U.S. Leads in Health Care Spending, Lags in Certain Care Quality Indicators

TOPIC ALERT:

The U.S. spends more on health care than 12 other industrialized countries, but the higher spending does not equate to better-quality care, according to a new report from the Commonwealth Fund, Politico reports. The report provides an update on similar spending analyses previously conducted by the organization.

The new report, which uses data from the Organization for Economic Cooperation and Development, compared spending levels in the U.S. with those in Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland and the United Kingdom (Smith, Politico, 5/3).

The report found that the U.S. in 2009 spent nearly $8,000 per person on health care, while Norway and Switzerland spent about two-thirds of that amount and Japan and New Zealand spent roughly a third. In addition, researchers found that health care spending accounted for 17% of the U.S.'s gross domestic product, while the other nations' health care spending did not exceed 12% of their GDP (Zigmond, Modern Healthcare, 5/3).

The report noted that two common reasons for high health care spending -- more physician visits and lengthy hospital stays -- were not among the culprits for the higher spending (Politico, 5/3). Instead, it cited high prices for medications and medical services, use of expensive technologies, a high obesity rate and a potential tendency to overuse costly procedures for the high health care spending, National Journal reports (Sanger-Katz, National Journal, 5/3).

Failure To Manage Chronic Conditions a Factor in High Costs

David Squires -- a senior research associate at the Commonwealth Fund and the report's primary author -- also noted that although the U.S. has the highest survival rates for breast and colorectal cancers, mortality rates for asthma and diabetes-related amputations pale in comparison to the other countries.

Squires said the data demonstrate the U.S.' "failure to effectively manage these chronic conditions that make up an increasing share of the disease burden." He added, "The findings make clear that despite high costs, quality in the U.S. health care system is variable and not notably superior to the far less expensive systems in the other study countries" (Politico, 5/3).

susan smith
Case and point as to why the US medical system needs to be up front about prices. Patients must know the prices so they can make appropriate decisions.

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