Why are healthcare costs in the United States twice that of other countries? Healthcare inflation has been going on for years, and although its rise has decreased the last few years, the costs of healthcare threaten to consume both the federal and state budgets and are still a leading cause of bankruptcy in the United States. The main reason is price.
First, a few simple statistics about US Healthcare, from the International Federation of Health Plans in their newly released annual report:
Hospital Room in the United States:
Average daily rate $4,293
That cost is six times what it would be in Argentina, and Kstrong>ten times what it costs in Spain.
Market Economics Don’t Work
In single payer systems there is a single body that negotiates prices with hospitals and drug manufacturers. If the rates are not agreed to, then the business is lost. Insurance companies use this locally in the U.S. to negotiate with physicians – and have driven the cost of physician prices lower. But the insurance companies do not have the power to negotiate with pharmaceuticals or hospitals the way a larger system does. In addition, the costs of the healthcare system are simply passed on to the insured with no consequence – hence, the US has the highest rate of healthcare inflation in the world. The British system has a unit of people whose whole job is negotiating with drug manufacturers to give the country a better price on prescription medications.
The British are buying in bulk for a country of 63 million people – and can successfully ask for steep discounts in return. In the US the marketplace does not do this. Pharmaceuticals are allowed to gouge the public for prices, then turn around and spend more on advertising to consumers than they do on research for more products. I’ve discussed television ads for pharmaceuticals previously.
Did you know that Medicare DOES NOT negotiate drug prices? The VA system does, but Medicare- the largest group we have DOES NOT.
Other costs: An MRI in Switzerland costs $138, but $1,445 in the United States. All of those free-standing MRI machines provide quick access but at high prices and often unnecessary (according to the American College of Radiology).
Gleevic, an effective drug for some forms of leukemia, costs $6,214 in the United States and in New Zealand it costs $989. The same drug, same efficacy – but in the US where the average deductible for insurance is $5,000 – this means the patient is getting gouged for the drug.
By expanding healthcare to all individuals in the border and setting up a system to negotiate prices, healthcare costs can dramatically decrease. Until then, the brunt of the cost will be the economy as more and more dollars that could be spent on other items: improving the nation’s infrastructure, providing better clean up of waterways, increasing budgets for research, or developing better fuels that are not carbon intense.
While some tout reform of the tort system (which needs reform) it is the inflated cost of items that provide for the runaway costs of healthcare.
Dr. Terry Simpson
Dr. Terry Simpson received his undergraduate and graduate degrees from the University of Chicago where he spent several years in the Kovler Viral Oncology laboratories doing genetic engineering. He found he liked people more than petri dishes, and went to medical school. Dr. Simpson, a weight loss surgeon is an advocate of culinary medicine. The first surgeon to become certified in Culinary Medicine, he believes teaching people to improve their health through their food and in their kitchen. On the other side of the world, he has been a leading advocate of changing health care to make it more "relationship based," and his efforts awarded his team the Malcolm Baldrige award for healthcare in 2011 for the NUKA system of care in Alaska and in 2013 Dr Simpson won the National Indian Health Board Area Impact Award. A frequent contributor to media outlets discussing health related topics and advances in medicine, he is also a proud dad, husband, author, cook, and surgeon “in that order.” For media inquiries, please visit www.terrysimpson.com.