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View Diary: First Doctor Visit in Five Years: Why Repubs Want Us Broke or Dead (224 comments)

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  •  follow the money ... (9+ / 0-)

    I'd loved to see somebody do some real investigative journalism on where all that money goes.

    Actual cost of the procedures & prescriptions - "real" cost and all the "overheads" for facilities, equipment, R&D recovery, etc.

    Administrative overhead - including lobbying and executive pay, for pharmaceutical companies, medical companies, facility owners and insurance companies (they each take their own cut)

    Profit for the medical companies - labs, doctors associations, hospitals etc.

    Profit for the insurance companies.

    There's a reason that per capita healthy care cost in the US is nearly triple the average of other developed countries - and it isn't because "we have the best health care system in the world".

    Insurance reform with the ACA was a good start - but there is so much more to do.

    OECD per capita health care cost 2013   Selected quotes:

    The United States spent 8508 USD on health per capita in 2011, two-and-a-half times more than the OECD average of 3339 USD (adjusted for purchasing power parity).
    In most countries, health spending is largely financed out of taxes or social security contributions, with private insurance or ‘out-of-pocket’ payments playing a significant but secondary role. The United States together with Mexico and Chile are the only OECD countries where less than 50% of health spending is publicly financed
    Despite the relatively high level of health expenditure in the United States, there are fewer physicians per capita than in most other OECD countries
    The number of hospital beds in the United States was 3.1 per 1000 population in 2010 (latest year available), lower than the OECD average of 4.8 beds
    As a result, while life expectancy in the United States used to be 1 ½ years above the OECD average in 1960, it is now, at 78.7 years in 2011, almost 1 ½ years below the average of 80.1
    In the United States, the obesity rate among adults – based on actual measures of height and weight – was 36.5% in 2011, up from 15% in 1978. This is the highest rate among OECD countries

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