American taxpayers footed the bill for at least $1.8 trillion in federal and state health care expenditures in 2022 — about 41% of the nearly $4.5 trillion in both public and private health care spending the U.S. recorded last year, according to the annual report released last week by the Centers for Medicare and Medicaid Services.
On top of that $1.8 trillion, third-party programs, which are often government-funded, and public health programs accounted for another $600 billion in spending.
This means the U.S. government spent more on health care last year than the governments of Germany, the U.K., Italy, Spain, Austria, and France combined spent to provide universal health care coverage to the whole of their population (335 million in total), which is comparable in size to the U.S. population of 331 million.
Between direct public spending and compulsory, tax-driven insurance programs, Germany spent about $380 billion in health care in 2022; France spent around $300 billion, and so did the U.K.; Italy, $147 billion; Spain, $105 billion; and Austria, $43 billion. The total, $1.2 trillion, is about two-thirds of what the U.S. government spent without offering all of its citizens the option of forgoing private insurance.
This may not be a popular question, but: Would Americans be willing to pay less?
No really. This would mean a lot of good jobs being cut. Yes, they are jobs that provide no benefit to the public (rather the opposite), but thinking about the big picture isn’t very American. Americans like to side with the little guy.
It gets worse. It would mean a huge pay cut for doctors. They are way overpaid compared to doctors anywhere else. Would Americans side with
themselvesthe peoplethe government or those nice family doctors?First of all what? Typically the highest paid members of hospital staff of “Administrators” who have completely shifted health care into a for-profit business. If the government regulated them out of their jobs and there were price caps set in place instead of wasting hundreds of hours decoding billing and fighting insurance companies doctors would very likely make more. They would also be more likely to actually try to help you versus hit unrealistic patient exam quotas to try and extract as much money from insurance to benefit the administration staff. Hell new doctors in medical school are pretty much unpaid and forced to work hours that somehow circumvent labor laws. The whole medical industry needs to be overhauled. Getting rid of middle management would free up capital that could be properly reinvested into the hospital for better equipment, wages etc.
I expect that’s politically the way to go; not that I know anything about that. You get rid of a few inefficiencies and pay off other stakeholders with most of the gains.
The fact remains, if you want to lower health care costs to levels comparable to other countries, you have to lower all the costs to comparable levels, including doctor’s pay.
I don’t think you understand just how much bloated administrative costs and bureaucracy account for the U.S.‘s healthcare spending. It’s absolutely NOT doctors’ salaries accounting for the literally billions we are spending and no doctor’s shouldn’t be paid less to do the same job. Remove the middle men and ghoulish profiteering from healthcare.
The US can pay doctors as much as it wants. If Americans think that doctors deserve more than they get in other countries, that’s not for me to judge. Mind, that it does imply that the US is more unequal than other countries, because Americans want it to be.
True, merely lowering the administrative overhead will also go some ways to lower costs. But here, too, I wonder if Americans are really willing to do that. Sure, everyone wants to get rid of the useless middle men, but that’s not anyone’s job description.
Education costs in the US are also astronomically higher than other countries, which when you’re indebted 250-500k as soon as you graduate medical school, you are going to command a higher wage to make payments. The Education system in the US suffers from the same “we should run this like a business” greed that the medical industry does and should absolutely be reformed. Cause freedom isn’t free but it can be financed 🙄
Are you calling for profit insurance the little guy? I don’t know why people think doctors would be the ones taking the hit and not the for profit corporations.
No. I am asking if Americans would actually be willing to see cuts happen.
To answer your implied question: Because corporations don’t consume. They don’t go on holidays, live in mansions, … There is nothing there which can take the hit.
Corporations do consume, go on holiday, live in mansions… The executives wouldn’t lower their standards or travel on their own dime.
If you think for profit corporations don’t have excess then you must not live in the same reality.
Executives are employees, not corporations.
Corporations give things to their executives. Company retreats? Company jets? Company cars? Do none of these exist in your reality?
Employees receive pay. What you describe is called “fringe benefits”. It’s not unusual.
If you want to know something about these things, health care statistics, executive pay, or whatever, just ask. I am patient with you, because it is obvious that you are a minor. However, if you want to know more, then I expect you to keep the childishness out of “my reality”. Ok?
You’re so close
BUT, small businesses would benefit, and entrepreneurs, if they didn’t have to worry about health insurance. Doctors offices costs would come down without a lot of complicated billing stuff to do. Billing specialists would lose their jobs. Of my circle of people - husband would lose his job unless it was a Germany style system, and two other people I know.
If you want some sort of employment program, the medical system here is a shit way to go about it. Why not pay people to do something with a good impact on the land or the people?
And again - universal, tax-paid coverage would favor small business, it’s easier to take a risk when it doesn’t mean you might go bankrupt from a medical issue.
Quite possible. Rates of self-employment are higher in France and Germany (2022 OECD stats). I’m not sure if that figure should be taken at face value, though.
You mean a system with mandatory insurance? Administrative costs are substantially higher in US health care. Anything to bring quality and costs more in line with peer countries would mean a substantial hit, regardless of the system adopted.
Good question. Just a cursory glance into the statistics will tell anyone that the US system is dysfunctional. It’s been that way for decades or longer. I don’t even know when it became obvious that it wasn’t doing as well as its peers. And yet, there hasn’t been a lot of effort to improve it (Kudos to Obama, though). Maybe Americans just don’t want to do what it takes. Maybe they just want a better outcome, without all the small, necessary steps to get there.
On Unless it was a Germany style system (sorry I don’t know how to do the inline quotes yet)
I mean that Germany uses highly regulated private insurance plans to get to universal coverage. That would probably be an easier sell here, than a one plan to rule them all NHS. Not saying it’s a better idea. I have argued for YEARS that single payer would be a good idea here because we already have Medicare, just expand it to everyone and audit the fuck out of the providers would be cheapest and most efficient.
Use the “greater than” symbol: “> teehee I’m a quote”
Thanks!
Oh, no! We eliminated useless positions that accomplish nothing but sucking the life out of the system. However will we go on?
As you americans tell it: That’s bullsh*t. I see you guys getting fucked everyday by corporate. It’s hard to believe this is the U.S that holds international power… it looks like a Circus on fire looking inside from the outside.
As somebody trapped in this circus, lemme tell you, I want the fuck out of this clown car.