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American Values Blamed for Healthcare Crisis
Thats the consensus of two articles published this week in the American Academy of Neurology journal Neurology by Dr. Marc Nuwer, a leading expert on national healthcare reform.
Americans prize individual choice and resist limiting care. We believe that if doctors can treat very ill patients aggressively and keep every moment of people in the last stages of life under medical care, than they should, explains Nuwer, a professor of clinical neurology at the David Geffen School of Medicine at UCLA. We choose to hold these values. Consequently, we choose to have a more expensive system than Europe or Canada.
Consider these statistics:
- The United States boasts the worlds most expensive healthcare system, yet one-sixth of Americans are uninsured. Medical expenditures exceed $2 trillion annually, making healthcare the economys largest sector, four times bigger than national defense.
- By 2015, the U.S. government is projected to spend $4 trillion on healthcare, or 20 percent of the gross domestic product.
- An aging population will boost spending. Half of Medicare costs support very sick people in their last stages of life, and experts estimate that Medicare funds will be exhausted by 2018.
- Thirty-one percent of U.S. healthcare funds go toward administration. We push a lot of paper, says Nuwer. We spend twice as much as Canada, which has a more streamlined healthcare system that demands doctors complete less paperwork.
- Ten percent of U.S. expenses are spent on defensive medicine- pricey tests ordered by doctors afraid of missing anything, however unlikely. Doctors dont want to be accused in court of a delayed diagnosis, so they bend over backwards to find something - even if its a rare possibility - in order to cover themselves, says Nuwer.
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