1. +John Green discusses the complicated reasons why the United States spends
    so much more on health care than any other country in the world, and along
    the way reveals some surprising information, including that Americans spend
    more of their tax dollars on public health care than people in Canada, the
    UK, or Australia. Who’s at fault? Insurance companies? Drug companies?
    Malpractice lawyers? Hospitals? Or is it more complicated than a simple
    blame game? (Hint: It’s that one.)

    Why Are American Health Care Costs So High?

  2. I actually never disagreed with you non. I just thought it best to clarify
    that Insurance companies have a great deal stacked in their favor to do a
    much better job then they are. Honestly a lot of this money that’s gone
    missing is going right in the shareholders pockets.

  3. That’s true. The primary value insurance companies provide is that they can
    pool patients and represent them at the negotiating table, but after the
    negotiation is done, they are merely providing value by handing the money
    we give them to the healthcare industry. Most of the time, insurance
    companies are a transfer system like credit card companies. Aside from
    paying money to shareholders and expensive employees, they spend lots of
    money on things that are redundant like data mining, adverts.

  4. As a small business owner, I’m not against free market economics, but we
    have to be careful of falling into the trap that one solution works for
    everything. Life is a lot more complicated than that. And I think the free
    market could be the optimal solution for certain medical services like
    dental fillings, cleanings, regular checkups, and elective procedures like
    plastic surgery.

  5. Please do but you would be wrong. Yes you do spend 8-9% of your GDP
    providing just care. That does not include research both public and
    private. It does not count private hospital care, nor cosmetic procedures.
    It does not count non prescription drugs. And your outcomes are pathetic

  6. Why u so awesome 0.o

  7. Oh dear. It would appear we have different standards for evidence. The
    following are from WHO , Data is considered comparative – i.e. your
    concerns over “cosmetic” , “private” etc are non-issues. Care to cite your
    source? Life expectence – US = 79 – UK = 80, Spending (incl private, note)
    as %GDP US =17,9 UK=9.6 you are either deceived, or deceiving. Oh and
    source for missing artificial joints nonsense? Or, plainly, ass-hattery

  8. Great synopses. 

  9. So you all know that Green is showing how incompetent the US fed is about
    health care dollars, right? At 23 seconds he shows the blue bars
    representing Gov spending on health care per person which is MORE THAN THE

    So Green shows that with all the money the fed already gets for health care
    and with all the regulatory power it has over health care it STILL can’t
    attain what the Netherlands does. It can’t even balance the books with
    medicade and medicare which Obama said wastes and loses to fraud about $180
    bil a year.

    Green simply shows giving MORE money to the fed is meaningless since the US
    fed already GETS the most amount per country. And with an exponentially
    growing medicade and medicare system the fed clearly cannot manage a small
    subset of health care let alone the whole thing.

    Sure there’s something wrong with US health care, its been regulated and
    controlled by the gov for over 60 years. Its most certainly NOT free market.

    And the fact is US progressives are at least 60 years out of date with
    their Canadian and EU counter parts. Sweden went through huge austerity
    measures in the 90s, deregulating and cutting taxes. Canada FROZE their
    spending for 10 years. No US progressive would do that. US progressives are
    dinosaurs and the diet democrats… the republicans… are no better
    equipped to manage anything.

    Green simply proves the US fed cannot manage a health care system. These
    are the same “leader” types who turned Detroit into a toilet, bankrupted
    town after town in California, brought California itself to the brink of
    bankruptcy, bankrupted Chicago and Illinois.

  10. Excellent explanation. My friend just ended up in a hospital for a week.
    Claims started rolling in and the first one was just for the bed (all other
    things billed separately). Guess how much it was for? $15K? $30K? $45K? How
    about $63K? Yup, $63K!!! Think you can rent a Lamborghini for a week

  11. LOOK AT THE SOURCES PEOPLE! John starts with facts from a skewed study that
    selects what studies to present in order to make an argument seem valid
    (studies are funded by money, and money by motivation, so this is no
    surprise). He then proceeds to build his argument based on a skewed version
    of even that skewed source, knowing that 99.9% of you will never check.

  12. A lot of people negotiate on their own.
    You’re being intellectually dishonest.
    Many people should try asking for prices from time to time. Most doctors
    dont even know their own prices.

  13. Thebeastcalledmydong

    Seems to me the easiest fix is to get one minimal national healthcare
    package (this will cover almost all common medical issues and can be
    provided by all insurance companies, also people can get more coverage if
    they want but this is the standard set) and negotiate the prices down like
    John said. That way capitalism will provide the best products for the best

  14. Things become cheaper when everyone pays the same for it but not everyone
    uses it.
    For example: going to university costs me about 240 Euros for one semester.
    During those six months I get a ticket for public transportation for the
    ENTIRE Bundesland (there is no translation, it really is Bundesland). If I
    paid for it regularly I’d be paying hundreds… per month. The way it works
    is that not everybody needs it but pay regardless. You can’t back out and
    say “I don’t need it and I don’t want others to travel for free with my

    Healthcare in European countries functions the same way. Everyone pays for
    it and is therefor entitled to cheap healthcare. How many actually need it
    on a regular basis? Not that many, so the funds are sufficient to cover
    most expenses. And most people are happy with it. I don’t know anyone that
    has gone bankrupt because he/she broke a leg and had to be treated in the
    hospital and woke up with 200.000 Euros debt.
    Many Americans on the other hand don’t want others to have what they
    believe earned themselves by working hard all their life, especially old
    people (who, surprise, almost always vote Republican). It’s social greed at
    its most extreme. Many have no interest in supporting those they perceive
    as “social parasites”, leeching off other people. The fact that you can
    work hard all your life, pay taxes and so on and still not get any form of
    affordable healthcare is largely ignored.

  15. I think you left out “government workers” as you bash only “congress

    This guy is a fucktard who is wrong on this topic, but I’m not surprised.
    Believe him at your own risk, he makes an argument that sounds valid until
    you realize he’s full of crap.

    The NY Times is not “nonpartisan” for starters. WTF.

  16. Myths about the high cost of health care, how bad the problem is what’s
    causing it.

  17. John Green fails to answer the most simple question of all:

    If the USA’s healthcare system is so, so, so miserable, then why do vast
    amounts of people from all over the world come here to use it? Why is
    that, Mr. Green?

  18. You should see Greece! At least you don’t have ‘fakelaki’ to deal with
    (google the term). Also Upworthy thinks this is the best vide to describe
    healthcare problems in the US! Way to go!!!

  19. Japan has a Population of 126,000,000. It has one of the lowest $ costs per
    capita, for healthcare.. with one of the highest level of care score, and
    life expectancy, according to the WHO 2008 OECD comparison report, rating
    even higher than many of the nations surveyed for the 2001 WHO comparison
    between the ‘Top 7 + US’ Health Services.. and the Commonwealth Fund’s (An
    AMERICAN ORGANISATION FOUNDED AND RUN by people who would be considered
    part of the so called 1%)..2007 Comparison report of Australia, New
    Zealand, the United Kingdom, Germany, Canada and the U.S (in both reports,
    WHO2001, and Commonwealth Fund 2007, the US was ranked LAST).

    Even if that cost was tripled… (for those arguing that the USA has a pop.
    of 320,000,000..triple, or close enough, to that of Japan’s) it would
    still be about 1,500 USD less than what the average costs per US
    citizen cost the US.Gvt. now… for double the level of care outcomes, and
    +3 yrs added to life expectancy, with 2.0 decrease in infant mortality.

    Simply the put.. the argument that Universal Health Care cannot work in a
    nation of hundreds of millions, only nations in the tens of millions, or
    less, is just plain, outright, absolutely, wrong. Proven by at least 6
    reputable studies in the last 12 yrs , at least one of them from one of the
    most prestigious AMERICAN institutions.

  20. And why does it cost more? Because prices are fixed! And who fixes them?

    (Drumroll please)



  21. John, my cousin (who works in healthcare) disputes your finding with
    regards to both the impact of “Disease prevalence does not affect health
    care costs that much” (he states that a small proportion of chronically ill
    patients are responsible for the majority of health care costs such as for
    Type 2 diabetes which is often a result of obesity) and that while Medicare
    is able to negotiate the best costs, they are not sustainable at a
    scaled-up level.

    In the interest of doing due diligence, I was wondering if you had specific
    sources to back your own findings with regards to these. I’m going to look
    at the three links you provided but am not sure if any specifically deal
    with these.

    I was also curious about your findings since, while I cannot recall the
    exact episodes, I seem to remember the really sharp podcast “Planet Money”
    actually stating that some of the very findings you say are not responsible
    being responsible.

    Basically, I’m torn: I have multiple sources telling me conflicting
    things. That’s one of the biggest issues I have with so many issues … I
    can’t keep up on doing research on everything. At some point, I have to
    trust the data I’m given. But, sometimes, I end up with conflicting sources
    that look diametrically opposed despite the fact that I’ve come to trust
    all those sources in the past.

    I would love it if you could point me to some additional sources beyond
    those you already cited (if those don’t already cover this).

    Thank you for your excellent blogs and I truly appreciate your work!

  22. Good question. Watch to the end for the answer.

  23. As a citizen of the UK (with a girlfriend who needs healthcare a lot),
    here’re my 2 pence (see what I did there?):

    The National Health Service (NHS) here is great. Never have I had an issue
    with waiting time, quality of care or malpractice. My girlfriend has had
    some long wait times in London where the population is really dense, but
    she can avoid that by doing walk-in appointments at any other surgery
    outside of the city (she got an appointment the same day by going to
    Wiltshire, c.60min away instead)

    Socialised healthcare is the cornerstone of developed democracy. The poorer
    members of our community can get healthcare, while the wealthier citizens
    can still chose to go private (BUPA is the largest private provider here
    and it does just fine). It’s baffling and, ironically, sickening to here
    the right wing go nuts over socialised healthcare. Mature a little, join
    the rest of the developed world and try it out. It’s good stuff 🙂

    Oh, and the UK budget is likely to be balanced in a few years. Go figure. 

  24. Well said.

  25. Nobody should feel forced to sign-up for the ACA. Why?
    Because it infringes on US citizens privacy regarding bank accounts and
    health databases. Yes, the reason the websites did not work is because the
    US Gov tried to roll-out (Unsecure Websites).
    Changing to secure sites at the last minute over taxed the networking
    Securing the sites on protest helps prevent the sites from attack. However,
    the database is NOT protected because your Gov wants to know all about you.
    Your private info is valuable as employers will pay for it.
    Pelosi forced Democrats to push the ACA without reading or even
    highlighting the privacy issues. None of the serious privacy and other
    serious ACA issues were discussed.
    In any case, this should NOT have been passed as a tax because it is a
    MANDATE not a tax. There are serious privacy and unfair financial practices
    and Gov appointed individuals making allot of money as part of the
    ACA roll-out.
    How is it that before – it took a court order to get your private info –
    and now your medical data is simply available to everyone because of a new

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