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<p>While I totally agree with your statement, I do think the minor anecdote you brought up is hardly compelling. McKinsey, hardly the bastion of liberal thinking, did a study indicating that the US pays more (to the tune of $1,600 per person) than peer nations (OECD), gets inferior treatment as measured in a variety of ways, and covers far fewer of its citizens.</p>
<p>And yet, some Americans still think we have the best healthcare system in the world because they read that really, really wealthy people from all over the world come to Harvard or UCSF to get the best treatment money can buy. Meanwhile, people like my friend (middle class) who is covered by Blue Shield and has an acute medical condition, spends his days these days in futility trying to get coverage and find those who will take care of him.</p>
<p>[McKinsey</a> & Company - Synthesis - Accounting for the Cost of Health Care in the United States - January 2007](<a href=“http://www.mckinsey.com/mgi/rp/healthcare/accounting_cost_healthcare.asp]McKinsey”>http://www.mckinsey.com/mgi/rp/healthcare/accounting_cost_healthcare.asp)</p>
<p>"The United States spends more of its income on health care than other developed countries and that share is rising. It is an arresting statistic that the U.S. now spends more on health care than it does on food.</p>
<p>In this new report MGI finds that the United States spends approximately $480 billion ($1,600 per capita) more on health care than other OECD countries and that additional spending is not explained by a higher disease burden; the research shows that the U.S. population is not significantly sicker than the other countries studied. </p>
<p>Instead, MGI found that the overriding cause of high U.S. health care costs is the failure of the intermediation system — payors, employers, and government — to provide sufficient incentives to patients and consumers to be value–conscious in their demand decisions, and to regulate the necessary incentives to promote rational use by providers and suppliers. </p>
<p>Given the less than optimal access for all U.S. citizens (relative to peer countries), MGI concludes that major opportunities for cost improvement —even if not the full $480 billion—are as possible as they are necessary although no single reform is likely to succeed in achieving the needed rebalancing. To be effective, reform in health care will need to apply sound principles on both the demand and supply side of the system."</p>