Wednesday, February 2, 2011

US health care & U.S. productivity: A dissent

One of the great myths of American society is our lack of a health plan hurts "universal" our competitiveness.  The masters of this chorus are natural, the American automakers.  Years before the trip itself bankrupt and unfriendly weapons of your new owners who used American taxpayers to claim that spent up to $1600 per car for health care.  This was more than spent on steel and multiples of what you spent claimed their foreign competitors.  Also got book, who killed health care you? America's $2 trillion medical problem - and consumer-driven cure (New York, NY: McGraw-Hill, 2007), Harvard Business School Professor Regina Herzlinger claims that these complaints aufgeblasenen (pp. 104-105).


Moreover, not we, Mark Zuckerberg hear complain that Facebook's health care costs prevent him compete against foreign social media companies.  In fact, while complain all Americans about costs the health care system, the argument that our health "System" reduced our competitiveness compared to other countries with "universal" health care is actually quite weak.  In fact, the percentage which all companies that offer health benefits actually increased from 66% in 1999 to 69 percent in 2010, and a larger number of smaller companies have begun health benefits, offer according to the Kaiser Family Foundation.


A widely cited metric is far more on health than in other countries as a proportion of gross domestic product (GDP) spends the United States.  But this measurement can mislead.  It is a relationship, consisting of a numerator and denominator.  Counter - the actual cost of medical care - has grown more slowly in the U.S. than Europe.  Supporters of the Government monopoly Health indicate that Canadian and U.S. health spending as a share of GDP over the same was before the Canadian Government took over health care, but parted starting in 1970, soon after the Government completed their acquisition.  You present this as evidence that the State can control costs better than the private sector.  Real GDP growth in Canada however, dramatically overhauled growth between 1969 and 1987 which means that the denominator of health much faster not grew expenditure per GDP ratio in Canada, which the counter grew much slower, according to research by Professor Brian Ferguson.


Common sense indicates that rich countries will be spending more in health care.  In the business of health: The role of competition, markets and Regulation (Washington, DC: the AEI press, 2006), Robert L. Ohsfeldt and John R. Schneider value that an increase of $1,000 in GDP per person in a $110 increase health care spending, results if the relationship is linear.  If it does something in American health care is seriously wrong, the United States much more than that for each dollar GDP issues. However, it is more likely that Nations increase their health spending at a set rate as GDP until a certain amount of dollars goes.  The international evidence fits the latter hypothesis, that much better: a thousand dollar increase in GDP increased health spending by about 8 percent.  In this case ratchet health spending increased really up as national income.  For example, rising to $31,000 $30,000 per capital GDP, increased health expenditure from $232; But if $41,000 increased GDP per capita of $ 40,000, increased health spending $500.  According to Ohsfeldt and Schneider, this model explains 93 percent of the variation in health expenditure international - much larger explanatory makes than the linear ($ $) model (see 7-8).  Most importantly, are the United States no break at all.


This statement challenges our intuition, however, because it's hard to understand how much more worthy of the United States than in other countries and how much this gives us purchasing power.  Extracts data from the International Labour Organization US GDP per capita is far greater than almost all other Nations, and this is largely due to American productivity.  US GDP per person employed was followed (busy) $65,480, in 2008 by Hong Kong $58,605 and Ireland at $55,986.  Some of this was due to Americans who work longer hours, but mostly it was due to productivity: value produced per hour worked.  Most developed countries produce between 60 and 90 percent of the value of that does the US per hour.  Rate for the four countries which was compared in this analysis France the second most productive with this a productivity 91 percent of the United States.  Germany lagged at 72 percent.


The table below (drawn from a recent analysis) the United States compares four countries whose health systems are often held up as admirable options: Canada Germany France, United Kingdom.  In all these countries, GDP per capita was significantly less than the United States.  More healthcare spent the US per person than comparable countries.  Americans have left after paying for health care, however, much more money.  In fact, we have more income per capita as Germany or France - after the payment for health care - a "bonus" American productivity between $4,500 and $8,400.


American Crusaders for "universal" health care highlight America's uniqueness in this characteristic of the modern welfare state is missing.  Given the benefits of America's productivity, it is perhaps a uniqueness we not should rush to abandon.


John is R. Director of health care studies at Pacific Research Institute, San Francisco, CA.


Written as only someone who has never had health insurance can buy. The article to mention that for as much as it spends the USA 100% of the population as assure not forget * all these other Nations *.


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