nikhil.io

The State of American Healthcare

by ThatsWhatXiSaid

With some minor formatting. They add:

The average annual premiums for employer-sponsored health insurance in 2020 are $7,470 for single coverage and $21,342 for family coverage. Most covered workers make a contribution toward the cost of the premium for their coverage. On average, covered workers contribute 17% of the premium for single coverage ($1,270) and 27% of the premium for family coverage ($5,762).

It’s worth noting every penny of premiums is part of your total compensation, just as much as your salary. If you’re curious you can find out your specific amount on your W2 in box 12 with code DD.

Americans are paying a quarter million dollars more for healthcare over a lifetime compared to the most expensive socialized system on earth. Half a million dollars more than countries like Canada and the UK.

One in three American families had to forgo needed healthcare due to the cost last year. Almost three in ten had to skip prescribed medication due to cost. One in four had trouble paying a medical bill. Of those with insurance one in five had trouble paying a medical bill, and even for those with income above $100,000 14% had trouble. One in six Americans has unpaid medical debt on their credit report. 50% of all Americans fear bankruptcy due to a major health event.

So there’s a good chance you wouldn’t be able to pay for it, especially if you get sick enough to lose the job you depend on for insurance.

mediocre healthcare for free.

Except it’s US healthcare that’s mediocre vs. it’s peers.

The US has the worst rate of death by medically preventable causes among peer countries. A 31% higher disease adjusted life years average. Higher rates of medical and lab errors. A lower rate of being able to make a same or next day appointment with their doctor than average.

Comparing Health Outcomes of Privileged US Citizens With Those of Average Residents of Other Developed Countries

These findings imply that even if all US citizens experienced the same health outcomes enjoyed by privileged White US citizens, US health indicators would still lag behind those in many other countries.

When asked about their healthcare system as a whole the US system ranked dead last of 11 countries, with only 19.5% of people saying the system works relatively well and only needs minor changes. The average in the other countries is 46.9% saying the same. Canada ranked 9th with 34.5% saying the system works relatively well. The UK ranks fifth, with 44.5%. Australia ranked 6th at 44.4%. The best was Germany at 59.8%.

On rating the overall quality of care in the US, Americans again ranked dead last, with only 25.6% ranking it excellent or very good. The average was 50.8%. Canada ranked 9th with 45.1%. The UK ranked 2nd, at 63.4%. Australia was 3rd at 59.4%. The best was Switzerland at 65.5%.

OECD Countries Health Care Spending and Rankings (Source)

Country Govt. / Mandatory (PPP) Voluntary (PPP) Total (PPP) GDP Lancet HAQ Ranking WHO Ranking Prosperity Ranking CEO World Ranking Commonwealth Fund Ranking
United States $7,274 $3,798 $11,072 16.90% 29 37 59 30 11
Switzerland $4,988 $2,744 $7,732 12.20% 7 20 3 18 2
Norway $5,673 $974 $6,647 10.20% 2 11 5 15 7
Germany $5,648 $998 $6,646 11.20% 18 25 12 17 5
Austria $4,402 $1,449 $5,851 10.30% 13 9 10 4
Sweden $4,928 $854 $5,782 11.00% 8 23 15 28 3
Netherlands $4,767 $998 $5,765 9.90% 3 17 8 11 5
Denmark $4,663 $905 $5,568 10.50% 17 34 8 5
Luxembourg $4,697 $861 $5,558 5.40% 4 16 19
Belgium $4,125 $1,303 $5,428 10.40% 15 21 24 9
Canada $3,815 $1,603 $5,418 10.70% 14 30 25 23 10
France $4,501 $875 $5,376 11.20% 20 1 16 8 9
Ireland $3,919 $1,357 $5,276 7.10% 11 19 20 80
Australia $3,919 $1,268 $5,187 9.30% 5 32 18 10 4
Japan $4,064 $759 $4,823 10.90% 12 10 2 3
Iceland $3,988 $823 $4,811 8.30% 1 15 7 41
United Kingdom $3,620 $1,033 $4,653 9.80% 23 18 23 13 1
Finland $3,536 $1,042 $4,578 9.10% 6 31 26 12
Malta $2,789 $1,540 $4,329 9.30% 27 5 14
OECD Average $4,224 8.80%
New Zealand $3,343 $861 $4,204 9.30% 16 41 22 16 7
Italy $2,706 $943 $3,649 8.80% 9 2 17 37
Spain $2,560 $1,056 $3,616 8.90% 19 7 13 7
Czech Republic $2,854 $572 $3,426 7.50% 28 48 28 14
South Korea $2,057 $1,327 $3,384 8.10% 25 58 4 2
Portugal $2,069 $1,310 $3,379 9.10% 32 29 30 22
Slovenia $2,314 $910 $3,224 7.90% 21 38 24 47
Israel $1,898 $1,034 $2,932 7.50% 35 28 11 21