Total health expenditures in the USA in 2010 reached $2.6 trillion, $8,402 per person or 17.9% percent of GDP. All these are all time highs. Every year, for decades, health care costs have taken a larger and larger portion of the economic value created in the USA.
In 2009 the USA Spent Record $2.5 Trillion, $8,086 per person 17.6% of GDP on Medical Care.
USA health care spending grew 3.9% in 2010 following an increase of 3.8% in 2009. While those are the two slowest rates of growth in the 51 year history of the National Health Expenditure Accounts, they still outpaced both inflation and GDP growth. So yet again the health system expenses are taking a bigger portion of overall spending. This has been going on so long that the USA spends double what many other rich countries do on healthcare with no better results.
As a result of failing to address this issue for decades the problem is huge and will likely take decades to bring back just to a level where the burden on those in the USA, due to their broken health care system, is equal to the burden of other rich countries. Over 2 decades ago the failure in the health care system reached epidemic proportions but little has been done to deal with the systemic failures. Dr. Deming pointed to excessive health care cost, back then, as one of 7 deadly diseases facing American business. The fact that every year costs have increased more than GDP growth and outcome measures are no better than other rich countries shows the performance has been very poor. The disease is doing even more harm today.
Some good things have been done over the years, most notably by Don Berwick while at the Institute for Healthcare Improvement. He was effectively thrown out of office by the politicians recently. The same politicians that have through decades of such foolish acts contributed more than any other group to the broken health care system that burdens the USA today. In the last 10 years a significant amount of good work has also been done in “lean healthcare”: applying lean thinking to healthcare. But it is similar to the quote that a “bad system will beat a good person.” With all the bad systemic issues the efforts, good as they are, in lean healthcare are mainly improving around the edges. Of course, “around the edges” of a $2.6 Trillion dollar system can still be extremely valuable and important.
Related: USA Heath Care System Needs Reform – USA Spends Record $2.3 trillion ($7,681 Per Person) on Health Care in 2008 – Systemic Health Care Failure: Small Business Coverage – Measuring the Health of Nations – How to improve the health care system performance – Management Improvement in Healthcare – USA Spent $2.2 Trillion, 16.2% of GDP, on Health Care in 2007



Chart showing the percentage output of top manufacturing countries from 1990-2008 by Curious Cat Management Blog,
Chart showing the output of the top manufacturing countries from 1990-2008 by Curious Cat Management Blog,
Chart showing loan default rates for real estate, consumer and agricultural loans for 1998 to 2009 by the Curious Cat Investing Economics Blog,
Worth Does Not Equal Wealth
Posted on November 11, 2010 Comments (0)
Warren Buffet often says he happens to be very good at something that is very financially rewarding – effectively allocating capital. He says this while making the point that plenty of other people are exceptionally gifted in ways that are not as financially rewarding (teachers, grandparents, nurses, Peace Corps assignment…) but are important to society. He understands that his worth as a person is not tied to this bank account. It might be one reason he and Bill Gates have so generously used their wealth to help others. They understand those actions are related to the their worth.
People should not tie their feeling of their own worth to their income. We don’t talk about it much directly but I see it far too often in the way we discuss things. Most people agree we shouldn’t judge people by their bank account or their earning power but we still do it. Hey we have flaws. We also judge people based on how attractive they are and how tall they are and other far from sensible things. Study after study shows we do this even if we want to pretend we don’t.
At least in the USA far too often people mistake financial success for worthiness. Financial success is great (I am not one of those that sees wealth as a bad thing – even if the correlation to bad behavior can seem high, at times). Even in companies this is often done where those with higher salaries are seen as more worthy – not everywhere, not all the time, but still more than we should. And when the economy is bad more and more people face not only financial struggles but the added pressure of feeling less worthy as they struggle financially.
I think it is good that we feel a desire to contribute and play our part in making our communities successful. But we shouldn’t be overly critical when we are making real efforts to contribute but for example, the job market is very bad and we can’t be as financially successful as we were before. Or feel we have to judge our success versus our siblings, friends, childhood friends, co-workers, children… based on our material wealth.
Related: Narcissistic Cadre of Senior Executives – Millennium Development Goals – You Can Help Reduce Extreme Poverty – High School Inventor Teams @ MIT
Warren Buffett quotes:
“I happen to have a talent for allocating capital. But my ability to use that talent is completely dependent on the society I was born into. If I’d been born into a tribe of hunters, this talent of mine would be pretty worthless. I can’t run very fast. I’m not particularly strong. I’d probably end up as some wild animal’s dinner.” – quoted in The Audacity of Hope, page 191.
Categories: Psychology, Respect
Tags: charity, commentary, control chart, Economics, ethics, Psychology, respect for people