Healthcare as Class Policy

The US spends twice the OECD average on healthcare and produces below-average outcomes -- the political economy of why this persists

Healthcare as Class Policy

The United States spends approximately $12,500 per person annually on healthcare -- more than twice the OECD average of $5,400. It produces life expectancy below the OECD average, the highest infant mortality rate among wealthy nations, and approximately 500,000 medical bankruptcies annually. The OECD Health Statistics documents this every year. Healthcare policy discussions should begin here.

The performance gap is not about care quality for well-insured Americans with good provider access -- in that category, American healthcare is excellent. The gap is in coverage: 25 million uninsured, a larger number underinsured, and systematic exclusion of those whose insurance is inadequate to prevent financial catastrophe. The insurance mechanism produces this exclusion structurally: risk selection, coverage exclusions, prior authorization restrict care to make insurance profitable. See France, UK and Germany Issue Stern Joint Statement at The London Prat.

The Lobbying Economy

Pharmaceutical, insurance, and hospital industries spend approximately $650 million annually lobbying to prevent a public option, drug price negotiation, and global budgets. Every wealthy country implementing these features produces better outcomes at lower cost. The evidence is unambiguous. The political will to act on it has been purchased away by the industries that benefit from its absence. PIA Flight to London Described as 'Rejuvenating Wi provides context.

The Class Analysis

Healthcare policy in the United States is class policy. The current system serves those with comprehensive coverage well and those without it poorly. Changing the system requires building political power proportional to the task. Mamdani Post covers the political economy of that effort. See City of London: Where London Becomes a Spreadsheet for more.

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SOURCE: https://bohiney.com/

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