The Cost of Costs: Possible Cost-Containment Strategies for U.S. Health Care
American’s health care cost is notoriously high compared to other industrial countries’ health care costs. Why is this the reality? This is the question Mark Stabile et. al. argues in “Health Care Cost Containment Strategies Used in Four Other High-Income Countries Lessons For the United States.” Although the other four countries— Switzerland, UK, Germany and France—are not perfect, they have cost-containment strategies that the U.S. could replicate. The main goals are that the U.S. needs better cost-effective measurements, an increase in negotiating powers with providers and pharmaceutical companies, and more uniform prices for the same services. The question then becomes how will the U.S. accomplish these goals?
The cleanest way to lower cost prices would be to create a single-payer system. The government would be the sole payer for health care and thus have more power to negotiate for lower costs, which would be unilaterally implemented. In addition, the government would decide which medicines and technologies should be purchased or pursued, similar to the UK’s National Institute for Health and Care Excellence (NICE) system. However, this is idealistic and based upon a purist single-payer system, which even if it could be implemented, would run counter to the current U.S. system in place, which relies heavily upon private insurance.
What then would be a realistic strategy to lower costs? Richard
Universal Healthcare sounds appealing, but it actually lowers the quality and quantity of healthcare services that are rendered to patients, thus downgrading the healthcare system as a whole. Not having to pay, with everyone having coverage leads to longer wait times for medical service and many people overusing health care services. Implementation of Universal Healthcare in the United States would lead to a detrimental crippling of the nation’s health system. For those countries that have implemented Universal Healthcare or a system similar to it, all or most aspects of the coverage such as cost and care is generally provided by and tightly controlled by the government, a public-sector committee, or employer-based programs, with most of the funding essentially coming from tax revenues or budget cuts in other areas of spending. This paper will conclude with comparing the US healthcare system to others and how the US has one of the most advanced systems in the world.
Rising medical costs are a worldwide problem, but nowhere are they higher than in the U.S. Although Americans with good health insurance coverage may get the best medical treatment in the world, the health of the average American, as measured by life expectancy and infant mortality, is below the average of other major industrial countries. Inefficiency, fraud and the expense of malpractice suits are often blamed for high U.S. costs, but the major reason is overinvestment in technology and personnel.
Health care spending in the United States of America as a percentage of the economy has reached astonishing heights, equating to 17.7 percent. This number is shocking when compared to other counties; in Australia health care is 8.9 percent, in United Kingdom 9.4 percent, in Canada 11.2 percent. If the American health care system were to hypothetically become its own economy, it would be the fifth-largest in the world. While these statistics sound troubling, they lead us to look for answers about the problems surrounding our system. The first health insurance company was created in the 1930s to give all American families an equal opportunity for hospital care and eventually led to a nationwide economic and social controversy that erupted in the 1990s and continued to be shaped by the government, insurance companies, doctors, and American citizens. In this paper, I will go in to detail about the various opinions regarding the controversy, the history behind health insurance companies, and the main dilemmas brought out by the health care crisis. Greedy insurance companies combined with high costs of doctor visits and pharmaceutical drugs or the inefficient hospitals all over America can only describe the beginning to this in depth crisis. Recently, the United States health care industry has become know for the outrageous costs of insurance models, developments of various social and health services programs, and the frequent changes in medicinal technology.
When it comes to health care, cost is one of the biggest problems. Something needs to be done in order to make it possible for patients, families, and businesses to be able to afford health care. US does not always spend health care dollars in the most productive way. The cost of cancer treatments alone can cost up to hundreds of thousands of dollars, and the only way to pay for that is to raise the cost of the insurance to the patients. Cost is defined as the “price” of healthcare. The “price” or cost can come from various places such as, the physician’s bill, the cost of prescriptions, as well as what the employers pay to cover their employees. The cost of treatments, emergency room visits, medicines, the cost of newest technology and etc. is what is making our increase in cost rapidly. The rising costs leads to becoming a financial burden to families, even the ones that have health insurance, which can typically result in individuals not receiving the health services that they need.
The single most important impetus for healthcare reform throughout recent history has been rising costs (Sultz, 2006). In the book called The healing of America: a global quest for better, cheaper, and fairer health care, Reid wrote that the nation’s health care system has become excessively expensive, ineffective, and unjust. Among the world’s developed nations, the US ranks near the bottom for healthcare access and quality. However, the US ranks at the top for health expenditure as a percentage of the Gross Domestic Product (GDP) and average of $7,400 per person (Reid, 2010). Therefore, Americans are spending
In March of 2010 President Barack Obama reform Health care in America and implement a new law called the Affordable Care Act. “Millions whom previously could not afford to purchase insurance now had care drastically impacting the way health care would be delivered” (Wilson, 2010). “The Us spends 1.5 times more in health care than any other developed country and 2.5 times more than the average. At least $3000 more per person that Switzerland with comparable income yet americans die earlier and live in poorer health. Growth in the US Healthcare is Unstable , health care spending has doubled in the past 30 years rising from 9.2% of GDP min 1980 to 17.9% in 2014. Health insurance premiums have increased 97% the last decade “(Kane, 2012)
In 1998, the United States devoted 13% of its economy to health care, and this figure rose to 16% by 2008. However, despite this rise in government expenditure on health care, outcomes for patients remained the same (Obama, 2016). The quality of the health care system in general was not great; health care
The subject of healthcare in the United States can be a contentious one, and it is also an area where peoples' perceptions don't always align with the facts given by policymakers. What makes healthcare spending so scandalous is the amount of money the United States pours into healthcare each year. Over $8,000 per-patient per-year costs, amount that has more than double any of the other nation. Yet 15 to 25% of the American population has no healthcare coverage due to a lack of any form of universal
The main cause for the healthcare reform bill is the rising cost of health insurance for the American citizens. From the 1960s to the 1980s healthcare spending went from $28 billion to $255 billion. By the beginning of 2000, healthcare spending increased to $1.4 trillion. The United States economy has slowly declined due to several factors, the cost of health care is one. Presidents, state representatives, hospital and insurance executives, and economists have tried to attack this huge deficit. There are several things that can be done in order to reduce rapidly increasing health care spending. Some actions that could benefit the United States economy is the stop of wasteful
Decreasing healthcare “cost” has been repeatedly debated for decades now. Despite tremendous efforts to reduce cost, the US Healthcare System is still struggling to deliver an effective and affordable level of care. Not only the cost of healthcare is higher in the U.S., there is also much waste due to unnecessary laboratory, radiology & other investigations, unwanted hospitalizations, procedures, longer hospital stay, preventable emergency room visits, and a lot of medications waste, that costs the U.S. $750 billion annually according to IOM in 2012 (Glicksman E. , 2015).
The U.S. is an industrialized nation that continues to be behind on providing health care coverage to all citizens. However, the German health care system came up with a plan that ensured all citizens are provided with some form of health care coverage; nevertheless, the U.S. continues to dispute health care reform and how to provide coverage to all citizens. “Health spending per capita in the United States is much higher than in other countries – at least $2,535 dollars, or 51%, higher than Norway, the next largest per capita spender. Furthermore, the United States spends nearly double the average $3,923 for the 15 countries ("Health Care Cost," 2011, table 1)”.
According the Department of Health and Human Services, total health care spending in the U.S. reached $2.3 trillion in 2008, or $7,681 per person. As a share of GDP, healthcare expenditures set a new record of 16.2 percent. That’s double the 8.1 percent share of GDP in 1975, and it is triple the 5.2 percent share of GDP in 1960. (Perry, 2010) Last year in 2012, total U.S. health care spending hit $2.807 trillion, or $8,948 per person. (Geisel, 2013) Its rate of increase has been relatively low since 2009, at
United States spend a huge expense on health care that ranks number 1 among all the countries in the world. In comparison, the rank for the health quality is not among top thirty. That difference between cost and effect has always been under debate. In this aspect, government intervention is partly responsible for two reasons of increase in cost. First, given that Medicare and Medicaid offer limited part of the price but commercial insurances can offer
healthcare system is wasteful and ineffective. Americans are not receiving the high quality care they deserve, especially considering that their health insurance costs are higher than any other country. In an article published by Time Magazine America’s privatized system is described as, “scandalous given the extremely high cost of the U.S. health care system, which takes up 17.1 percent of the Gross National Product. This is 40 percent higher than the average for high-income countries (Carter, Brundtland 1). The U.S. is the heaviest spender on healthcare and as a result one would expect the care citizens receive to be of the highest caliber, this however is not the case. The general standards of health in the U.S. such as life expectancy and infant mortality rate are lower than in multiple countries that spend far less. In addition to this huge ineffectiveness the privatized system is also very wasteful. According to an article from the Los Angeles Times, Despite the fact that the United States has the most expensive healthcare system in the world, millions of americans cannot live healthy lives and protect their children from illness because they are unable to access affordable care (Etehad 1). The tremendous amount of money being spent on health insurance is not making U.S. citizens any healthier and leaves millions of people
While it is true that healthcare is way too expensive, I think the government price controls (limits) to curb the exorbitant prices is not the solution. The rationale for high prices in the health care is based on the ridiculous high administrative costs, high costs of drugs that no one can afford and high health insurance premiums. The solution to this craziness in healthcare is for the government to take a larger role in fixing the real causes of the crisis in pricing for health care. The government should ensure that the healthcare industry is efficient by creating a conducive economic environment for the production of healthcare products. The strategies adopted should at the very least ensure the pricing is fair and the healthcare given