Healthcare in the US and other wealthy nations
April 16th, 2008I’ve taken an interest in our country’s healthcare system lately. It seems to be quite a big topic with the presidential candidates and, from what I can tell with my limited perspective, it seems like it could use a good bit of help.
One thing that I’ve found interesting in the last couple of days is a series of stories on NPR’s All Things Considered where they are taking a look at the health care systems of other wealthy nations. On Monday, they reviewed Japan’s system and on Tuesday, they reported on Taiwan. I look forward to hearing more stories in this series.
It is certainly helpful and interesting to look at what other nations are doing, but it really doesn’t solve anything. Each system just has its own set of pros and cons. It simply reinforces the fact that healthcare is a huge and far-reaching issue that will never be easily solved, yet somehow, I think our nation is going to have to address it soon.
Since I have such a limited perspective, I try to refrain from making many judgments, but I do have two thoughts to share.
First, the report on Taiwan indicated that the Taiwanese government spends about 6% of its GDP on healthcare, and provides complete government-sponsored coverage for all citizens. The US spends closer to 15%, and we only cover people over 65 and we don’t even provide as much coverage for them. They also indicated that the percentage the US spends is pretty high compared to most wealthy nations. Now, I’m not saying that this is apples to apples, but it is at least a bit of an indication that our nation could afford to be more efficient in its provision for health care.
Second, I am a pretty big-time fiscal conservative, believing that a free market is the best path to growth and prosperity, yet I can’t help but think healthcare doesn’t react the same to an open market as other industries. The supply and demand relationship doesn’t seem to work the same way when people have to have the product (healthcare) in order to live. What is the value of a surgery if that surgery will save your life? Can an open and free market system balance these issues? I tend to think that healthcare to some degree will have to have heavier government regulation and even possibly government-sponsored programs. Of course, this really isn’t all that novel since we already do have government healthcare through medicare, it just is limited to people over 65.
So, what am I saying? I’m saying that I hope there are a whole lot of people smarter and more well informed than me working on this issue, because it is very complex, unusual, and in need of some help. And no matter what sound bites the presidential candidates from either party throw out, I seriously doubt there are any simple solutions to this problem.

