Health Care and YouBy: Joshua Williams andChristine Walzak
Health Care in Japan• Japan has Social Insurance • Average premium is $240 a month with employers paying 50% a month• 80% of hospitals are private • Hospitals are going broke from patients where in America people are going broke from hospital costs• There are no Gatekeepers • Japan spends less than half the US does on• Japanese people can see any specialist they Health Care with better results want with no waits • Japanese visit the doctors 3X more often than Americans• 3-5 minute appointments • 8% of GDP spent on health Care• Doctors live with a price book • Every two years the Ministry of Health negotiates with physicians to set the price for every procedure to keep costs down• If you lose your job in japan you do not lose your Health Care Benefits • Patients can not be turned down• There is a Health Care Plan for all Japanese people regardless of income funded by the government
Japan Statistics• Total population 127,156,000• Gross national income per capita (PPP international $) 35,190• Life expectancy at birth m/f (years) 80/86• Probability of dying under five (per 1 000 live births) 3• Probability of dying between 15 and 60 years m/f (per 1 000 population) 86/42• Total expenditure on health per capita (Intl $, 2009) 2,713• Total expenditure on health as % of GDP (2009) 8.3
United Kingdom• The majority of citizens will never see a • Health care paid by tax revenue (UK pays more medical bill taxes)• There is no medical bankruptcy • Doctors are government employees• Patients chose hospitals • 8.3% of GDP is spent on Health Care• Competition to keep customers • Has socialized medicine because the government both provides and pays for health care• General Practitioners pay fixed amount • General practitioners (GPs), who run private based on # of patients practices, are paid based on the number of patients they see• GPs make bonus for keeping patients healthy • GPs are paid extra for keeping patients healthy• Health care insurance and care is • Admin costs are kept low because the system is government funded funded through taxes.• Health care covers everyone for half the cost • Patients must visit a "gatekeeper" before seeing a doctor of US
United Kingdom Statistics• Total population 61,565,000• Gross national income per capita (PPP international $) 36,240• Life expectancy at birth m/f (years) 78/82• Probability of dying under five (per 1 000 live births) 5• Probability of dying between 15 and 60 years m/f (per 1 000 population) 95/58• Total expenditure on health per capita (Intl $, 2009) 3,399• Total expenditure on health as % of GDP (2009) 9.3
Germany• Government pays for everything • there is a co-payment of the equivalent of $15 every three months; pregnant women need not pay• Long wait time (normally 1-3 weeks) • Using the Bismarck model based on Chancellor• 2/3 the cost of America Otto von Bismarck.• Pregnant women pay nothing for their children • Germans buy their insurance from one of over 200 nonprofit businesses or "sickness" funds• There are sickness funds and medicine is cheap • They can go to any specialist and bypass a "gatekeeper" but they have to pay a higher co-• Doctors are not paid well, but there is free pay medical school• The system is not based on profit • German doctors feel underpaid because they make 2/3 as much as doctors in America do• Germans pay premiums based on wage • The richest 10% are opted out of the sickness fund• 10.7% of GDP spent on health Care• Average family premium is $750 a month which is attached to patients income
Germany Statistics• Total population 82,167,000• Gross national income per capita (PPP international $) 35,950• Life expectancy at birth m/f (years) 78/83• Probability of dying under five (per 1 000 live births) 4• Probability of dying between 15 and 60 years m/f (per 1 000 population) 99/53• Total expenditure on health per capita (Intl $, 2009) 4,129• Total expenditure on health as % of GDP (2009) 11.3
Taiwan• Looks abroad for good health care to not repeat mistakes • Average family premium is $650 a year and covers a family others have made of four• There is one government insurer collecting money and • Co-payments include 20% of drugs up to $6.50 or $7 for there is no way to opt out outpatients, $1.80 for dental and traditional Chinese medicine• There are drug benefits • Exemptions exist for major diseases, childbirth, preventive services, the poor, veterans, and children• No waiting time • Adopted the National Health Insurance in 1995• Open on weekends • All citizens must have Health Insurance• Everyone needs a smart card, which stores health information • The working people pay a premium split with their employer• If system is abused, the government will step in • Non workers pay a flat rate with the government• No one goes bankrupt from healthcare • They can see any doctor without referral• 6.3% of GDP is spent on Health Care • Each citizen has a smart card with their information on it• Has similar problems as Japan in regards to hospitals losing money • Has the lowest admin costs in the world
Switzerland• Worse off than America • 11.6% of GDP is spent on Health Care• The idea of giving health care to all barely passed • Co-payments include 10% of the cost of the service up to $420 a year• It is believed that health care should be a basic human right • Has Social Insurance voted on by a national referendum in 1994• Administrative costs are 5.5% (it is 22% in America) • When passed 95% already had insurance• No one goes bankrupt because of healthcare, • Health Coverage is mandatory, those not covered which is universal are automatically assigned to an insurer• There are $750 monthly premiums, which are the • Government provides assistance to those who second most expensive in the world cant afford it• The Swiss do not have "gatekeepers" but a • Swiss drug companies make 1/3 of their profits discount can be provided to those who see one
Switzerland Statistics• Total population 7,568,000• Gross national income per capita (PPP international $) 39,210• Life expectancy at birth m/f (years) 80/84• Probability of dying under five (per 1 000 live births) 4• Probability of dying between 15 and 60 years m/f (per 1 000 population) 74/43• Total expenditure on health per capita (Intl $, 2009) 5,072• Total expenditure on health as % of GDP (2009) 11.3
The United States of America• The only Industrialized Country that does not have a • U.S. Ranks 43rd in the world in terms of infant Universal Healthcare System mortality at 6.8 deaths per 1000 live births.• in 2006 15.8% or 47,000,000 people did not have • 30,000 babies die each year in the United Health Inusrance States • Between 2000-2006 inflation increased 3.5%• 84.2% had Health Insurance in 2006 • Between 2000-2006 wages increased 3.8%• In 2006 59.7% of Health Insurance was provided • Between 2000-2006 health care premiums through an employer increased 87% • An estimated 9,000,000 children lack health• About 50% of bankruptcy is caused by medical insurance in the United States expenses • 18,000 people die each year because of lack of• Life expectancy in America is ranked 47th in the insurance world at 78.14 years• Administrative costs account for 31% of healthcare expenditures
How We CompareThe following charts and graphs compare U.S. Healthcare Data with related data from other countries
The US has the highest per capita, percent GDP, and average annual growth rate per capita for health spending.
The US spends a great deal more on health care compared to other countries.
The US had above average public spending, above average out-of-pocket spending, and far above average public spending on health care.
The US compared to other countries in the use of doctors and hospitals. They had less thanaverage practicing physicials, less doctor consultations, less hospital beds, less stay for care, and less discharges.
The US has far above average for hospital spending per discharge than other countries.
The US had the highest rate of prescription use, and spends far more on pharmaceuticals.
The US prices for drugs is much higher than other countries.
The US has more machines, more exams, and higher fees for MRIs and more devices and exams for CT scanners than most countries.
The US has more hospital admissions for most chronice diseases that are listed than other countries and more amputations for diabetes than other countries.