American taxpayers footed the bill for at least $1.8 trillion in federal and state health care expenditures in 2022 — about 41% of the nearly $4.5 trillion in both public and private health care spending the U.S. recorded last year, according to the annual report released last week by the Centers for Medicare and Medicaid Services.
On top of that $1.8 trillion, third-party programs, which are often government-funded, and public health programs accounted for another $600 billion in spending.
This means the U.S. government spent more on health care last year than the governments of Germany, the U.K., Italy, Spain, Austria, and France combined spent to provide universal health care coverage to the whole of their population (335 million in total), which is comparable in size to the U.S. population of 331 million.
Between direct public spending and compulsory, tax-driven insurance programs, Germany spent about $380 billion in health care in 2022; France spent around $300 billion, and so did the U.K.; Italy, $147 billion; Spain, $105 billion; and Austria, $43 billion. The total, $1.2 trillion, is about two-thirds of what the U.S. government spent without offering all of its citizens the option of forgoing private insurance.
Yep, this is why I argue with people who say, we should raise taxes to fund it…no fuck that, we can afford it now already without having to raise taxes even a penny.
We would save a significant amount of money. And private insurance almost always doesn’t provide good healthcare. Imagine no copays or deductables.
Imagine not having to argue with a massive corporation about whether you should be able to take the medication your doctor told you to take.
Imagine not having to choose between taking your kid to the doctor for $300 and a sick note for sniffles or letting him tough it out and get marked truant.
I have to say, being on Medicaid through college showed just how true this is. Being able to put my health first, rather than worry about if I could afford a doctor visit (or an ER visit), was great. The peace of mind of knowing that I would pay $0 for ANYTHING medical lead to me putting my health first.
The one potential charge you could get was for going to the ER for something deemed a “non-emergency.” Even then I didn’t worry about whether I could go to the ER after whiffing it off my longboard and smacking my head into the pavement because… well, the non-emergency charge was $8.
This may not be a popular question, but: Would Americans be willing to pay less?
No really. This would mean a lot of good jobs being cut. Yes, they are jobs that provide no benefit to the public (rather the opposite), but thinking about the big picture isn’t very American. Americans like to side with the little guy.
It gets worse. It would mean a huge pay cut for doctors. They are way overpaid compared to doctors anywhere else. Would Americans side with
themselvesthe peoplethe government or those nice family doctors?First of all what? Typically the highest paid members of hospital staff of “Administrators” who have completely shifted health care into a for-profit business. If the government regulated them out of their jobs and there were price caps set in place instead of wasting hundreds of hours decoding billing and fighting insurance companies doctors would very likely make more. They would also be more likely to actually try to help you versus hit unrealistic patient exam quotas to try and extract as much money from insurance to benefit the administration staff. Hell new doctors in medical school are pretty much unpaid and forced to work hours that somehow circumvent labor laws. The whole medical industry needs to be overhauled. Getting rid of middle management would free up capital that could be properly reinvested into the hospital for better equipment, wages etc.
I expect that’s politically the way to go; not that I know anything about that. You get rid of a few inefficiencies and pay off other stakeholders with most of the gains.
The fact remains, if you want to lower health care costs to levels comparable to other countries, you have to lower all the costs to comparable levels, including doctor’s pay.
Are you calling for profit insurance the little guy? I don’t know why people think doctors would be the ones taking the hit and not the for profit corporations.
No. I am asking if Americans would actually be willing to see cuts happen.
To answer your implied question: Because corporations don’t consume. They don’t go on holidays, live in mansions, … There is nothing there which can take the hit.
Corporations do consume, go on holiday, live in mansions… The executives wouldn’t lower their standards or travel on their own dime.
If you think for profit corporations don’t have excess then you must not live in the same reality.
Executives are employees, not corporations.
Corporations give things to their executives. Company retreats? Company jets? Company cars? Do none of these exist in your reality?
Employees receive pay. What you describe is called “fringe benefits”. It’s not unusual.
If you want to know something about these things, health care statistics, executive pay, or whatever, just ask. I am patient with you, because it is obvious that you are a minor. However, if you want to know more, then I expect you to keep the childishness out of “my reality”. Ok?
You’re so close
Oh, no! We eliminated useless positions that accomplish nothing but sucking the life out of the system. However will we go on?
BUT, small businesses would benefit, and entrepreneurs, if they didn’t have to worry about health insurance. Doctors offices costs would come down without a lot of complicated billing stuff to do. Billing specialists would lose their jobs. Of my circle of people - husband would lose his job unless it was a Germany style system, and two other people I know.
If you want some sort of employment program, the medical system here is a shit way to go about it. Why not pay people to do something with a good impact on the land or the people?
And again - universal, tax-paid coverage would favor small business, it’s easier to take a risk when it doesn’t mean you might go bankrupt from a medical issue.
As you americans tell it: That’s bullsh*t. I see you guys getting fucked everyday by corporate. It’s hard to believe this is the U.S that holds international power… it looks like a Circus on fire looking inside from the outside.
As somebody trapped in this circus, lemme tell you, I want the fuck out of this clown car.