Health Care or Not???
Our worldwide virus forces us to profit from prevention. Covid 19 opens our eyes how sanitizing and distancing lessens this global nightmare.
America's health careless system wastes a third of its expenditures. We are witnessing a greater toll, the waste of lives!
The United States spends more on health care than any other country in the world, and a large share of that spending comes from the federal government. In 2019, the United States spent about $3.6 trillion, or 18 percent of GDP, on health expenditures – more than twice the other developing countries- up 4% from $3.5 trillion in 2018, according to new predictions from Fitch Solutions. The analysis predicts U.S. pharmaceutical spending will grow 2.5% to $370.7 billion. May 29, 2019 - https://www.healthcaredive.com.
Hospital spending represented a third (33%) of overall health spending in 2018, and physicians/clinics represent 20% of total spending. Prescription drugs accounted for 9% of total health spending in 2018, which is up from 7% of total spending in 1970. Dec 20, 2019 - https://www.healthcaredive.com
Back in the 1980's the Washington Post referred to my dad as “the unobtrusive shaper of law.” For over 37 years he wrote major healthcare legislation as a Congressional Research Service branch head and a staff member on the House Ways and Means Committee helping with all forms of healthcare legislation.
Today our system is careless. Also our handling of this pandemic indicates the blunder of not safeguarding public health and welfare. However, the socio-economic impacts of this virus will give us a chance to remedy this.
Multiple chronic illness cases that are just one percent of healthcare expenditure consume 21 percent of this total amount. The last tier of 50 percent of patients accounted for 2.8 percent of spending last year. Contrary to popular opinion only 10 percent of healthcare dollars are spent in the last year of life. While there is increased spending in the last few months approaching death, it is not the massive percentage of medical care dollars that is widely believed.
It’s been estimated that waste may account for between one-third and one-half of all U.S. healthcare. It could be eliminated without harming consumers or reducing the quality of care.
The largest area of waste is ‘defensive medicine’, including redundant, inappropriate or unnecessary tests and procedures. Other factors that contribute to this excessive spending include non-adherence to medical advice and prescriptions, opiates, alcohol abuse, etc.
When patient costs increase they are less likely to access treatment. One in four patients have opted out of treatment or follow-up. June 11, 2017-http//patientengagementhit.com.
Time will expose the human, social and economic cost for America' s inadequate response to Covid 19. In 2011 scientists estimated that roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state.
The Congressional Budget Office has said, “total spending on healthcare would eventually account for all of the country’s economic output.” This may be a primary reason for long-term deficits.
Our future is at a crossroads whether we reform healthcare. If we not if we don't fully invest in prevention health carelessness will continue.