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why is medical treatment so expensive in the us

by Cecilia Price Published 2 years ago Updated 2 years ago
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Why is health care so expensive in the United States?

  • We pay per service. U.S. ...
  • Lack of government regulation. This is perhaps the most challenging reason to disentangle, but the main idea is this: The companies that provide and charge for health care, like hospital ...
  • Consolidation of insurance and hospital systems. While the U.S. ...

The price of medical care is the single biggest factor behind U.S. healthcare costs, accounting for 90% of spending. These expenditures reflect the cost of caring for those with chronic or long-term medical conditions, an aging population and the increased cost of new medicines, procedures and technologies.

Full Answer

Why is healthcare so expensive in the US?

The number one reason our healthcare costs are so high, says Harvard economist David Cutler, is “the administrative costs of running our healthcare system are astronomical. About one-quarter of healthcare cost is associated with administration, which is far higher than in any other country.”.

How much do cancer treatments cost?

Some of these treatments can cost thousands of dollars per dose. Health insurance usually picks up some of the cost, but as the American Cancer Society reports, “there will be unexpected charges, and even the best health insurance won’t cover all your costs.”

Why is cancer care so expensive?

Even the most basic treatment facility can cost millions of dollars to build and maintain. Beyond those two often overlooked but expensive aspects of cancer care are the drugs. Much attention is paid to the exorbitant sticker prices of certain cancer drugs, especially newer, high-tech and cutting-edge treatments.

Why are pharmaceutical drugs so expensive?

One reason for high costs is administrative waste. Providers face a huge array of usage and billing requirements from multiple payers, which makes it necessary to hire costly administrative help for billing and reimbursements. Americans pay almost four times as much for pharmaceutical drugs as citizens of other developed countries.

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What percentage of healthcare expenditures are administrative costs?

Administrative costs, meanwhile, accounted for 8 percent of total national health expenditures in the U.S. For the other countries, they ranged from 1 percent to 3 percent. Health care professionals in America also reported a higher level of “administrative burden.”.

What percentage of the population did not have health insurance in 2016?

About 10 percent of the population did not have health insurance in 2016. In the other countries studied, nearly everyone was covered. The percentage of the population with health insurance has increased since the Affordable Care Act was passed, the report states.

What percentage of the population has missed a consultation?

An estimated 22 percent of the population has missed a consultation because they could not afford it, found the report, compared to an average of 11 percent between all eleven countries.

Is quality of care bad?

Quality of care isn’t that bad, but care still doesn’t reach everyone. One of the more notable findings in this report is that, at least in some areas, the quality of health care in the U.S. fared comparably to other countries.

Is the use of care services in the US different from other countries?

is not so different compared to other countries.

Do doctors get paid more?

Doctors get paid more. Hospital services and diagnostic tests cost more. And a lot more money goes to planning, regulating and managing medical services at the administrative level. In other areas, despite conventional wisdom, there seems to be less discrepancy between the U.S. and other countries than commonly thought.

Does the American system have a high number of specialists?

Another popular argument is that the American system has an unnecessarily high number of specialists, who typically earn more than general physicians, and that ramps up spending. But, according to this report, “the ratio of primary care physicians to specialists was similar between the United States and other high-income countries.”

Why is health care based on a for profit system?

health care is based on a "for-profit insurance system," one of the only ones in the world, according to Carmen Balber, executive director of Consumer Watchdog, who's advocated for reform in the health-insurance market. In the U.S., most health insurance is administered by private companies ...

Can a medical bill send a patient into bankruptcy?

These days, all it takes is one surprise medical bill to send a patient into bankruptcy. The United States' health care system operates differently from many others in the world, with high costs for the individual as a main, distinguishing characteristic.

Is the health care system fragmented?

Consolidation of insurance and hospital systems. While U.S. health care system itself may be fragmented, in many parts of the country, there's only one or two companies providing health insurance or medical care. This means that, again, there's little to no incentive for them to lower costs since patients don't have much of a choice.

Does the US spend more on health care than other developed countries?

In fact, the higher prices mean the U.S. spends more on health care than other "developed countries," a 2019 Johns Hopkins report found. What's more, almost one in three Americans worries about affording health care, according to a February 2020 survey from NBC News.

Which country has the most expensive healthcare?

There’s a reason for that. The USA has the world’s most expensive healthcare by a wide margin, despite having health outcomes that are often below those of other developed countries.

How much does breast cancer cost in the US?

Source: Statista. And the same applies even to lifesaving healthcare services like cancer treatment. Breast cancer patients in the US pay $211 for a Herceptin injection, while South Africans are paying only $44. Healthcare isn’t just more expensive in the US. It’s a WHOLE LOT MORE EXPENSIVE.

How much of the healthcare budget is administrative?

David Cutler, a Harvard health economist, reveals that administrative costs alone account for about one-third of the total healthcare spending in the U.S., while countries like Canada are spending only a fraction of that [4] .

How much of the US GDP is healthcare?

While other wealthy countries kept their health spending between 5% and 8%, the U.S. went well beyond 10% of the country’s GDP. By 2019, the U.S. was already using up 17% of its GDP on healthcare.

How much higher are prescription drugs in 2021?

The Rand Corporation reported in Jan. 2021 that prices of branded prescription drugs are 2.56 times higher in the US than the average of other selected nations[10]. Some individual drugs have far higher price gaps. Part of that is that drug prices are regulated in many countries but are not in the US.

What are the problems of open healthcare?

Another problem that comes with an open healthcare market is the lack of price transparency. The U.S. sometimes seems like the Wild West for medical providers. Since the government leaves the price-setting to them, you’ll find them quoting all sorts of charges for their medical services.

How many Americans can't afford primary healthcare?

44% of Americans can’t meet the costs of primary healthcare. This leads to worsening medical conditions and higher costs of treatment. A very real threat of medical malpractice lawsuits leads many doctors and nurses to prescribe extra tests and medications as a precaution.

How much did cancer patients pay in 2014?

A 2017 report from the Cancer Action Network, the advocacy arm of the American Cancer Society, found that “in 2014, cancer patients paid nearly $4 billion out-of-pocket for cancer treatments,” and that “roughly $87.8 billion was spent in 2014 in the U.S. on cancer-related health care. These costs were paid by employers, ...

Who said an ounce of prevention is worth a pound of cure?

Founding father Benjamin Franklin knew a thing or two about how the world worked. In 1736, long before the advent of modern medicine, he astutely observed that “an ounce of prevention is worth a pound of cure.”. Though he was speaking in relation to preventing devastating fires, his words have wider implications and seem even truer now in ...

Why is Medicare a real innovation?

Thorpe says the fact that Medicare has approved benefits for the program “is a real innovation because Medicare usually focuses on paying for things after people are sick rather than trying to find ways of keeping them healthy and keeping them from getting sick in the first place. ”.

What percentage of Medicare beneficiaries are being treated for five or more conditions?

“Half of Medicare beneficiaries – about 52 percent – are being treated for five or more conditions,” Thorpe says, and this “accounts for 75 percent of what Medicare spends.”.

How many people have cancer in 2018?

But given that more than 1.7 million people are expected to be diagnosed with cancer in 2018, according to figures from the National Cancer Institute, there’s still a lot that can be done to both lower that incidence rate and to reduce costs associated with the disease.

What did Benjamin Franklin know about the cure?

But what Benjamin Franklin knew was that if you could avoid needing the “cure” in the first place, you’d save yourself a lot of heartache and money.

Who funds cancer research?

Shields says currently, cancer research is largely funded by pharmaceutical companies and the federal government , and recent leaps forward in this research have translated into much more effective treatments.

Dental Care: Luxury or Healthcare Necessity?

The lack of dental care in America isn’t anything new. In 2010, over 181 million Americans avoided heading to the dentist due to both anxiety and cost of care.

The Cost of Care and Dental Tourism

The lack of dental care in America is a pandemic in and of itself. It is estimated that 74 million Americans don’t have dental insurance, and this can be largely attributed to both price and the fact that it remains separate from general health insurance.

Advanced Dental Care, Third World Statistics

Despite the number of skilled healthcare providers in America, one look at the dental care system and you may mistake it for something from a ‘third-world’ country, where only the most well-off are able to afford access.

The Damages of Expensive Dental Care

The lack of dental care in America harms everyone, both young and old. Consider how dental problems can impact speech in developing children, making both orthodontic treatment and speech therapy necessary.

Dental Care and Mental Health

Despite dental insurance not being grouped with general medical insurance, even though it impacts both physical and mental health, the correlations cannot be ignored. Along with potentially causing devastating physical problems, the lack of dental care in America can also contribute to an increase in mental health problems, particularly depression.

Why Is Dental Care So Expensive?

Now that we’ve dug into the ramifications of the lack of health care in America and the turmoil surrounding it, let’s look more closely into just why the costs are so expensive to see if anything can be done.

What Needs to Change?

The lack of dental care in America is significant and, without change, it is something that will only continue to get worse. However, as demonstrated in nearly every election, changing any medical legislation is exceptionally difficult as affordable practices are often dreamed too difficult to exist in America.

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Why Is Health Care So expensive?

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The most salient reason is that U.S. health care is based on a "for-profit insurance system," one of the only ones in the world, according to Carmen Balber, executive director of Consumer Watchdog, who's advocated for reform in the health-insurance market. In the U.S., most health insurance is administered by private c…
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U.S. Health Care Is Highly Fragmented

  • Benjamin blamed the complex and fragmented structure of U.S. health care — from billing to care delivery — which can unnecessarily prolong administrative processes and increase overhead. A recent study found thatin 2017, administrative costs made up 34.2% of health care costs in the U.S., twice the percentage in Canada, which has a decentralized, publicly funded system. Anothe…
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We Pay Per Service

  • U.S. health care exists in a system where patients are charged based on the services they receive, yet another reason why "almost everything is more expensive here," Dr. Harlan Krumholz, cardiologist and professor of health policy at Yale School of Medicine, told TMRW. "We have higher utilization of a lot of different services," he explained. "In many parts of the health care ec…
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Lack of Government Regulation

  • This is perhaps the most challenging reason to disentangle, but the main idea is this: The companies that provide and charge for health care, like hospital systems and drug makers, have more power to keep costs high when they're negotiating with multiple potential payers, like various private insurance companies. But when they must negotiate with a single payer, like the …
See more on today.com

Consolidation of Insurance and Hospital Systems

  • While the U.S. health care system itself may be fragmented, in many parts of the country, there's only one or two companies providing health insurance or medical care. This means that, again, there's little to no incentive for them to lower costs since patients don't have much of a choice. "We keep approving more and more mergersthat raise costs significantly," Balber said. "Then tho…
See more on today.com

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