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Re:Health insurers just published close to a trillion hospit... by tzs on Tuesday September 06, 2022 @08:28PM (#32744920)
> Do you consider the amount that the US spends per capita on healthcare relative to other countries for the same standard of care a "failure" of the healthcare industry?

That we spend more per capita for approximately the same level of care as most other first world countries is certainly annoying. But sometimes I think we are too focused on that and not putting enough effort into trying to stop the cost from increasing.

I think increasing costs are a more serious problem because the problem of spending so much more than the others is a US problem. That suggests it is just something we are doing wrong, and by making our system more like some of those others we can fix it.

The problem of rising costs also plagues those other countries, and to about the same extent as it does the US. That suggests it is a much harder problem to solve.

Here are some examples of rising costs per capita.

How much costs per capita went up from 2000 to 2018: US 2.3x, Germany 2.1x, France 1.8x, Canada 2.0x, Italy 1.7x, Japan 2.6x, and UK 2.6x.

Costs per capita in 1980, 1990, 2000, 2010, and 2020 divided by 1970 costs:

     1980 1990 2000 2010 2020
  US  3.2  8.2 13.9 24.1 36.3
  UK  3.1  6.3 15.3 27.8 40.5
  FR  3.4  7.6 14.9 21.1 28.5
Here's the ratio of each given year to the cost 10 years earlier:

     1980 1990 2000 2010 2020
  US  3.2  2.6  1.7  1.7  1.5
  UK  3.1  2.0  2.4  1.8  1.5
  FR  3.4  2.2  2.0  1.4  1.4
Data source: https://data.oecd.org/healthres/health-spending.htm

If "latest data available" is checked, uncheck it to unlock the slider that lets you look at historical data back to 1970.

Re:Health insurers just published close to a trillion hospit... by ramraj07 on Tuesday September 06, 2022 @08:48PM (#32745067)
Data doesn’t make sense. If US costs went up similar to other countries but US is significantly more expensive than other countries today, does it mean costs in US have always been much higher?
Re:Health insurers just published close to a trillion hospit... by tzs on Tuesday September 06, 2022 @09:59PM (#32745543)
Yes (at least as far back as the data at oecd.org goes, which is 1970).

In 1970 US health care spending was $327.0/per capita. France was $192.1, and UK was $124.0. That's 1.7x France and 2.6x UK for the US.

In 2020 it was $11859 for the US, $5468 for France, and $5019 for the UK. That puts 2020 US spending at 2.2x France and 2.4x UK.

From 1970 to 2020 US went up 36x, France 28x, and UK 40x.

It looks like much of the first world has a serious rising health spending problem, with costs rising roughly the same over time everywhere. The US was more expensive long ago, and since the rising costs have been roughly the same the US has stayed more expensive by about the same ratio.

If we could get our spending down to match the rest of the first world, without reducing the level of care, that would be great.

BTW, it is similar if we go by percent of GDP instead of per capita.

US was spending 6.2% of GDP on health in 1970, France 5.2%, and UK 4.0%.

In 2020 that was 18.8% of GDP for the US, 12.2% France, and 12.0% UK.