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“If We Are So Good . . . Why Aren’t We Better?”

“If We Are So Good . . . Why Aren’t We Better?” A Critical and Quick View of the U.S. Health Care System. Forces of Change - Fall 2010 Eric D. Kupferberg, PhD 23 September 2010. HC Spending Rising Faster than GDP. HC Spending Rising Faster than Wages.

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“If We Are So Good . . . Why Aren’t We Better?”

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  1. “If We Are So Good . . . Why Aren’t We Better?” A Critical and Quick View of the U.S. Health Care System Forces of Change - Fall 2010 Eric D. Kupferberg, PhD 23 September 2010

  2. HC Spending Rising Faster than GDP

  3. HC Spending Rising Faster than Wages

  4. Average spending on healthper capita ($US PPP) Total expenditures on healthas percent of GDP U.S. Health Care Spending Outpaces All Other Countries 16% $7,290 8% $2,454 Note: $US PPP = purchasing power parity. Source: Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).

  5. U.S. Health Care Spending Outpaces All Other Countries

  6. U.S. Health Care System Ranks Poorly Note: * Estimate. Expenditures shown in $US PPP (purchasing power parity). Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).

  7. U.S. Has Poor Access to Health Care

  8. Many U.S. Citizens Have Trouble Paying for HC

  9. U.S. Has High Number of Uninsured Data: Medical Expenditure Panel Survey, Household Component (Rhoades, J.A. 2006. Agency for Healthcare Research and Quality).

  10. U.S. Has High Percentage of Population Uninsured Data: Medical Expenditure Panel Survey, Household Component (Rhoades, J.A. 2006. Agency for Healthcare Research and Quality).

  11. Uninsured Ranks are Growing

  12. No Insurance = Gaps in Care Data: Commonwealth Fund Biennial Health Insurance Survey (Collins, S. R., K. Davis, M. M. Doty et al. 2006).

  13. US Poor in Coordinating Care Data: 2006 Commonwealth Fund International Health Policy Survey (Schoen, C. et al. 2006. Health Affairs Web Exclusive W555-509–71). AUS = Australia; CAN = Canada; GER = Germany; NETH = Netherlands; NZ = New Zealand; UK = United Kingdom; US = United States. Responses included "often" or "sometimes."

  14. U.S. Has Poor Quality of Care:Adverse Events per 1,000 Data: Healthcare Cost and Utilization Project, Nationwide Inpatient Sample (Agency for Healthcare Research and Quality 2006). Rates were risk-adjusted. *Primarily related to intravenous lines and catheters.

  15. High Percentage of Patients With Medical Mistakes Data: 2005 Commonwealth Fund International Health Policy Survey (Schoen, C. et al. 2005. Health Affairs Web Exclusive W5-509–25). AUS = Australia; CAN = Canada; GER = Germany; NZ = New Zealand; UK = United Kingdom; US = United States. Sicker adults have a high incidence of chronic disease and recent intensive use of health care. Source: McCarthy and Leatherman, Performance Snapshots, 2006. www.cmwf.org/snapshots

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