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The Real Reason We Pay So Much for Healthcare
A lengthy New York Times report yesterday detailed just how much more Americans pay for medical services than people in other countries. Often a lot more: almost twice what the Swiss pay for a colonoscopy, three and a half times more than the Dutch for an MRI and five times more than Spaniards for a hip replacement, according to the International Federation of Health Plans.
The high per-unit price of medical services in this country is an open secret, well documented in the health-policy world but largely ignored in the political debate. Rather than rail against high prices, Americans should rail against this: The fixes for those higher prices are clear enough, yet they get almost no consideration from policymakers.
The rash of recent proposals to slow health-care spending have focused on reducing the use of health-care services or shifting those costs to beneficiaries, rather than bringing down per-unit costs. Take the Bowles-Simpson report from December 2010: The largest proposed Medicare savings came from asking the elderly to pay more for their care. Other reports take a similar approach.
Read the full story here: http://bloom.bg/13A1P75
Source: Bloomberg News
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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