Several people have given this answer as to why health care in the US would be more expensive than in other places.
And then several people have mentioned that insurance companies make only a little profit from each person, but it adds up to big numbers together.
I am finding this odd, because people seem to understand that the amount of people paying into a health insurance program is directly related to the amount of profits, and does not always mean each individual is paying a lot.
Yes, the US has a large population, so one would expect that the overall sum spent on health care would be more expensive. That in itself does not mean their expense is greater when compared to the population.
You have to consider the expense per person, or perhaps as a % of GDP, or some other reasonable amount.
In fact, for a larger population, there can be some advantages, for example one way my government keeps drug costs down is by negotiating with drug companies for very large lots. I can’t off the top of my head think of a disadvantage for a larger population, though there may well be some.
Similarly, this was said
which is bizarre to me, since I said nothing about having more individuals with cancer, and it seems largely irrelavent. Cancer rates overall being higher in one place is not due to a larger population, there is some other reason, or more likely a number of reasons.
Ok, let’s start with medicine, drugs.
The FDA in the US requires testing to approve a product. The costs to a company for testing can run into the 10s of millions–I do not know if that works out to products approved or each proposed product.
Canada negotiates pretty heavily for the low prices charged there, from volume discounting to the granting of extensions of patent protections. The expenses of creating a new drug are spread out over a longer protection period. No one but a government can negotiate the latter, and our government can’t negotiate at all.
However, as a result of these transnational market interventions, we have a warping of the prices here. On the one hand, it thus becomes possible for drug companies to invest on what would otherwise be too-marginal drugs, but for more common drugs, our prices are higher than they otherwise would be as the companies can’t *rely *on the extension of patent in other nations to completely off-set their r&d costs–another company may come up with a better or at least newer drug earlier than that.
Thus the drug companies *relentlessly *market their drugs here, where they can make a higher profit due to the remoteness of payment (through insurance through employers). It is only now that the price of insurance has gotten so high that employers are paying ever-decreasing proportions that we are becoming aware of the “crisis,” and that people are becoming more aware of the actual prices being charged.
For example, at one point we needed to get a medication that we had to pay for ourselves. The nearest pharmacy charged $200 for a month’s supply–and we did not know for how long we would need it (and this was not a drug still under patent!). Luckily, they called around and were able to find it for under $60 for a month’s supply.
Now, let me explain that the nearest pharmacies to us serve two separate populations: 1. retired people mostly on Medicare, and 2. poor people mostly on Medicaid. Right in our area we happen to have a very high percentage of those two populations. So the prices for certain things are much higher. We also have some sort of mechanised wheelchair company which will *give *you the chair if they can’t get Medicare or Medicaid to pay for it; that’s how sure they are of getting “someone else” to pay for what you order. I know an old man whose children “got” him one of those chairs–he never uses it. He never goes anywhere, and he can walk around in his house just fine. I think he has used it maybe once in the three years he’s had it.
I am totally not against helping people, and in fact, I try to do so. However, I am against government involvement simply because it is so inefficient that it will bankrupt us.
And it will bankrupt you Canadians, and the Europeans, each and every one, because of the demographic situation which exists in each of these nations. We’re all going down the same tube. The fact is that some Americans would like to keep their nation afloat if there’s any chance of doing so.
And on another note entirely, I think the nasty comments about Canada’s military, besides being not to the point, are, well, nasty. Canada’s military is working serious overtime right now. My unit has not had an operations officer actually present in years, because they are always deployed - and often the Ops WO is gone too. They are going flat out in Afghanistan, and they are getting killed doing it. We DO have a small population, and we are recruiting as fast as we can, and we are still not making up the numbers we need to give some relief to those already there. So give up on the snarky comments.
Canada has always been quite supportive in military terms, and that is wonderful. However, some Americans do not realise that the Canadians should not be lumped in with the Europeans, who have slighted our military while living under its umbrella.