US Spends Most On Health Care Of Rich Countries But Has Worst Life Expectancy
A new report details the myriad ways the United States leads the world in healthcare spending and health outcomes.
As the only wealthy country without universal health care, the United States tops the list globally with the highest health care costs and worst health outcomes, according to a new Commonwealth Fund report.
A report released Tuesday found that in 2021, the latest year for which data is available, the United States spent 17.8 percent of its gross domestic product (GDP) on health care. That's about twice what the Organization for Economic Co-operation and Development (OECD), a group of 38 wealthy countries, will spend on health care in 2021, or 9.6%.
The difference between the US and other OECD countries is divided by dollars per capita. In 2021, the United States will spend more than $10,600 per capita on health care. This per capita spending is almost double that of the second highest country, Germany, and between three and four times that of South Korea, New Zealand and Japan. Around $3,000-$4,000 per person.
Although the US spends more on health care, its health outcomes are as good as or worse than OECD countries, the report says.
In 2020, for example, life expectancy at birth in the United States was 77.0 years, while people in the OECD are projected to live an average of 80.4 years at birth using the most recent data.
This can be partly explained by the fact that the US has the highest death rate in many regions.
By population, the US has the highest number of preventable deaths, with 336 preventable deaths per 100,000 population, compared with the OECD average of 225. High child and parental mortality: 23.8 parental deaths per 100,000 live births, compared with the OECD average of 9.8. Higher death rate from COVID-19; And the highest number of deaths from violence, mainly armed violence, was 7.4 deaths per 100,000 people. That's seven times the second-highest death rate, New Zealand, which has 1.3 violent deaths per 100,000 people.
Other measures point to the poor performance of the United States in health care. The United States has one of the highest rates of obesity, rates of other conditions, and many chronic diseases such as asthma, cancer, depression, and diabetes.
Despite this, the US has one of the lowest rates of medical practice per capita and the lowest number of annual doctor visits among OECD countries, according to the report. This is because many people simply do not have health services. In 2021, 8.6% of Americans will not have health insurance. Almost by definition, this is the highest number of uninsured of any OECD country, as all OECD countries have some form of universal healthcare.
The data follows other studies showing the United States is spending more on health care and costs like prescription drugs, in part due to the power of pharmaceutical and health-care product lobbies.
Due to the high costs, millions of Americans avoid or stop treatment. A Gallup poll earlier this month found that 38 percent of Americans say they or a family member will stop seeking health care by 2022, the highest on record. One in four Americans say they stopped treatment for a "very" or "fairly" serious illness.
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