The last day of last year, Washington last quarrel which just barely reached an agreement to avoid the U.S. financial cliff. New Year is over, the budget ceiling debate bubbling to the countertop. Regardless of the outcome of this debate, the practical problems of the United States to put in there. The key to not austerity, Who problem austerity. Which all financial expenditure in the United States, health insurance is slowly becoming rigid spending. Obama's universal health care program was implemented, and even make the expenditure part of the gradual growth of the financial burden on mid-aggravate health effects might not be much improved.
Over the past thirty years, the U.S. health-care costs growing too fast. 1970s, the United States and Canada for the cost of health care is almost equivalent to 7% of GDP. Thereafter, the growth rate of the beginning of the United States relative to other developed countries spend for healthcare. Up to now, the United States for the cost of medical care has been equivalent to the GDP of 18%, much higher than the 11% in Canada and 12% in France.
Although the United States spends so high, but it does not mean that the overall health status of the U.S. nationals is higher than other countries. In contrast, the average life expectancy in the United States in the 34 OECD countries, which is the reciprocal of the eighth. Not only that, the U.S. health care system to make ends meet, facing the edge of collapse. If you do not change the burden of health care in the United States enough to make the United States bankruptcy. Especially those old "baby boomers" are beginning to enjoy the public health care in the United States, the situation will deteriorate further. Obama's new health care plan is implemented, will produce more of the beneficiaries, but the burden is left to the government budget. Even if the financial cliff bipartisan debate remains the sake of discussion, very seldom comes to how to reduce the deficit budget, more reluctant to touch on the problem of the huge cost of health care is rising dramatically.
In developed countries, the United States per capita for healthcare costs has almost twice the average of other developed countries, but Americans' average life expectancy in 2009 was only 78.2 years, lower than the developed countries of the world average 79.5. U.S. per capita spending of $ 8000 for medical care, while the OECD average was $ 3400. Second highest in the country of Norway, the world spent on medical spending per capita than the United States in 2009, 33% less than in the United States, but the average life expectancy of its nationals almost 3 years. Japan's per capita health care costs about $ 5000 less than the United States, but they have the highest average life expectancy of 83 years.
Since 1970, the growth rate of per capita cost of the U.S. health care several times the growth rate of registered government medical insurance capitation. Roughly speaking, from a registered medical insurance capitation growth rate of about 3.4% annually, while over the same period the cost of health care has an average annual increase of 13.4%. Slightly down even the 1980s, the cost of health care in the 1980s to 9.6%, the 1990s to 5.6%, the 2000s was 6.8%. In the last three decades, however, the poll of registered government medical insurance increase an average of just 2%. In addition to the registration number of the main sources of funding, the excess part will be transformed into a financial burden.
Over the years, Japan and the United States are strictly control the medical costs of the country. According to the Washington Post, in 2009, Japan provided a standard MRI charges only $ 98, while the United States up to $ 1500. This alone, the cost of medical care in the United States is equivalent to 15 times that of Japan. The visible control non-existent in the United States.
In Japan, for the individual, not the insured is not necessarily punishment, but the Japanese forced the insurance company must cover all citizens. In 1961, Japan began to implement the National Health Insurance Scheme, the national levy a fixed fee, the annual cost of renegotiation by the doctor and the health sector in Japan. Japanese patients, in terms of directly bear 30% of the medical costs. The remaining 70% by the insurance companies and the government share the burden. Speaking of children, health care is almost free. Japanese law requires all hospitals in order to reduce the cost of health care, not for profit, and must direct management by a doctor. For healthcare insurance companies are not for profit. Profits of the capitalist principle of medical care in Japan is not established.
In addition to the regulations of the government, an important cause of the social differences between Japan and the United States is also the medical cost difference. Japanese society, many Japanese violence, drugs, obesity, and other than the United States a lot less peaceful than the United States. According to the OECD study, 30% of people in the United States have an obesity problem, and only 3% in Japan. However, more importantly, plays a decisive role in the prevention-oriented health care strategy. Annual free physical examination, almost to the benefit of all nationals. Japanese average annual number of hospital visit is four times that of the Americans.
Rising health care costs in the United States, in fact, is only one aspect of the problem. Retired population and enjoy federal health care population growth will be a major factor in the growth in health care costs. Expected to enjoy the Medicare population in the next 10 years there will be substantial increase from the current average annual growth of 1.9%, rose to an average annual growth of 3%. 1.5 million people per year federal health care programs. By 2035, the total population covered by the federal health care plan, an increase from the current 4850 million to 8530 million.
In the present case, the U.S. government belongs to the two main health insurance are able to directly draw from the budget of the federal budget and Chau funds to increase spending almost no constraints. These two projects covered under the personnel, almost unrestricted application of a variety of treatments and services, and to guarantee their lifetime. Generally speaking, 75% of the medical costs of the person's life occurs after the age of 65. Also, spent most of the medical expenses of a person's life is the last year of life. Especially when the To continue last life, state-of-the-art, high-cost approach to medical care and drugs, it is often inevitable. Thus, a large number of baby boomers enter retirement, will become another important factor driving rising health care costs.
In short, in terms of the financial burden, Obama's universal health care plan is worse. Do not discuss these specific expenditures, the budget ceiling debate will be in the future is almost mid-put on the agenda in Washington.
No comments:
Post a Comment