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A grim diagnosis for our ailing U.S. health care system - The Washington Post
Keywords:
Samuelson points to the risks to the American economic growth from excessive health care costs. This is hurting take home pay and shows up in consumer spending. It is hurting government spending in other areas such as needed infrastructure spending and efforts to reduce the deficit. This hurts private capital investment to create jobs because of lower demand from constricted consumer spending. The U.S. budget has as its largest single expense 27% on health care compared to 20% on defense the next largest expense, with growth in health care spending taking this to one third of the budget in coming years. Without addressing health care, says Samuelson, the Supercommitte in Congress even if successful at deficit reduction will basically have failed to do its job, and it did not have the time, resources or conviction to do this. According to a new study from the Organization for Economic Cooperation and Development (OECD), U.S. healthcare spending per person is $7,960 per person in 2009. This compares with Norway $5,352, Britain $3,487, France $3, 978, an OECD average of $3,233. Life expectancy in the U.S. is 78.2 years, compared to Japan 83 years, OECD average of 79.5 years. Chile and the Czech Republic have life expectancy equal to the U.S. Except for cancer care where the five year survival rate is 89.3% in the U.S. and the OECD average is 83.5%, the U.S. lags far behind in much needed critical areas such as diabetes and asthma. Rates of emergency hospitalization for asthma are 3 times that in France and 6 times that in Germany and Italy. The U.S. has fewer doctors per thousand population and higher cost per medical procedure- with more frequent use of the costliest procedures- creating a supply shortage that induces higher prices, and less preventive and early action care through physician visits. The number of practicing U.S. doctors is 2.4 per thousand population in the U.S. compared to 3.1 per thousand for the OECD average; and number of annual doctor consultations 3.9 per capita in the U.S. versus 6.5 for the OECD average. Appendectomy cost $7,962 in the U.S., $5,004 in Canada and $2,943 in Germany. Coronary angioplasty cost $14,378 in the U.S., compared to $9,296 in Sweden, and $7,027 in France. Knee replacement cost $14,946 in the U.S., $12,424 in France, and $9,910 in Canada. Knee replacements, angioplasties and MRI exams are twice as common in the U.S. compared to the OECD countries.
The French health care system and its costs, comparison with the American system of health care.
06/28/2007
The rising costs of the French system and its concept and performance. Efforts to meet rising costs and rise of the "mutuals." Healthcare in France is at about 11% of GNP compared to 16% in the USA, with 50 million uninsured in the US and 99% of 64 million people of France covered. Pricing of pharmaceutical products and healthcare services remains a major unsolved problem in the U.S.
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New solutions are being developed and new ideas being tried to bring down health care costs. In many case quality can improve at lower cost or the similiar results delivered for lower cost with some other advantages inpatient focussed healthcare that improve outcomes. Pricing of pharmaceutical products and healthcare services as the major unsolved problem in the U.S.
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Failure to control overbilling by pharmaceutical companies, medical equipment and device makers in the health reform bill.
12/10/2009
Only $10 million annual increase to control fraud has been allocated in the bill. Its not likely to do much to control the overbilling and may be one more reason the health care reform bill will be a failure in controlling costs. Pricing of pharmaceutical products and healthcare services as the major unsolved problem in the U.S.
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A grim diagnosis for our ailing U.S. health care system - The Washington Post
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The struggle to get legislation passed to allow importation of drugs.
01/23/2008
Failure of the Byron Dorgan legislation by 9 votes in the Senate even thogh a coalition of Democrats and Republicans support it, with the Obama Administration opposing it. President Obama turns his back on action that he supported to help Americans hurt hig prescription costs, after pharmaceutial industry lobbyists are able to influence the Obama administration. Just as in the banking industry the Obama adminsitration is letting lobbyists influence its policies.
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AARP Study Says Price of Popular Drugs Rose 26%
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White House visitor logs show lobbying going strong - The Washington Post
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Britain's National Institute forHealth and Clinical Excellence (NICE) and reviews of drugs for costs and benefits- 2010-2013
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Reviews of drugs for Lupus and MS resulting in turning them down because of high costs and modest efficacy.
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AARP Study Says Price of Popular Drugs Rose 26%
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Cost of Brand-Name Prescription Medicines Soaring
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GE's (General Electric) new Diabetes Health Plan.
10/22/2009
Providing incentives to patients to be compliant for diabetes complications and reduce costs significantly.
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Health Battle Over Soda Flares in Mexico
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Tough Love, Lower Health Costs
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Diabetes Cases Double to 347 Million
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A Waiting Game at Finance Unit
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A grim diagnosis for our ailing U.S. health care system - The Washington Post
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Lowcost health care solutions developed in India, China and other developing countries.
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India, China and other developing countries are coming up with affordable technology to help the low income people in their countries get access to health care.
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India and China Play Down Border Tensions
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G.E. Chief Sees India Helping Cut Costs of U.S. Health Care
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A grim diagnosis for our ailing U.S. health care system - The Washington Post
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The two US Deficit Commissions in 2010 and the Deficit from Growing Health Care Costs
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Bowles-Simpson Deficit Commisssion proposals, critics say, did not adequately tackle the health care part of the US Deficit. Rivlin-Domenici Deficit Commission phases out the tax exclusion on employer-subsidized health care insurance. Both fall short in addressing the health care portion of the deficit.
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Second Panel Calls for Cutting Military Spending
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The sweeping restructuring of U.S. health care that is needed and the way patients, doctors, and hospitals would rather live with the status quo.
01/31/2008
The risks of "cosmetic" reform in the Obama administration's efforts, and the unsustainability of the current system in the costs and results it provides.
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Robert J. Samuelson - Wrong Way on Health 'Reform'
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Obama's Health Plan Needs Spending Controls, CBO Says
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Costs of America's healthcare system and services compared with other European countries
01/31/2008
The costs of American health care per patient is double that of some European countries with poorer results in many critical areas of medical services. The burden on society as a whole and the lack of incentive for providers and patients to take action. Pricing of healthcare and pharmaceuticals as the major unsolved problem in the U.S.
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U.S. healthcare insurance costs 2010-2013
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An Rx? Pay More to Family Doctors
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Innovation and the pricing of drugs in the U.S. by the pharmaceutical companies.
06/09/2007
Will drug innovation be affected adversely by price reductions in the USA? No say experts as it is a globalized industry and innovation takes place in labs around the world. And the pricing reforms, as in Britian and Germany, can actually encourage R&D for effective drugs with good cost relationships; when comparitive effectiveness of drugs and cost benefit analyses is used in pricing reforms. Pricing of pharmaceutical products and healthcare services is the major unsolved problem in the U.S.
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Settlement May Cut Drug Prices
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Atul Gawande in the New Yorker who talks about the McAllen, Texas model and Robert Frank who cites the Mayo clinic model for physician spendiing.
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Failure of the health care reforms of 2009 to tackle the cost of physician spending leave a big gap in the country's finances and its ability to finance both external wars, Iraq and Afghanistan and higher spending on social priorities. Something's got to give.
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Convergence of the demand for affordable and appropriate health care solutions in developing countries and the technology and the technology adapting pioneers there.
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Technology is being adapted to suit local conditions and demand for affordability in poor countries. Western companies are only gradually waking up to the rich possibilities in this field just as pioneers are taking up this challenge in developing countries. The patient is at the centre of the the solutions and not the doctor in these advances and it has real potential for reducing cost and improving quality of health care worldwide.
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Health care reform suffers from a huge gap with no change to the "fee -for-service" system used by physicians.
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With over one third of the cost of medical expenditures coming from doctors and hospitals, the complete absence of an effort to base care on quality, medical necessity and results, leaves the reform on shaky grounds.
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The health care models of countries in Europe.
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The German, French, Dutch and other models of health care. The health care system of France covers 99% of 64 million people at acost of 11% of GNP compared to 16% of GNP for the US and 50 million uninsures.
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What health care experts like the Dean of Harvard Medical School say about the Health Care Reforms in Congress.
03/05/2009
Give it an "F" grade says Jeffrey Flier. It doesn't do much to control skyrocketing costs or to improve quality of care. Worse still its disingenous, as Congressmen are pretending to the public that reform has happened when it certainly has not.
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