Why U.S. health care expenditure and ranking on health care indicators are so different from Canada’s

作者: A. H. G. M. Spithoven

DOI: 10.1007/S10754-008-9044-0

关键词: Health promotionDemographic economicsEnvironmental healthHealth economicsHealth careInefficiencyHealth policyHealth administrationPublic healthDeveloped countryMedicineGeneral MedicineGeneral Economics, Econometrics and FinanceFinanceHealth(social science)

摘要: Compared to other industrialized countries, the U.S. spends most of all on health care. Nonetheless, ranks relatively low care indicators. This paradox has been already known for decades. For example, turning point comparing and Canada was in 1972. Health expenditure as a percentage GDP higher than USA from 1960 until Since 1972 (OECD 2005a, data 2005, fourteenth OECD electronic database systems, date release June last update 04/26/2005). The present study integrates dispersed literature spending rankings adds some statistical analysis these studies. evaluation different factors influencing relative countries is restricted comparison with Canada. are two that sufficiently similar make comparisons useful. 2002 reveals mainly due administration costs, Baumol’s cost disease pharmaceutical prices. It not primarily inefficiency production but dominant prevalence free choice own responsibility explains high ranking

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