Topics Orwell's 1984Substantial National IssuesUSA in 2012
|
It is not easy to find sources of up to date health care data. This is out of date based on a 1995 US Government report. More current data is based on projections from that report.
Healthcare costs as % of GDP has tripled in my lifetime and seems poised to quadruple. Why? 1995 13.6% 1990 12.1% 1985 10.2% 1980 8.9% 1970 7.1% 1960 5.1%
Payers for heath care in America have been gradually changing from private to public sources. 1995 1960 Out-of-Pocket 22.4% 50.0% Private Insurance 31.4% 25% Federal & State 46.2% 25%
Costs for health care: 89% personal health services and supplies 5% admin 3% public health 2% research 1% construction
Breaking down the personal health services and supplies: 43% hospital care 23% physicians 6% drugs 3% other supplies 9% nursing home expenses 6% other professional care 5% dental 3% home health care 3% other 2% durable equipment
Looking more closely at physicians: 250 physicians for every 100k population in the US (750,000 total MD's) 1 physician for every 400 people in the population (incl 15% uninsured) 5-6 contacts per patient per year, 9-11 contacts for elderly patients 23% of $2.1 trillion means 750K physicians must gross $644,000 per year each
Medical spending by type: Chronic 75% Acute 25%
Medical costs by diagnositc area: 27.5% Circulatory 10.3% Respiratory 8.7% Neoplasms (tumors) 7.3% Digestive 6.3% Musculoskeletal 8.6% Injury/poison 30.0% Other (each 5% or less)
Administration Costs by Payer: 2.0% Medicare/Medicaid 9.5% Private Insurer 11.9% HMO (does this include administration costs born by the service provider in trying to get paid?)
Impact of malpractice? Impact of specific diseases/conditions?
|