As the old adage goes, you get what you pay for. Unless you’re an American in need of healthcare. Then you pay somewhere around double for about the same quality care.
The reason? Lots of people are making big money off your sick body. So, it’s good if you’re on the business end, lousy of you’re on the gurney.
According to a study in the January 2019 issue of Health Affairs, Americans pay the highest for healthcare on a per capita basis than any other developed nation. In 2016, the average American spent $9,892 which was 25% higher than second-place Switzerland.
U.S. citizens spent 108% more per capita than Canada ($4,753) and paid an average of 145% more than the Organization for Economic Cooperation and Development (OECD) median of $4,033.
The OECD is comprised of 34 countries with market-based economies similar to the U.S.
“In spite of all the efforts in the U.S. to control health spending over the past 25 years, the story remains the same—the U.S. remains the most expensive because of the prices the U.S pays for health services,” the study’s lead author, Gerard F. Anderson, PhD, said.
“It’s not that we’re getting more; it’s that we’re paying much more,” Anderson says.
According to the study, U.S. residents pay more for many medical services, prescription drugs, and administration costs. Our healthcare practitioners have higher salaries as well.
There are also fewer healthcare practitioners per capita in the U.S. Researchers found that in the U.S. there were only 7.9 practicing nurses and 2.6 practicing physicians per 1,000 people. While the OECD median is 9.9 nurses and 3.2 physicians per 1,000 people.
Even though the U.S. is paying more per capita, our average life expectancy is lower than its peer nations. According to a report in CNN, the average life expectancy in the U.S. is 78.8 years, compared to an average of 81.7 for peer nations.
The U.S. also has an astronomically high infant mortality rate with nearly six deaths out of 1,000 live births, compared to an average of 3.6 deaths reported by peer nations.
According to Ashish Jha, professor of global health at Harvard Chan School, the answer is simple. “We have a lot more poor people, and we do a lot less for poor people,” Jha said. “We don’t make the same kind of investments.”