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He co-wrote the first “It’s The Prices Stupid” research article in Health Affairs with Gerard Anderson et. back in 2003 — so we’ve known for over 16 years that in the U.S., higher-than-world-average health care spending is mostly about how services are priced, versus whether Americans use more healthcare.
The bar chart, Exhibit 5 from the report, is always important to examine as it reflects the very-American situation of spending as price times utilization — where “it’s been the prices, stupid” since Uwe Reinhardt and team wrote their seminal work on the role of health care prices in U.S.
Americans today pay twice as much for the same medications as people in Europe largely because of Congressional legislation passed in 2003. As prices climb ever-higher, at least half of Americans can’t afford to pay their out-of-pocket medicalbills, which remain the leading cause of U.S. It’s a good start. bankruptcy.
This sentiment has been relatively stable since 2000 except for two big outlying years: a spike of 69% in 2006, and a low-point in 2003 of 42%. Note that over one-half of people who were ill had serious problems paying at least one type of medicalbill, from hospitals and prescription drugs to the doctor’s office and ambulance services.
“Patients as Consumers” is the theme of the Health Affairs issue for March 2019. most visibly for prescription drugs , and increasingly for other line items in the medicalbill like nursing home care, hospital care, and physician services.
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