A look at the contradiction between health care spending and actual treatment. The US which spends more on private sector health care spending, still also has one of the highest levels of government spending on health care per capita. Furthermore, health care costs continue to rise, and place one of the greatest strains on government spending commitments in the developed world.
This graph shows total health care expenditure (including both public and private spending). The biggest spender by a long way is the US, which spends over $8,000 per capita. This compares to less than $3,000 per capita for Italy, Greece and Portugal.
Hospital Beds per 1,000 Population density
Admittedly, the number of hospital beds per 1,000 of the population is not a comprehensive guide to the quality of health care. But, it is still interesting that the US has one of the lowest numbers of hospital beds per 1,000 (3.1) – despite the much higher total spending. Japan has the highest number of hospital beds at 13.7/1000 – yet quite a modest total health care bill.
On other measures, US seems to get poor performance from its spending.
|% of health care spending as % of GDP||Govt spending as % of total health care||Per Capita expenditure 2006 (PPP)||Doctors per 10,000 population||Nurses / midwives per 10,000||Hospital beds per 10,000||Life Expectancy||male obesity|
Rising Health Care Costs
Rising health care costs are a phenomenon across the developed world. Rising health care costs are due to a combination of factors, such as
- ageing population – which needs more health care,
- plus more expensive health care treatments now available.
However, some countries have been more successful than others in restraining growth in spending. The growth in health care costs is the fastest in the US and a big reason for their long-term structural deficit.
Public Health Spending as % of GDP
Despite having a mixed private / public spending on health care. The US government spending on health care is still one of the highest at 7.2%
UK Health Care Spending
Health Care Spending Real Terms (adjusted for Inflation)
The past three decades have seen a large increase in real spending on health care, but there are still concerns we don’t spend enough.
Facts about Health Care
Health care costs have been rising in real terms, and as a percentage of GDP for most industrialised nations. In a sense, this is a good thing – as real incomes increase we can devote more resources to health care. However, the increased spending has not necessarily been matched by increased satisfaction in the outcome of health care services.
Looking at statistics for the US, there is real concern that their system is very inefficient. Both public spending and private sector spending are very high – dwarfing any other country. The nature of the US health care system is to be very poor at any kind of cost control. There is little or no evaluation of the most expensive treatments and the pressure to keep increasing spending is very strong. Despite the huge cost of US health care, a substantial part of the population can still slip through the net and be left unprovided for.
Unfortunately, US health care is very hard to reform because the system has created powerful pressure groups who have vested interests in maintaining the status quo. But, the consequence is that the US is likely to see higher public and private sector spending on health care – increasing burden on employers, employees and the tax payer.