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Obama and others have indicated that the growth in Medical Care is unsustainable.   I am sure that all here are familiar with these
statements. I looked at health care employment by occupation and by
sector to see from where we might move people if the nation decided
it needed more health care employees.The entire health
care system employs 16.5 million people.
About ten million of these are actually doing health care such as technicians,
nurses aids, registered nurses and of course physicians.
By comparison, retail trade is 15,000,000 and restaurants employ 9.6 million
people.
All types of government from localities to states
to the federal government employ  only 10,000,000 people.


Briefly, I look at statistics on the amount of money we are spending on
medical device manufacturers and our balance of trade in this important
area.

Obama says that the health care system is not sustainable.  

In his speech before the American medical Associaton, he said,
"And it [health care costs] are unsustainable for the United States of
America"


I decided
to look by employment to see if this was the case.  The entire health
care system employs 16.5 million people.
About ten million of these are actually doing health care such as technicians,
nurses aids, registered nurses and of course physicians.
The rest is overhead of various kinds.


By comparison retail trade is 15,000,000 and restaurants employ 9.6 million
people.
All types of government from localities to states
to the federal government employ  only 10,000,000 people.


I also look at employment by type, 28,000,000 are office/administrative
workers.
We have about half a million physicians and half a million lawyers.


According to the Bureau of Labor Statistics, here are the numbers in
some sectors
:

Health Care		16,499,250
   Of these 5,4 million are doctors, nurses, technicians pharmacists
   3,3 million are less skilled workers such as nurses aides/ physical ther aids
   Those are the ones actually doing the work
   
   Office and administrative are two million in this zone

Finance and Insurance	 6,000,000
Retail Trade		15,000,000
Legal Services		 1,100,000
Accomodation such as Hotels, Motels and Rooming Services are 1.862 million
Restaurants and other food services 9,6 million
Personal care Services (which include funerals, drycleaning and presumably
barbers, massages, cosmetologists) are 
			 1,200,000
Gambling		   147,120
Amusement Services	 1,113,480  (includes bowling, golf courses, 
				     fitness centers, skiing facility, golf cou)

Religious Organizations    185,860
Government (Fed, state,  9,700,000
  local)


And here are some statistics by occupation

Health Care		16,499,250
   Of these 5,4 million are doctors, nurses, technicians pharmacists
   3,3 million are less skilled workers such as nurses aides/ physical ther aids
   Those are the ones actually doing the work
   
   Office and administrative are two million in this zone

Finance and Insurance	 6,000,000
Retail Trade		15,000,000
Legal Services		 1,100,000
Accomodation such as Hotels, Motels and Rooming Services are 1.862 million
Restaurants and other food services 9,6 million
Personal care Services (which include funerals, drycleaning and presumably
barbers, massages, cosmetologists) are 
			 1,200,000
Gambling		   147,120
Amusement Services	 1,113,480  (includes bowling, golf courses, 
				     fitness centers, skiing facility, golf cou)

Religious Organizations    185,860
Government (Fed, state,  9,700,000
  local)


This is out of a workforce of 135,000,000.


Total shipments of "electromedical  and electrotherapeutic" appartus
manufacturers in the Unites states was 164 billion per year
.


I also looked at the totals of medical device imports and exports


Category M216, Scientifica nd medical machinery is 30 billion per year imports.
Tghe total for all laboratory and scientific devices is 61 billions a year.
The nation as a slight net positive balance in this area, exporting 36 billion
per year of medical and a total of 72 billion.
When we compare this to both our trade deficit, on the order of a trillion
dollars per year, and the expenditures on health care, these are not significant.

Originally posted to LEFF on Mon Jul 06, 2009 at 10:16 AM PDT.

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Comment Preferences

  •  No offense to people in retail... (1+ / 0-)
    Recommended by:
    Norbrook

    but I do not want them anywhere near my medical care.../semi-snark...

    Obama - Change I still believe in

    by dvogel001 on Mon Jul 06, 2009 at 10:47:12 AM PDT

  •  Not sure what your point is . . . (1+ / 0-)
    Recommended by:
    ladybug53

    The nation as a slight net positive balance in this area, exporting 36 billion
    per year of medical and a total of 72 billion.

    When we compare this to both our trade deficit, on the order of a trillion
    dollars per year, and the expenditures on health care, these are not significant.

    The trend is much better than the overall trade picture and indicates that this is an area we can potetially build on . . . .

    After all, if one were to look at solar & wind power - what are they 2% of total electricity generation today? - one could also easily dismiss them as being insignificant.

  •  I just read an article about healthcare (0+ / 0-)

    and off-shoring the jobs that don't directly touch patients.  Jobs, like medical billing or perhaps record keeping are ripe to off-shore to companies in India.  Looks to me like healthcare could shed American jobs.  Then there's the flipside where we import healthcare workers from other countries to take care of patients.  Have you been to a nursing home recently?  Many of the aides are from Africa, The Phillipines, etc...  It only depends on the geographical area of the country to determine where most of these people come from, but get used to the idea that these are the jobs Americans don't want.  These places understaff.  The bottomline for the profit making company is all that matters.  They pay is so low that many of these people have to work 2 and 3 jobs, so they don't function really well at any of their jobs.  

    Winning without Delay.

    by ljm on Mon Jul 06, 2009 at 11:32:25 AM PDT

    •  They already are off-shored (0+ / 0-)

      A pretty solid percentage of transcription, coding, and billing is already off-shored.  For fun, look up "medical transcription" and India will pull up thousands of results - and if you look closely, you'll find that a number of "American" companies actually send it there.  The same has been holding true of the other clerical functions.  Even radiology is being sent there.  

      I'm not sure what this diary is trying to say.  Having worked in the healthcaare sector, I know that there are a number of people who are necessary but are not involved in direct patient care.  You still need laundry services, dieticians, food preparers, janitors, record people, etc.  With the move towards more IT, you now need people to keep that up and running.  

      I think that I have had enough of you telling me how things will be. Today I choose a new way to go ... and it goes through you!

      by Norbrook on Mon Jul 06, 2009 at 11:44:33 AM PDT

      [ Parent ]

      •  Laundry services, etc. in health care (0+ / 0-)

        the BLS lists by each category the occupations it employs.  Health care
        employs 527,940 food preparation and related workers
        such as cooks and dishwashers, 455,710 buildings and
        groudns maintenance and cleaners, 318,490 child care workers, 553,660 home care aids as well as a few other miscellaneous workers of this type--they employ sixty barbers for example, 56,170 sales persons,
        and 2.7 million service workers out about 23 million in the United States.


        And a few hospitals apparently have farmers as they
        employ 490 farmers as well as a few miscellaneous
        agricultural and forest workers.  


        More significantly, they employ 126,960 "installation, maintenance and repair occupations" and
        another 107,000  production occupations which includes
        53.950 laundry workers and sixty welders and
        eighty machinists and 112,350 "transportation and
        material moving workers' which includes fifty pilots.


        And to answer another question, this diary  did
        not have a specific point or opinion.  It is just
        intended as information for a discussion.

  •  IN TV & VA HEALTH CARE IS A FRAUD (0+ / 0-)

    As a former health care giver, I am shocked and sad to see what is called quality health care in TN & VA. Clearly PROFIT CARE is more important than PATIENT CARE. We must have public option NOW. http://www.wisecountyissues.com/... How many more innocent people will die for greed ?  The very health care system we trust and depend on keeping us healthy is infecting our communities with MRSA ( Methicillin Resistant Staphylococcus Aureas )

    There will only be change when those unaffected are as outraged as those who are.

    by quidam56 on Mon Jul 06, 2009 at 11:39:14 AM PDT

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