Health Care Project

By: Joshua Williams and

Christine Walzak

Health Care

and You

Health Care in Japan

• Japan has Social Insurance

• 80% of hospitals are private

• There are no Gatekeepers

• Japanese people can see any specialist they

want with no waits

• 3-5 minute appointments

• Doctors live with a price book

• If you lose your job in japan you do not lose

your Health Care Benefits

• There is a Health Care Plan for all Japanese

people regardless of income funded by the

government

• Average premium is $240 a month with

employers paying 50% a month

• Hospitals are going broke from patients where

in America people are going broke from

hospital costs

• Japan spends less than half the US does on

Health Care with better results

• Japanese visit the doctors 3X more often than

Americans

• 8% of GDP spent on health Care

• Every two years the Ministry of Health

negotiates with physicians to set the price for

every procedure to keep costs down

• Patients can not be turned down

Japan Statistics

• Total population 127,156,000

• Gross national income per capita (PPP international $) 35,190

• Life expectancy at birth m/f (years) 80/86

• Probability of dying under five (per 1 000 live births) 3

• Probability of dying between 15 and 60 years m/f (per 1 000 population) 86/42

• Total expenditure on health per capita (Intl $, 2009) 2,713

• Total expenditure on health as % of GDP (2009) 8.3

United Kingdom

• The majority of citizens will never see a

medical bill

• There is no medical bankruptcy

• Patients chose hospitals

• Competition to keep customers

• General Practitioners pay fixed amount

based on # of patients

• GP's make bonus for keeping patients

healthy

• Health care insurance and care is

government funded

• Health care covers everyone for half the cost

of US

• Health care paid by tax revenue (UK pays more

taxes)

• Doctors are government employees

• 8.3% of GDP is spent on Health Care

• Has socialized medicine because the government

both provides and pays for health care

• General practitioners (GPs), who run private

practices, are paid based on the number of

patients they see

• GPs are paid extra for keeping patients healthy

• Admin costs are kept low because the system is

funded through taxes.

• Patients must visit a "gatekeeper" before seeing a

doctor

United Kingdom Statistics








Germany

• Government pays for everything

• Long wait time (normally 1-3 weeks)

• 2/3 the cost of America

• Pregnant women pay nothing for their children

• There are sickness funds and medicine is cheap

• Doctors are not paid well, but there is free

medical school

• The system is not based on profit

• Germans pay premiums based on wage

• 10.7% of GDP spent on health Care

• Average family premium is $750 a month which is

attached to patient's income

• there is a co-payment of the equivalent of $15

every three months; pregnant women need not

pay

• Using the Bismarck model based on Chancellor

Otto von Bismarck.

• Germans buy their insurance from one of over

200 nonprofit businesses or "sickness" funds

• They can go to any specialist and bypass a

"gatekeeper" but they have to pay a higher co-

pay

• German doctors feel underpaid because they

make 2/3 as much as doctors in America do

• The richest 10% are opted out of the sickness

fund

Germany Statistics








Taiwan

• Looks abroad for good health care to not repeat mistakes

others have made

• There is one government insurer collecting money and

there is no way to opt out

• There are drug benefits

• No waiting time

• Open on weekends

• Everyone needs a smart card, which stores health

information

• If system is abused, the government will step in

• No one goes bankrupt from healthcare


• Has similar problems as Japan in regards to hospitals

losing money

• Average family premium is $650 a year and covers a family

of four

• Co-payments include 20% of drugs up to $6.50 or $7 for

outpatients, $1.80 for dental and traditional Chinese

medicine

• Exemptions exist for major diseases, childbirth, preventive

services, the poor, veterans, and children

• Adopted the National Health Insurance in 1995

• All citizens must have Health Insurance

• The working people pay a premium split with their employer

• Non workers pay a flat rate with the government

• They can see any doctor without referral

• Each citizen has a smart card with their information on it

• Has the lowest admin costs in the world

Switzerland

• Worse off than America

• The idea of giving health care to all barely passed

• It is believed that health care should be a basic

human right

• Administrative costs are 5.5% (it is 22% in

America)

• No one goes bankrupt because of healthcare,

which is universal

• There are $750 monthly premiums, which are the

second most expensive in the world

• The Swiss do not have "gatekeepers" but a

discount can be provided to those who see one


• Co-payments include 10% of the cost of the

service up to $420 a year

• Has Social Insurance voted on by a national

referendum in 1994

• When passed 95% already had insurance

• Health Coverage is mandatory, those not covered

are automatically assigned to an insurer

• Government provides assistance to those who

can't afford it

• Swiss drug companies make 1/3 of their profits

Switzerland Statistics








The United States of America

• The only Industrialized Country that does not have a

Universal Healthcare System

• in 2006 15.8% or 47,000,000 people did not have

Health Inusrance

• 84.2% had Health Insurance in 2006

• In 2006 59.7% of Health Insurance was provided

through an employer

• About 50% of bankruptcy is caused by medical

expenses

• Life expectancy in America is ranked 47th in the

world at 78.14 years

• Administrative costs account for 31% of healthcare

expenditures

• U.S. Ranks 43rd in the world in terms of infant

mortality at 6.8 deaths per 1000 live births.

• 30,000 babies die each year in the United

States

• Between 2000-2006 inflation increased 3.5%

• Between 2000-2006 wages increased 3.8%

• Between 2000-2006 health care premiums

increased 87%

• An estimated 9,000,000 children lack health

insurance in the United States

• 18,000 people die each year because of lack of

insurance

How We Compare

The following charts and graphs compare U.S.

Healthcare Data with related data from other

countries

% of GDP Spent On Health Care

Life Expectancy Comparison Chart

Infant Mortality Rate Chart

MRIs Per Country Chart

CT Scans per Country Chart

The US has the highest per capita, percent GDP, and average annual growth rate per capita for health

spending.

The US spends a great deal more on health care compared to other countries.

The US had above average public spending, above average out-of-pocket spending, and far above

average public spending on health care.

The US compared to other countries in the use of doctors and hospitals. They had less than

average practicing physicials, less doctor consultations, less hospital beds, less stay for care, and

less discharges.

The US has far above average for hospital spending per discharge than other countries.

The US had the highest rate of prescription use, and spends far more on pharmaceuticals.

The US prices for drugs is much higher than other countries.

The US has more machines, more exams, and higher fees for MRI's and more devices and exams for

CT scanners than most countries.

The US has more hospital admissions for most chronice diseases that are listed than other countries

and more amputations for diabetes than other countries.

Sources:

• http://www.cdc.gov/nchs/

• http://finder.healthcare.gov/

• http://www.healthcare.gov/news/factsheets/2010/07/health-disparities.html

• http://www.reuters.com/article/2010/06/23/us-usa-healthcare-last-idUSTRE65M0SU20100623

• http://www.reuters.com/article/2009/06/01/us-healthcare-costs-sb-idUSTRE5504Z320090601

• http://www.who.int/research/en/

• http://www.guardian.co.uk/news/datablog/2010/mar/22/us-healthcare-bill-rest-of-world-obama

• http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jul/1532_Squires_US_hlt_sy

s_comparison_12_nations_intl_brief_v2.pdf

• http://www.pbs.org/wgbh/pages/frontline/sickaroundtheworld/countries/

• http://www.healthpaconline.net/health-care-statistics-in-the-united-states.htm

• http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=4&ved=0CGQQFjAD&url=http%3A%2F%2

Fsickothemovie.com%2F_media%2FSiCKO_sickofactoids.pdf&ei=UXx7T5HiF6iI0QHD-

53ABg&usg=AFQjCNEZMuJ90ca9swoP-f23thvrvjZsCQ&sig2=VhwCgCm6x71mNuNpi3-PDQ

Health & Medicine

Health Care Project