prove everyone wrong.
    RBI had cautioned banks multiple times in 2016 on SWIFT misuse: Government

    RBI had cautioned banks multiple times in 2016 on SWIFT misuse: Government

    This buyer's credit is provided on the basis of an LoU, which is akin to a guarantee and is issued by the importer's local bank. As a trade financing measure, overseas banks usually lend to importers based on the LoUs issued by the importers' bank.

    Harding Loevner LP Has $103.91 Million Holdings in Microsoft Co. (MSFT)

    Ledyard National Bank decreased Suntrust Banks Inc (NYSE:STI) stake by 5,720 shares to 156,806 valued at $9.37 million in 2017Q3. Microsoft Corporation ( MSFT ) stock price escalated 0.24% to finalize at $96.77 throughout previous buying and selling session.