The only way this makes any sense is to assume that the US healthcare system was designed to make money, and not to take care of patients
@johnrossmd those are rational #economics assumptions. Believing health care is a human right - is the only way to make change!
@johnrossmd There is no (designed) healthcare system in the U.S.
@progenetix "healthcare system"
@johnrossmd @progenetix That notion drove me (as a European med post-doc at Stanford, early aughts) away from practicing medicine in the U.S.
@johnrossmd
I’m thinking that Capitalism has many advantages for product development, competition, etc. However, it also seems clear that SOME sectors of our economy, Healthcare financing, being one of those, that would benefit from NOT being in a competitive Capitalistic space. Let’s release healthcare financing from shareholders / capitalism expectations.
@johnrossmd as a former ICU leader said…our system and billing was designed by surgeons prioritizing procedures not outcomes.
@johnrossmd the USA doesn’t have a healthcare system. It has a health insurance INDUSTRY. It shows.

@flakmagnet @johnrossmd True. For those who don't know, part-time employers don't pay benefits (health care, social security). There's ppl working 2 part-time jobs, often in the same franchise, bc they won't get hired full-time.
There are employers paying starvation wages instructing their employees how to get public assistance. Taxpayers subsidizing corporate greed.
Healthcare is not a system. It's a market.

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@flakmagnet @johnrossmd
US doctors want to see you again and again. Each visit brings in money.
Socialized medicine Dr's want to heal you, send you home and see you only for your annual checkup.
Private health insurance overhead is 30%. Medicare (the socialized medicine for retirees) is 10%.
There's many ppl poised to lose a lot of money if Medicare was expanded to all.
@johnrossmd All that money into the pockets of medical corporations.
@johnrossmd Before I began working on my masters in public mgt at CMU in the late 80s, I assumed I would be one of many environmental scientists there trying to manage away from certain disaster. Instead, I was surrounded by hospital professionals but no physical scientists. And I thought to myself, "Boy, medical costs are going to skyrocket". And they did. And on the global warming thing, sorry, but no one cared when something meaningful could still be done. But at least I tried.
@johnrossmd Couldn’t possibly have anything to do with people who aren’t in the best condition coming to the US and dragging down the life expectancy and increasing the costs because they’re unable to pay for it. Nah, let’s ignore that.

@johnrossmd Your friendly reminder that #TheSoCalledUSHealthCareSystem - the wedding of health insurance to employment benefits - was founded to suppress worker wages during wartime.

Our system originated quite literally in giving business interests leverage in the market for labor, and they subsequently took it and ran with it. Since then all sorts of profit (and political) motives have brought other interests in like sharks smelling blood in the water.

@johnrossmd Source, please. The table caption was cut off for me. Thank you.
Life expectancy vs. health spending

The period life expectancy at birth, in a given year. Health expenditure includes all financing schemes and covers all aspects of healthcare. This data is adjusted for inflation and differences in living costs between countries.

Our World in Data

@johnrossmd

The US pays more healthcare dollars per capita than any other industrialized nation, has a low life expectancy, has a higher infant mortality, and not all citizens have health insurance!

This is insane.

My only conclusion is that once one lives in a broken house long enough, the they forget what needs to be fixed.

The US is profoundly wealthy, as a nation, there is no moral or economic justification for not have a society funded healthcare system for all.

@johnrossmd Hmmm...

I would have said it is intended to make money. It cares for patients when that is a means to that end. What it is not designed to do is to improve population health.

@johnrossmd Or, explain network discounts, preapprovals, geographic treatment differentials (like Caesarians). Complete lack of public health, and toleration of health inequities with no universal care.

OTOH, when Mexico and Slovenia are cleaning our clock, you would *think* someone would find that to be a rectifiable problem.

@johnrossmd And why does it never climb as high as others?
@johnrossmd @MattFerrel Obviously, that is what the US healthcare system was designed for. Why else would the donor class cling so tightly to private insurance and lobby so vigorously against single payer?