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The real reason American health care is so expensive

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Hint: single-payer won’t fix America’s health care spending. Subscribe to our channel! http://goo.gl/0bsAjO Americans don't drive up the price by consuming more health care. They don't visit the doctor more than other developed countries: http://international.commonwealthfund.org/stats/annual_physician_visits/ But the price we pay for that visit - for a procedure - it costs way more: http://static1.squarespace.com/static/518a3cfee4b0a77d03a62c98/t/57d3ca9529687f1a257e9e26/1473497751062/2015+Comparative+Price+Report+09.09.16.pdf The price you pay for the same procedure, at the same hospital, may vary enormously depending on what kind of health insurance you have in the US. That's because of bargaining power. Government programs, like Medicare and Medicaid, can ask for a lower price from health service providers because they have the numbers: the hospital has to comply or else risk losing the business of millions of Americans. There are dozens of private health insurance providers in the United States and they each need to bargain for prices with hospitals and doctors. The numbers of people private insurances represent are much less than the government programs. That means a higher price when you go to the doctor or fill a prescription. Uninsured individuals have the least bargaining power. Without any insurance, you will pay the highest price. For more health care policy content, check out The Impact, a podcast about the human consequences of policy-making. https://itunes.apple.com/us/podcast/the-impact/id1294325824?mt=2 Vox.com is a news website that helps you cut through the noise and understand what's really driving the events in the headlines. Check out http://www.vox.com to get up to speed on everything from Kurdistan to the Kim Kardashian app. Check out our full video catalog: http://goo.gl/IZONyE Follow Vox on Twitter: http://goo.gl/XFrZ5H Or on Facebook: http://goo.gl/U2g06o
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Text Comments (13994)
Dain Austin (5 hours ago)
Honestly as an American I believe that our government has a few responsibilities. One of them is to stop monopolies. And also as an American with more than one medical condition under my belt I believe that the medical system is one of the largest monopolies in our market. I personally believe that our government SHOULD do something, set a limit on how much people should have to pay. while not being the only go-between for us and the medical institute. It isn't fair that some of us should have to pay more than others.However what we Americans do not want is a system similar to China where waits are much longer,(https://www.mtholyoke.edu/~macdo22m/classweb/Unnamed%20Site%202/china.html) and if something happened, say the government didn't favor your minority, healthcare might stop altogether. I want the government to take power from "big pharma" and hand it back to the people while keeping an eye out to make sure it stays that way.
Sasha Shallies (10 hours ago)
Also my daughter was born with a non life-threatening heart condition called supra-ventricular tachycardia. Her cardiologist every few months does an EKG and weighs her. I got a bill for 3,000 in the mail. For a machine with stickers.
Sasha Shallies (10 hours ago)
I had chest pain once so bad that I was screaming on the floor. I went to the ER and they said I was having a panic attack and to go home and take Tylenol. My insurance paid for me to be asked a few questions and to go home. I didn’t even want to go to the ER in the first place cuz that’s what happened the last couple times I had gone for severe chest pains but my family made me go. It’s like they don’t even try and just keep the money.
truthsmiles (20 hours ago)
As a child (American), this happened in my own family: 1. "Health insurance is too expensive, so we'll just risk it & pay cash if we have to" 2. Sister falls seriously ill, throwing up and doubled over in pain 3. Go to ER 4. Diagnosis: Ruptured ovarian cyst 5. Emergency surgery 6. Sister recovers 7. $30,000 bill arrives 8. Parents can't pay (of course) 9. Collection agencies start calling 10. New rule goes into effect at home: Don't answer the phone ever 11. Family declares bankruptcy... so the American public paid for my sister's surgery anyway (thank you) 12. (years later) Obamacare enacted 13. Family grumbles about paying the $50/mo income-adjusted cost to them 14. Trump runs for president, promising to end individual mandate 15. Family votes for Trump. Why? It's simple: Because with Obama they were paying $50 per month more for health care than they ever had before.
Jesse Lewis (1 day ago)
Healthcare is not a right
Harry Potter (1 day ago)
One Word “Capitalism” 😂 I love how the government thought privatising meant competition which would mean lower prices.
MEXICAN DOGGOS (1 day ago)
175 with insurance for 2 medical staples on my head
Brad Filler (1 day ago)
This is awesome until you run out of other people's money.
KudosK (1 day ago)
America is the “special” child
Lydia Bell (2 days ago)
Let's not forget that those Republican members of Congress who fight universal health care are getting it (nearly) free at tax payer expense. For a small fee, they can even go to Walter Reed, which is an Army Hospital but excellent. Rep voters, keep this in mind, you are paying for the health care of those who will NOT give YOU a break.
The right to staying alive and healthy is a human right
FellowRser (3 days ago)
The reason you're charged so f****** Munch is because Obamacare it's free for them but for those who don't have it you're overpaying to make up for it wake up idiots vote Trump
origionalwinja (3 days ago)
its because the government interferes
Vansh shekhawat (3 days ago)
India has free healthcare for 500 million citizens.
FlappyFlop 16 (4 days ago)
1:01 Because its not a free market
Rias gremory (4 days ago)
People always talk about America's healthcare system and how expensive it is but what people don't talk about is that America has one of the better Healthcare Systems in the world. In Canada if you want to get surgery or need surgery on something the wait times are ridiculous. Where is here in America if you need surgery or want surgery you can get said surgery and the time span of about a few days where as in other places it can be up to about a week or more. Also, people don't talk about how America doesn't run out of materials in their hospitals. For example, if you want a tetanus shot in Canada there is a chance that you'll have to wait months to get the shot. And let's say you got cut with a rusty nail there's a strong chance that that they may have ran out of tetanus shots so now you have to wait even longer to get a tetanus shot. Where is here in America you can get that tetanus shot the day you walk into the clinic whether you just be a walk-in or you had an appointment or you came in because of an emergency. Now I'm not saying America's Health Systems perfect it's really expensive and sometimes it shouldn't be as expensive as it is but it's probably the best healthcare system in the world when it comes to privatized Healthcare and such.
Yogur Lapiz (2 days ago)
Lol, for what I know here Spain they don't give shots as nothing but if needed they have saved so there is no case of someone dying over tetanus as you said. Maybe I have to wait a day or week to get my surgerie, but suumre I know after that I can still live like a human during the whole month or year. Maybe not everything is as fast as you said cause that is payed, but for sure I haven't seen nobody dying before the surgerie. I have old friends, like really old and if it's an emergency they have surgeries or wathever they need and no bill. My brother has autoimmune health issue and can get the meds, exams, or wathever needed while he is in no danger, we this was first diagnosed in a month he got all the check ups needed and was made the final evaluation with the procudeure to be taken after that, also included the nutrition help since he was losing weight, he could get psicoteraphy treatment, and have check ups for following his health been during all his life. I do not care about time, when that is the least you will worry after getting the bill. And the funny thing is having that much technology and health care but people are afraid of going to the hospitals and holds the pain at home. 7-7
Sm0k3d H4ms (4 days ago)
Healthcare is a commodity.
Lunar Phoenix (4 days ago)
My boyfriend is a type 1 diabetic and I'm terrified of what could happen to him simply because he doesn't have much money. He has had to go without insulin at times and I'm scared of the long-term complications it might cause. And two years ago I developed panic attacks and severe anxiety, but I didn't know what they were and honestly thought I was dying. But, I didn't have insurance and couldn't afford an ambulance or to go to the hospital so I sat in bed wondering if I'd survive another few days. It's sad how many people suffer and even die because they just don't have the money for health care...
Infestissumam (4 days ago)
Socialist BS please Americans don't trust this.
A Shawski (5 days ago)
What is missing from this video is the fundamental different incentives for hospital admissions and hospital stays in the US compared to that of a country with a single payer health care system like Canada. (Actually in Canada is a multi-payer system since the provincial and territorial governments administer health care in their jurisdictions). Hospitals in the US are profit centres. Hospitals and the companies that own them want people to "visit" them much as a hotel wants guest to stay at their hotels. In Canada an admission to hospital is considered a health care failure if a person has a chronic illness the should be properly cared for so they don't end up in a hospital. Even unintentional injuries are considered a "health care failure". There is a cost to the government to ensure people stay out of the hospital and leave as soon as possible. Although there in morally corrupt incentive to kick people out of hospital too soon in a single payer system the government knows the health care costs are considerably more expensive if a patient is discharged too early and ends up back in hospital. The outcomes are poorer for both the patient and the government as well. There are also incentives for "production efficiencies" so patients may feel there on a "production line" for health care services. Patients are spending people's tax money so the expectations that being in a hospital is akin to a resort vacation are quickly dashed in Canada. Although patients often fill out "patient review" forms on discharge no hospital in Canada will ever say to a patient "We hope you come back and see us again". This incentive to keep people OUT of hospital lowers costs, improves hospital efficiency and workload and keeps the population healthier, happier and living longer.
charles kidney (5 days ago)
Really good video. The private sector is too much about profit and not about lives. And people are really sick. Another issue health Care is not just expensive it's also bad. People just aren't treated correctly.
Ricardo Fiarresga (5 days ago)
"Protugal"
GreenStorm01 (6 days ago)
Reading all three comments from Americans still not getting it is truly hilarious. "Sucks to be poor" and "you get what you pay for". Truly final stadium of capitalism there. You'll all die bankrupt and alone. You hate society and by definition then society hates the individual over there. Everyone for themselves. Sucks to be American, really. Glad I'm not.
Yogur Lapiz (2 days ago)
I felt that too, there is too much Americans worryed of paying for someone else health care, the funny thing is while you are healthy you can work but when not? What you do? Like you said since they hate so much people they fell people hates them, and perhaps they do. But it feels lonely and more like animals than humans. :V
Sean Jackmond (6 days ago)
Ok..... leftist propaganda!
peanutbutterisfu (6 days ago)
My insurance went up a couple dollars every year before Obama care. Sense Obama care my insurance had over doubled at $600 per month. I get 2 cortisone shots every 4 months which costs $3,000 each time, I’m in the room for 5 minutes and sit in a chair for 15 minutes. I had a small cyst removed which took less than 20 mins and sat in the room for 30 mins and the bill was $6,000. Why are we letting these hospitals charge so much money?
Hafiz Ad-Din (7 days ago)
Well America seems like a good place for me to practice as a medical doctor. Big pay all around the year.
Dani Paunov (7 days ago)
I've heard that people in the US are calling Uber drivers instead of ambulances to take them to the emergency room.
Berk Boyali (7 days ago)
In other countries healthcare system works to serve, not to make profit. Meanwhile they also lose a lot of money to serve they rarely make profit and even sometimes they go bankrupt. The case here is to determine whether healthcare system is to serve or to make profit. Answer is obv profit for free-market.
JPT (8 days ago)
The United States of Big Pharma.
TommyDrums (8 days ago)
Sad thing about America is that it's a great country for the rich but a horrible country for the poor
Love is Love (8 days ago)
I live in Texas (USA), and I’m seriously terrified to go to a clinic/ hospital because of the ridiculous price. I can barely afford my basic needs, yet alone thousands in medical debt. 😬
VJ Goofy (8 days ago)
You have bribery, but you call it lobbying, and is legal, and are so brainwashed to defend capitalism and open market even when it can kill you, and even call democracy that big corporations can buy the decision made in the country from legislators elected by the people.
Bruno Laranjeira (9 days ago)
It is Portugal..
Ray Shepherd (9 days ago)
I'm in favor of single pay or but I don't think it's private insurance is the problem. From what I understand our government now covers less than a third of us through Medicaid Medicare and VA yet spends almost what other countries spend to cover all their folks. So how much more would our government need to cover an additional 250 million people.
abhishek pandey (9 days ago)
Dear Americans please come to India for anything related to healthcare.
Texting Justin (9 days ago)
In Malaysia, Some Are Free And Some Government Clinic Is Just 1 Ringgit Malaysia
Scott M (9 days ago)
Ignorant, retarded version of the data. Absolutely idiotic.
John Petun (10 days ago)
Canada ftw
James Kaufman (10 days ago)
Get government involved and everything is screwed up. Family friend who was an M.D. retired recently (early) and he cited lawyers and cost of malpractice insurance.
Sky Ryder (10 days ago)
And the name of the rider on the black horse was death.
Sky Ryder (10 days ago)
I'm private self pay. I spent $128.00 on doctors in 2018.
Yogur Lapiz (2 days ago)
Hope in 2019 stays the same :)
Random Being (12 days ago)
i didn't understand anything
Billy Aaron Seaton (12 days ago)
America doesn't have free healthcare yet everyone is allowed guns...
stellar702 (12 days ago)
How to do slanted text on mobile app? %help%
Connor Richardson (12 days ago)
Let me guess, it's all the republicans fault
i dont care (12 days ago)
Ahhh Lobbyist ... the "legal" corruption
Stay Silver (13 days ago)
So what is the reason for me paying your medical bills? Stop bringing the power of our healthcare to the government. Bureaucrats are not good solution for taking care of our health.
2101case (13 days ago)
Girlfriend just had outpatient arthroscopic surgery in nasal area. In and out in 3 hours. $14000. Unfreakin-believable.
bob amazed (13 days ago)
US taxpayers pay for technology and advancements made possible by capitalism. Expensive for taxpayers because foreign nationals and others get treated and do not pay. Including millions of Border Criminals. This makes it necessary to inflate charges to recoup losses. If USA did not be the policeman and momma to third world filth there would be a Cadillac plan and 1 in every garage.
Healthcare Hustlers (13 days ago)
Latest additions to the US healthcare confusion - the requirement that hospitals must now post their prices. While this can help self pay patients, it is likely to mislead anyone with insurance who doesn't understand contracted rates. A full evaluation here: https://thehealthcarehustlers.com/blog/2018/12/30/the-new-healthcare-law-for-2019
Jasnik Parmar (14 days ago)
This is weird - probably an honest mistake - but the ENTIRE discovery/creation of new medical treatments was left out of this breakdown. Let's shout and scream single payer so future break throughs values are diminished and R&D budgets get switched to squeezing profit out of already proven drugs while pharma is still lucrative. oh wait.....
A Shawski (5 days ago)
By population all countries with socialized medicine lead the world in medical research even outstripping the US. The US comes out BEHIND Canada. https://www.quora.com/What-countries-have-lead-the-world-in-medical-research-and-innovation-during-the-time-period-between-1995-and-2014
A Shawski (5 days ago)
Canada has a single payer system and still continues to punch well above its weight class in medical breakthroughs such as HAART therapy treatment as HIV prevention, the discovery of T-cell receptors in cancer research, Transplantable stem cells and many others within a socialized health care system. R&D budgets have little to do with corporate health care systems.
Oliver Jones (14 days ago)
Sounds like communist propaganda to me, but okay
Irma Williams (14 days ago)
Corporations running America?😮
Icemin Lee (14 days ago)
The bottom line is this: there is absolutely zero money to be made on creating a society of healthy people! The American healthcare community is 100% committed to ensuring that society at large is as ill as it is possible to be! And there are only two demographics that pose the biggest detriment and threat to this perfect system of "Profits by any means necessary"! 1.) Healthy people! 2.) And the dead! Because "Big Pharma", "The Government", and "Corporate Moguls" lose billions of dollars on these two groups! Healthcare is about profits and profitability and the declining health of its American's!
Benjamin van der Veen (15 days ago)
Would be interesting to see a breakdown by country of the global spending and profits on drug and surgical research, as well as professional formation. Hypothesis: US healthcare spending actually subsidizes the cost of healthcare everywhere else globally.
A Shawski (5 days ago)
Canada has a single payer system and still continues to punch well above its weight class in medical breakthroughs such as HAART therapy treatment as HIV prevention, the discovery of T-cell receptors in cancer research, Transplantable stem cells and many others within a socialized health care system. R&D budgets have little to do with corporate health care systems.
tyler durden (15 days ago)
there is no free market in the healthcare sector...
Dj H (15 days ago)
That's why huge number of American visit India for medical treatment.
Hersh C (15 days ago)
Excellent!
Iris Ford ny (15 days ago)
Excellent explanation. Insurance companies, publicly traded and part of almost everyone’s portfolio, are going to be very hard to cut off at the knees, but I’d love to see it happen!
Jon JJ (15 days ago)
it's a very easy answer, because America is a capitalist nation
Nikolai Arnaudov (17 days ago)
In Germany it is so, that you are just allowed to be in a private insurance, when you are a freelancer, in Civil Service or really rich. If you are in state insurance yo pay 50% and your boss 50%.
foppo leeuwerke (18 days ago)
This is what so many people are scared off when the U.K leaves the E.U.Will American companies move in to destroy our N.H.S.Your system in America is barbaric because money rules and healthcare becomes second.A lot of continental countries have both.A social health care system and also insurance based which works.The biggest problem in the U.K is social care which is getting less and less.Many people have to stop in hospital because at home there is nobody to give them aftercare.You are a big country America get together and stop the racketeering in your healthcare.
Naik Hanif (18 days ago)
Central Banking System
Ashfaque Sakib (18 days ago)
This video is so incredibly dishonest I almost threw something at my computer, this network is such trash.
Top Frog (19 days ago)
Healthcare in America is unaffordable because of Obama Care since so many people are on it. Not cause of privatization and capitalism. In the 1950s, healthcare in America was completely privatized and healthcare was at a very low cost since there was no Obama Care. We do not need a single payer healthcare system because it is bad quality and the government can deny you a health service if they think you are not worth it.
jntj (19 days ago)
There is not any regulation, or form of regulation that can offset profound, deep-seated, ever-expanding immorality, which is precisely America's number one problem permeating every aspect of society which includes health "care".
watchthe1369 (19 days ago)
The public and private sector are the same size aren't they? If you cut the private or public sector, you cut the overall spending. Nice argument favoring socialized spending but the price will also come down to fit the available funds.
Skip Carpenter (20 days ago)
Vox says we should give more power to the government that got us into this mess. Do you really want this government telling you what you can put in your body, where you will see a doctor, where you will deliver your babies, and what doctor you will see? If the government is going to control prices rather than the market, where does the incentive go to make advances in medicine? Where does the incentive go to the pharmaceutical company to continue to make life saving drugs? Are we going to rely on the same government that continues to burn us to suddenly start making those same drugs, MRI machines, robotic sugery? Deregulate and allow the consumer to shop polices across state lines. Remove the government and you remove the problem.
Skip Carpenter (20 days ago)
1) "It's the private insurance system in America that makes insurance so expensive".  No it's not. It's the crony relationship between the government and the health care system that makes it so expensive. 2) "Why is the free market so bad at controlling the cost of health care in the United States?"  Because it's a government controlled market and NOT a free-market. This is a misleading question. 3) "That health care is one of those things that the government can do cheaper and better than the private sector." You mean, the same government that has driven us into a 22 trillion dollar deficit? You meant the government that runs the perpetually broke post office? Comparing health insurance to buying something at Best Buy isn't an apple to apples analogy because the government doesn't have its hand in Best Buys pocket, unlike the health care industry.
Zeke Santamaria (20 days ago)
your photos put the hospitals as the ones charging money... I think you need to look at the insurance companies...
Fito S (20 days ago)
The tricks to surviving wounds in America from an American: -find/make a decent friend and the both of you study methods of cleaning and covering a wound so you can operate on each other if necessary -Become friends with a veterinarian (preferably a shady one)/someone who won't charge you for basic medical -Always have money around to buy a plane ticket to another country and stay for a day or two before falling unconscious and going to a hospital -Don't get hurt (Semi-joke) -Be rich/don't be poor (Argument I'm seen people use...) I hope that this helps someone to avoid being crushed under the weight of 5,000 dollars (Estimation) of debt from getting a paper cut.
shara30000 (20 days ago)
In America being poor is a federal offence
Anomander1 (20 days ago)
Yeah, and that is why as a European, i only go to doctors and dentists in Ecuador when i am there. Not that it is cheaper, it is better! In the country i live in, the hospitals get their money from the insurance companies. When there is no more money, they can't treat you, so they have to be very careful what they can and cannot do. Because of the cost of medicine, hospitals have to find ways to get medicine cheaper. Resulting in downfall of Hospitals. In Ecuador it is the other way around, you pay for your treatment. Not allways better, but to me it s.
Charles Stewart (20 days ago)
My wife’s uncle was born in the UK and moved to the US after the war. After loosing his job his was diagnosed with terminal lunch cancer in the 90s. His treatment would have bankrupted the family and they would have lost their house. He came back to the UK and was treated for free for over six months - and was not charged anything even though he should have.... The medical profession is a closed shop in the US - it is protected from excellent doctors from abroad so can charge what they want. Good job else there would be a brain drain from other developed countries... And it is immoral to withhold medical treatment based on money. So much for a Christian country! Lastly our local NHS hospital has a tremendous sense of community with many volunteers working there for free.
im canadian
origionalwinja (3 days ago)
im sorry
Tyrese Nag (20 days ago)
All I see in the comments section is how people are bashing Americans, whilst Americans agree with the criticism And then, those same people call Americans arrogant, and fat bastards. ᴵ ⁿᵉᵉᵈ ᵗᵒ ˡᵃʸ ᵈᵒʷⁿ ⁿᵒʷ.
J O (21 days ago)
I remember going to the ER for them to give me instructions on how I should care for my foot and then received a bill of $183, I'll rather die than give those clowns my money again !
Ari Lin (21 days ago)
Illigals sucking up tax and welfare dollars
R 168 (21 days ago)
Our healthcare system is a joke. Our nurses and doctors suck. We pay more for inferior care. As soon as I can leave I will.
Himanshu Jindal (21 days ago)
It's because people are not on streets force your government to do things they don't want to to do or if you can come to India for your treatment like transplants etc it's way much cheaper than USA
Freek314 (21 days ago)
Uhm, the beginning of this video is so juvenile (I'm at 0:52) in its understanding of the economics that deal with healthcare that there's no easy way to break this to any of you. Private healthcare is needed because the enormous state-run programs aren't enough, and the reason for the high price of private healthcare is the state's involvement in the healthcare industry (licensure, taxation, monopolies on patents, anti-trust). Take a look at the essay How Government Solved the Healthcare Crisis by Roderick T Long and try to understand that healthcare used to be incredibly inexpensive.
Freek314 (21 days ago)
Licensure does not guarantee expertise. It guarantees a cartel.
Sean L (21 days ago)
Trivia. Which US political party overwhelmingly want private companies handling health care? and why?
Leoninmiami (21 days ago)
that logic is so ridiculous I stopped watching 52 seconds into the video. Vox being Vox
burningknight7 (21 days ago)
snowflake being snowflake
Swnsasy _ (21 days ago)
It's sad because I myself have a gofundme to pay for my treatment. The way things are looking for me, I'm going to die because the disease is moving into my heart and my cost now is $14000 left.. My husband and I have sold everything, total cost was about $25000 total my insurance will NOT cover my treatment because the illness came from Lyme disease 19yrs ago and nobody could figure out what my illness was until 6mths ago.. Now, they say nope, not covering.. $832mth we pay for insurance that won't even cover what I need it for so basically I'm just giving them money to buy another yatch.. Unless you can get people to see your gofundme on television, you're stuck because nobody knows.. My last check up the look on my doctors face was not good... I'm only 41yrs old.. Even if you cannot donate, I'm asking if you can PLEASE share it! https://www.gofundme.com/lyme-disease-and-my-heart
1996GMail (22 days ago)
Dudes WTF?!! PROtugal?!?! WHY?!?!
Hyesook Song (22 days ago)
You don't need healthcre if you're dead.
Aplite (23 days ago)
I scan = 8 thousand dollars (This happend to me)
millertas (24 days ago)
A while ago in the morning my wife said she was suffering really severe stomach pains. We called 'nurse on call' who after a small amount of time advised that she was sending an ambulance. Within an hour she was taken to a hospital. I followed in the car & found out that she had gallstones. A surgeon told us that he could operate that afternoon but did not have a bed for her to recover. After suggesting that I could take her home to recover she was operated on and back in her bed with no bill presented to us. Donald Trump wants America to be great? START LOOKING AFTER THE SICK.
David Roberts (24 days ago)
This is BS. No mention that the private healthcare in the US isn’t capitalist at all. The consumer only controls $1 in $8 spent. Employers choose for them and they have the illusion of choice. Private healthcare is expensive because there is little competition. This video is lying as it suggests the consumer decides where they spend their money. Single payer means rationed healthcare and terrible quality. Try being sick in the UK before you think single payer is a good thing.
Christopher Wilson (24 days ago)
Government meddling and corporatism are the reason why the cost of practicing medicine has sky-rocketed over the past few decades. There are a lot of risk and debt involved in practicing medicine and it's not getting ant better. But what exactly do people want in order to fix this?; More government coercion of course!
tt (24 days ago)
This video doesn't recognize a lot of the other reasons on why American healthcare is so expensive. America pays our doctors nearly $250,000 more than the rest of the world on average. This $250,000 figure accounts for nearly 10% of ALL of America's healthcare spending, which is a insane amount of money. We pay our doctors so much partially because the American Medical Association intentionally limits the number of doctors who can get residency, so that way their wages stay high. And also America rejects doctors from other countries (even though they have better results than our doctors), which further pushes up doctors pay. A LOT of medical procedures can be performed entirely by nurses. European countries have shown that nurses are just as effective at providing general medical care as doctors, but at nearly half the cost of doctors. And our nurses are also paid 2x as much as our European nurses. Nearly 30% of all medical expenditures go to nothing but administrative costs. A lot of this goes to adhering to unnecessarily complicated regulations and a lot of it goes to the complicated mess of having to bill both government and private insurance. Everyone likes to cite that the administrative costs of medicare is only 3% (compared to 12% for private insurance), but this is incredibly misleading and if you compare the administrative costs per person then medicare costs more on a per person basis (which is more accurate than comparing percentages). American doctors can also be sued for malpractice unlike European doctors. Malpractice insurance for doctors accounts for around 2% of medical expenses or so. And finally I'd just like to point out that Bernie Sander's funded a study on how much medicare would cost and it was only found to be around 3% cheaper. That isn't a very big decrease in your expenses and America would still lead the world in healthcare expenses by a very large margin. And this is assuming that a study funded by Bernie Sander's isn't totally biased in favor of medicare. In order for America to have affordable healthcare we need address the amount of money we are wasting on expensive doctors (who don't provide superior services), unnecessary regulation, allowing nurses to provide more medical care, and addressing why we have such absurdly high administration costs.
steve jenkins (24 days ago)
you missed the point about market forces which do not exist in the US because the us is half in half corrupt and all just wrong. It's a pick A or B question and the US says how bout F or W.
Hambone (24 days ago)
GO BERNIE!!!!
Pleasant Destroyer (25 days ago)
The doctors will not tell you how much something costs. I have asked many many times and they tell me they don't know and don't offer someone who can. The fact is that hospitals etc are run by a few business people not doctors. They don't want you to know the price and the cost always goes up and the number of providers they employ always goes down. Its a scam this video explains the big picture effect of this unbridled greed.
karkosz1 (25 days ago)
lies, lies.lies...
burningknight7 (21 days ago)
snowflake, snowflake, snowflake
StormyHotWolf88 (25 days ago)
Had it twice now where grandparent was told by doctor that they were fine and died: one on their way back to the car after the visit in the parking lot and one that was supposed to be released the next day.
Abi Farris (25 days ago)
This is why I live vox
Zhabivnyk Salskyi (25 days ago)
On the other side US do 90% of the most significant innovations in drugs and surgery
A Shawski (5 days ago)
That's not true. Per population all the countries with socialized medical lead the world on medial research. Even Canada leads the US when size of population is included. https://www.quora.com/What-countries-have-lead-the-world-in-medical-research-and-innovation-during-the-time-period-between-1995-and-2014
Valeria López (26 days ago)
Protugal
Pascal Mcmenamy (26 days ago)
Another issue is that there are a lot of people who don't pay anything towards health insurance, for example young healthy people, and their emergency treatment often is payed by the hospital. These leaves the sick to pay and negates the main benefit of insurance which is risk pooling, a concept a surprising number of people fail to grasp. Forcing everyone to buy insurance ( call it a tax ) is what many countries do to solve this.

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