We are paying more and not getting enough for our healthcare dollar

I said when this debate started that we, Americans, should not have to pay another dime. WE are paying enough.

From DK:

Via Nate, here are two pretty striking representations of the same data on the costs of healthcare, versus one measure of effectiveness of a system–life expectancy.

CTHEALTH_HealthcareChart_1005

healthscattersmall We are paying more and not getting enough for our healthcare dollar

The first one, originally from National Geographic’s NGM Blog Central demonstrates perhaps even more graphically how much of an outlier the U.S. is when it comes to spending per person on health care. The width of each of the lines, representing various countries, shows utilization of care, in terms of average doctor visits per year. That same statistic is represented by the size of the bubble for each country.

So we spend more, use less, and have worse outcomes. The low life expectancy in the U.S. is also a factor of the huge number of uninsured we have in this country, accounting for as many as 45,000 deaths annually. What these graphs ultimately show is that the existing system is severely out of whack, and the dollars being poured in are largely misdirected.

Gearing a “reformed” system toward reinforcing low utilization, as the Senate bill does with its high deductibles and out-of-pocket expenses, might not be the silver bullet to reducing costs in the overall system after all.

  • ecthompson
    I think that your criticism is valid. On the other hand, the study is also valid if youbelieve as I dothat in order to have good affordable healthcare you need to have constant health insurance.

    I appreciate your comments.

    happy new year to you.
  • ecthompson
    I think that your criticism is valid. On the other hand, the study is also valid if you believe as I do that in order to have good affordable healthcare you need to have constant health insurance.

    I appreciate your comments. 

    happy new year to you.
  • Joe White
    "the huge number of uninsured we have in this country, accounting for as many as 45,000 deaths annually"

    The study that purports to show this is very poorly done and I am surprised that you still quote it.

    The study actually worked like this.

    A group of people were documented to be without insurance at one point in time (call this Time A)

    Then they were tracked for up to fourteen years after Time A.

    Their uninsured status was not verified at any other point:

    "as it only recorded reported insurance status at the time the survey was taken." http://www.scientificamerican.com/blog/post.cfm?id=lack-of-insurance-causes-more-than-2009-09-17

    They could've gotten insurance after Time A.

    A study by CBO http://www.cbo.gov/doc.cfm?index=4210&type=0&sequence=2 shows that 2/3 of the people who become uninsured remain so for 12 months or less. 44% remain so for only 4 months or less.

    If the subjects died at any point in the 14 years, the 'study' that you are quoting concludes that they still must've been uninsured AND that it also was causative in the death.

    Their status as 'insured or not' was not verified at the time of death, much less 'proven' to be part of the reason (or the main reason ) for the death.
  • Joe White
    "the huge number of uninsured we have in this country, accounting for as many as 45,000 deaths annually"

    The study that purports to show this is very poorly done and I am surprised that you still quote it.

    The study actually worked like this.

    A group of people were documented to be without insurance at one point in time (call this Time A)

    Then they were tracked for up to fourteen years after Time A.

    Their uninsured status was not verified at any other point:

    "as it only recorded reported insurance status at the time the survey was taken." http://www.scientificamerican.com/blog/post.cfm?id=lack-of-insurance-causes-more-than-2009-09-17

    They could've gotten insurance after Time A.

    A study by CBO http://www.cbo.gov/doc.cfm?index=4210&type=0&sequence=2 shows that 2/3 of the people who become uninsured remain so for 12 months or less. 44% remain so for only 4 months or less.

    If the subjects died at any point in the 14 years, the 'study' that you are quoting concludes that they still must've been uninsured AND that it also was causative in the death.

    Their status as 'insured or not' was not verified at the time of death, much less 'proven' to be part of the reason (or the main reason ) for the death.
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