United States is implementing the largest Medicare reform (hereinafter referred to as medical reform). United States and health expenditures for more than a defense and housing to occupy the third position, if sustained growth, the economy will have a high degree of vulnerability, this is a deep background in health reform. The core of the reform is health insurance, to ensure that all people with insurance, controlling rising health care expenses, equal access to health care resources. Major initiatives is the establishment of competitive insurance market mechanisms to adjust tax policy, improved insurance operation mechanism. Budget target is 8750 billion expenditure in exchange for $ 1 trillion deficit declined. Sounds very good, however, the United States would do?
First, the United States medical reform background
United States medical spending huge in the world when the first. This may not be able to explain the problem, because the United States is the world's most prosperous countries. However, all major data indicates that the health status of United States person is not the best or even be considered good. More terrible is that if unchecked, the medical expenditures will continue its rapid growth, inevitably undermine United States economy. So, Obama led by Democrats said: must implement strong health reform, and only leave the Democratic Party's route to success!
1. United States medical expenditure limit is large and rapidly growing
In 2005, the United States medical expenses totalling $ 1.90 trillion, 15% of GDP; in 2007, compared to 19 per cent growth in 2005, $ 2.26 trillion, representing 16% of GDP per capita of us $ globe 7439 second to none. Various studies on prompt, if not reform, health care expenditures will occupy a growing proportion of GDP, 2017 19.5%, 2035, risen to 31%, 41% of the annual meeting to 2060. Then count down has no real significance, because have exceeded the Government's entire budget expenditures by Government! medical, insurance companies and individuals to pay for the patients. Of these, the Federal Government and State Governments through the health insurance plan covers 47% of the total, and this proportion is rising; insurance companies took some means of suppression of medical expenses, but the effect is not evident that had to substantially increase premiums to balance risks and benefits; and patients and families are so overwhelmed that growing medical costs make the family's actual income reduction, more and more families of 10% or more of their income on health care, many people therefore and liabilities, in 2009, about 7 million people with medical debt or payment difficulties, personal bankruptcy, the largest single factor is medical debt, 62%, unique in developed countries.
2, the effect will certainly spend more?
The answer is not simple. United States medical expenses exorbitant, but also enjoy the most advanced medical technology and innovative drugs, but the data show that the health status of United States person is not the best, even in similar economies rankings is low. Comparison between the quality of medical services in many systems, is also very complex. Recognized indicators has three, life expectancy, infant mortality and mortality rates of duty. United States average life expectancy is 78.11 year, 2006-2010-paragraph 38 of the world, is seven industrialized countries in the last one; every thousand's birth, the infant mortality rate is higher than the EU countries, 6.26 5.72. If the economic sectors of the calculation, life expectancy and infant mortality rates vary significantly. For example, 1980-82 to the 1998-2002 20 years top Regal sectors (% of the total population of 10 per cent) per capita growth in life, but the underlying 3.4 for poor people (10% of the total population) increased 1.4 years old only. Responsibility of mortality (amenable mortality, means not to take timely and effective treatment resulting in death) reflects a balanced level of medical service, the United States this indicator in the bottom in developed countries. It is estimated that if you reach the best State in the United States, an annual reduction of 9 million people die, if you achieve the best level of developed countries, less death each year 10 000 1 thousand other secondary index! United States is very poor, such as surgical wait time long gone, tumor surgery waiting 5.5 week, orthopaedic and plastic surgery 40 weeks, hip replacement surgery is 26 weeks.
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