Medicare Administrative Costs

http://motherjones.com/politics/2010/07/health-care-rationing-death-panels

July/August 2010 Issue

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In a country that already spends more than 16 percent of each GDP dollar on health care (PDF), it's easy to see why so many people believe there's simply not enough of it to go around. But keep in mind that the rest of the industrialized world manages to spend between 20 and 90 percent less per capita and still rank higher than the US in overall health care performance. In 2004, a team of researchers including Princeton's Uwe Reinhardt, one of the nation's best known experts on health economics, found that while the US spends 134 percent more than the median of the world's most developed nations, we get less for our money—fewer physician visits and hospital days per capita, for example—than our counterparts in countries like Germany, Canada, and Australia. (We do, however, have more MRI machines and more cesarean sections.)

Where does the money go instead? By some estimates, administration and insurance profits alone eat up at least 30 percent of our total health care bill (and most of that is in the private sector—Medicare's overhead is around 2 percent). In other words, we don't have too little to go around—we overpay for what we get, and we don't allocate our spending where it does us the most good. "In most [medical] resources we have a surplus," says Dr. David Himmelstein, cofounder of Physicians for a National Health Program. "People get large amounts of care that don't do them any good and might cause them harm [while] others don't get the necessary amount."

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