U.S. healthcare expensive, inefficient: report



dougadam

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Sep 29, 2005
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Tue May 15, 2007 1:25AM EDT
By Maggie Fox, Health and Science Editor

WASHINGTON (Reuters) - Americans get the poorest health care and yet pay the most compared to five other rich countries, according to a report released on Tuesday.

Germany, Britain, Australia and Canada all provide better care for less money, the Commonwealth Fund report found.

"The U.S. health care system ranks last compared with five other nations on measures of quality, access, efficiency, equity, and outcomes," the non-profit group which studies health care issues said in a statement.

Canada rates second worst out of the five overall. Germany scored highest, followed by Britain, Australia and New Zealand.

"The United States is not getting value for the money that is spent on health care," Commonwealth Fund president Karen Davis said in a telephone interview.

The group has consistently found that the United States, the only one of the six nations that does not provide universal health care, scores more poorly than the others on many measures of health care.

Congress, President George W. Bush, many employers and insurers have all agreed in recent months to overhaul the U.S. health care system -- an uncoordinated conglomeration of employer-funded care, private health insurance and government programs.

The current system leaves about 45 million people with no insurance at all, according to U.S. government estimates from 2005, and many studies have shown most of these people do not receive preventive services that not only keep them healthier, but reduce long-term costs.

Davis said the fund's researchers looked at hard data for the report.

"It is pretty indisputable that we spend twice what other countries spend on average," she said.

Per capita health spending in the United States in 2004 was $6,102, twice that of Germany, which spent $3,005. Canada spent $3,165, New Zealand $2,083 and Australia $2,876, while Britain spent $2,546 per person.

KEY MEASURES

"We focus primarily on measures that are sensitive to medical care making a difference -- infant mortality and healthy lives at age 60," Davis said. "Those are pretty key measures, like how long you live and whether you are going to die before age 75."

Measures of other aspects of care such as cataract surgery or hip replacements is harder to come by, she said.

They also looked at convenience and again found the United States lacking -- with a few exceptions.

"We include measures such as waiting more than four months for elective, non-emergency surgery. The United States doesn't do as well as Germany but it does a lot better than the other countries on waiting time for surgery," Davis said.

"We looked at the time it takes to get in to see your own doctor ... (or) once you go to the emergency room do you sit there for more than two hours, and truthfully, we don't do well on those measures," Davis said.

According to the report, 61 percent of U.S. patients said it was somewhat or very difficult to get care on nights or weekends, compared with 25 percent to 59 percent in other countries.

"The area where the U.S. health care system performs best is preventive care, an area that has been monitored closely for over a decade by managed care plans," the report reads.

The United States had the fewest patients -- 84 percent -- reporting that they have a regular doctor.

And U.S. doctors are the least wired, with the lowest percentage using electronic medical records or receiving electronic updates on recommended treatments.
http://www.reuters.com/article/healthNews/idUSN1430711120070515
 
Not to mention our system of forcing the employer to pay benefits puts our industries at an economic disadvantage.
 
really, what can we as a society expect when it's OK to be a video game/couch potato, eat food that's so highly processed and chemically 'enhanced' that it does more harm than good, and exercise is considered so 'uncool' it's called 'gay'?

let's be real -- it's OK to say no to your kids, it won't 'traumatize' them; they don't NEED the xbox360, or the nintendo wii, or whatever else the bulls** factory puts out. also, TV is not a babysitter.

on one end of the spectrum, you have the workaholic parents who want to provide everything to their child that they didn't have for themselves -- in the process, they neglect the child by not spending time loving that child. at the other end, you have the more negligent parent(s) who push their kids away so they can drink, snort, f***, or whatever other activity resulted in the child being conceived in the first place. most of us are somewhere in the middle range, whether we lean more toward the things or the time to love. my personal experience is that children will pursue in adulthood what they lacked as a child, and mine (2 grown w/ kids, 1 preteen) haven't lacked love or security -- just 'things'. i grew up w/ a reasonably comfortable but cold environment. i SWORE my kids would ALWAYS know i loved them, and they have.

our lives have become too compartmented, and we are paying the price in health, both for ourselves and our children. obesity, not even as defined by the archaic height-weight charts from the gov't, is more of a threat than AIDS; heart disease is #1! cancer -- caused, i believe, by the dormant gene we all carry getting activated by outside sources, like the food or smoking -- takes out a small city every year.

we need to wake up.
 

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