11个方面令美国人为自己的医疗保健系统而尴尬

本帖于 2014-09-26 10:03:45 时间, 由普通用户 闽姑 编辑

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;

2, 医疗花费;
3, 哮喘死亡率;
......


9, 常规检查费用;
10, 生孩子费用---最贵的娃;
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.

life expectancy at birth
OECD Health At-A-Glance 2013

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.

health care spending
OECD Health At-A-Glance 2013

drug spending overall
OECD Health At-A-Glance 2013

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.

Asthma death rates
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.

asthma hospital admission rates
OECD Health At-A-Glance 2013

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.

Racial life expectancy
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.

Hep B vaccination rates
OECD Health At-A-Glance 2013

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.

doctors spending time w patients
OECD Health At-A-Glance 2013

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.

Cancer drug cost
International Federation of Health Plans Comparative Price Report 2013

Pain med cost
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.

MRI costs
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.

Cost of child birth
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.

Infant mortality
Centers for Disease Control and Prevention, Recent Trends in Infant Mortality in the United States

所有跟帖: 

美国药太贵,药剂师太费钱,数个药片十几万年薪,另外,医生培训时间太长,都老了才出来工作,没钱找老婆和生娃。 -yhr- 给 yhr 发送悄悄话 (0 bytes) () 09/26/2014 postreply 09:19:46

我觉得当药剂师挺好.但医院里的药剂师责任很大,忙.不是数药片,是根据病人的肝肾功能调整和监控药物剂量. -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (0 bytes) () 09/26/2014 postreply 09:33:21

打医疗官司上不封顶,结果是转嫁到大家身上,医疗保险费越来越高,造成美国中产阶级比中国的中产阶级穷困潦倒。 -yhr- 给 yhr 发送悄悄话 (0 bytes) () 09/26/2014 postreply 09:22:42

嗯.买保险的美国中产阶级负担重. -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (0 bytes) () 09/26/2014 postreply 09:34:36

在日本,肝癌的经皮酒精注射,经动脉栓塞,焼灼疗法等是标准治疗的一部分.日本的肝癌患者行部分肝切除术后5年生存率为50%.而美国的 -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (397 bytes) () 09/26/2014 postreply 11:58:31

最尴尬的是,全民有半数人口超重,很多穷人穷得就剩下肉了。 -大江川- 给 大江川 发送悄悄话 大江川 的博客首页 (0 bytes) () 09/26/2014 postreply 12:23:12

人穷了,先糊口(吃)要紧.别的没法讲究.可能也跟他们选较不健康的食品有关.比如高糖饮料和高盐/油的chips等. -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (0 bytes) () 09/26/2014 postreply 14:43:26

不是,是生活态度问题。你去超市,往往看见拿食品卷的买快餐食品,很少买蔬菜。 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (0 bytes) () 09/26/2014 postreply 18:21:52

请您先登陆,再发跟帖!