National Healthcare Expenditure: United States versus Other Countries: The US is not really an outlier.

Numerous people have asserted that the United States spends dramatically more on healthcare than other countries, presumably even more than countries of our level of wealth and affluence, and that this can only be explained by the fact that we do not have single-payer or some such.

Here are some examples graphs used to make this point

Above-expected-500x406 (1)

health-care-spending-in-the-united-states-selected-oecd-countries_chart02

These appear to be very convincing at first blush, but i never found these arguments particularly convincing due primarily to:

  1. Imperfect comparability between the selected countries
  2. Issues relating to comparing countries of the “same” GDP
  3. cherry-picking of countries

I knew the proponents of single-payer were, at best, making an incomplete argument and that it invited an exaggerated impression of what we should likely expect from a country like ours, but, up until now, I lacked the data and the time to present these argument comprehensively.  I recently got in an argument with someone over this subject and found a treasure trove of data all in one place (mostly) to thoroughly debunk this overly simplistic argument.

To make my points, vis-a-vis fundamental issues with naive treatment of GDP per capita and sensitivity to comparison countries, here is a quick chart showing National Healthcare Expenditure (NHE) as a percent of GDP by GDP per capita

NHE_as_Pct_GDP_by_GDP_per_capita

 

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Some figures relating US household income inequality

The changing distribution of household income inequality is real, but it’s often overstated since it does not account for household size or the number of earners per household.

Put bluntly, actual work is far from evenly distributed and far moreso than most people realize or admit.

Below are some statistics from the most recent US census [very similar numbers are found pre-recession too]

Census_distribution_of_income
Cbo_distribution_of_earners

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