以下这11个数据说明美国医疗保健系统的一些情况:
图1, 平均寿命;
图2, 医疗花费;
图3, 哮喘死亡率;
......
图9, 常规检查费用;
图10, 生孩子费用---最贵的娃;
图11, 新生儿死亡率.
美国的数据均落后于其它发达国家, 包括我们在情感上疙疙瘩瘩的邻居日本.
http://www.businessinsider.com/whats-wrong-with-healthcare-in-the-us-2014-9
Here are 11 charts that show in embarrassing detail some of the many shortcomings of our healthcare system.
1. Americans don’t live as long as we should.
In terms of overall life expectancy, the United States ranks 26th out of 34 Organization for Economic Cooperation and Development member countries. Americans enjoy fewer years than Slovenians and Koreans, living just a tad longer than Czechs and Chileans, who used to rank far behind us.
2. But our country spends far more on healthcare and drugs than any other developed country.
Nearly a fifth of America’s gross domestic product goes toward healthcare spending, putting us above the Netherlands, France, Germany, Canada and Switzerland, where actual health outcomes are much better.
3. Many of us die from diseases that don’t have to be fatal.
Americans are more likely to die from asthma than people than in Brazil or Costa Rica, even though the disease is equally prevalent in those countries.
Global Initiative for Asthma, Global Burden of Asthma Report
4. Americans with certain treatable diseases are more likely to end up in a hospital — and more likely to die.
We send more adult asthma sufferers to the hospital to be treated than any other developed country, coming in just under the Slovakian Republic. The soaring cost of asthma medication in the US (a Qvar brand inhaler, for example, costs 18 times more in the US than it does in Greece) is partially to blame for this problem, but access to preventative care also plays a role. Uninsured asthma patients are far more likely to die in the hospital than those with insurance.
5. Our life expectancy varies by skin color.
In 2009, the average black American could expect to live to just 75, the same life expectancy white Americans enjoyed 30 years earlier in 1979. Today, Black Americans remain far more likely than white Americans to die from heart disease, cancer and diabetes, according to the Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention, National Vital Statistics System
6. It’s too easy to opt out of vaccinations, leading to new cases of preventable diseases.
Low vaccination rates can lead to outbreaks of diseases like measles and Hepatitis B, especially among susceptible populations such as the young and the elderly. A handful of wealthy southern California schools have lower vaccination rates than South Sudan — a troubling trend that extends to New York City private schools as well.
7. American doctors spend very little time with patients.
In comparison to physicians in the Czech Republic, New Zealand, France and Israel, doctors in the US spend far less time consulting with patients and do a far worse job explaining to them what’s wrong.
8. Life-saving prescription drugs cost a fortune.
The US spends a huge chunk of its budget on pharmaceutical drugs. Unlike other countries, whose governments regularly haggle with pharmaceutical companies to reduce drug prices, Medicare is forbidden from engaging in such negotiations. This is why a cancer drug like Gleevec, which costs about $1,000 in New Zealand and Canada, costs an average of $6,214 in the US. Even the common pain medication Celebrex, which runs for $51 in Canada, can cost anywhere from two to nine times that amount in the US.
International Federation of Health Plans Comparative Price Report 2013
International Federation of Health Plans Comparative Price Report 2013
9. Standard lab tests are far pricier, too.
An MRI in the US, for example, can cost 10 times as much as it would in Switzerland.
International Federation of Health Plans Comparative Price Report 2013
10. American babies are the most expensive in the world.
Giving birth in the US — including hospitalization and a normal delivery — costs an average of $10,002, nearly five times more than the cost of birth in Argentina or Spain.
International Federation of Health Plans Comparative Price Report 2013
11. Yet babies born in the US are far less likely to survive past infancy than babies born in many other developed countries.
In 2004, the latest year that data are available for all countries, the US ranked 29th globally in infant mortality, with the same rate of infant death as Slovakia and Poland.
Centers for Disease Control and Prevention, Recent Trends in Infant Mortality in the United States