We Spend a Ton on Health Care, And We Get Lousy Service in Return


The 2013 version of the OECD’s “Health at a Glance” is out today, which means that if I’d waited a day I could have posted the very latest data on the number of doctors per capita in the United States compared to other countries. Not to worry, though: nothing much has changed since yesterday. We still don’t have very many doctors, even though we pay them far more than in most other countries.

In any case, “at a glance” means 209 pages to the OECD, so there’s plenty of other stuff to chew on today. I’ll pick out two tidbits for you. First, the chart below shows the number of doctor visits per year. We’re very low. Despite spending far, far more on health care than any other country—$8,500 per person compared to about $4,000 for other rich countries—we don’t get to see our doctors very often—about four times a year compared to six for the rest of the world. So does this mean that American doctors are lightly worked compared to other countries? As the next chart down shows, yes it does! The average American doc sees about 1,800 patients per year. The average for other rich countries is about 2,500. Again, this is despite the fact that American doctors are very highly paid.

Next up is a chart brought to my attention by Paul Waldman, and it could be one of the greatest and most instructive health care charts ever made. It shows what people think about their health. And despite the fact that by any objective measure, American health is mediocre at best and our health system is both expensive and lousy, Americans think they’re in great health. They think they’re in the best health of any country in the world!

This is Stockholm Syndrome at its finest. Apparently one of the reasons we don’t mind the lousy service and high cost of our health care system is because our health care system has convinced us that it’s great and, therefore, our health must be great too. We’re Number 1, and we won’t put up with anyone who tells us otherwise.

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WHO DOESN’T LOVE A POSITIVE STORY—OR TWO?

“Great journalism really does make a difference in this world: it can even save kids.”

That’s what a civil rights lawyer wrote to Julia Lurie, the day after her major investigation into a psychiatric hospital chain that uses foster children as “cash cows” published, letting her know he was using her findings that same day in a hearing to keep a child out of one of the facilities we investigated.

That’s awesome. As is the fact that Julia, who spent a full year reporting this challenging story, promptly heard from a Senate committee that will use her work in their own investigation of Universal Health Services. There’s no doubt her revelations will continue to have a big impact in the months and years to come.

Like another story about Mother Jones’ real-world impact.

This one, a multiyear investigation, published in 2021, exposed conditions in sugar work camps in the Dominican Republic owned by Central Romana—the conglomerate behind brands like C&H and Domino, whose product ends up in our Hershey bars and other sweets. A year ago, the Biden administration banned sugar imports from Central Romana. And just recently, we learned of a previously undisclosed investigation from the Department of Homeland Security, looking into working conditions at Central Romana. How big of a deal is this?

“This could be the first time a corporation would be held criminally liable for forced labor in their own supply chains,” according to a retired special agent we talked to.

Wow.

And it is only because Mother Jones is funded primarily by donations from readers that we can mount ambitious, yearlong—or more—investigations like these two stories that are making waves.

About that: It’s unfathomably hard in the news business right now, and we came up about $28,000 short during our recent fall fundraising campaign. We simply have to make that up soon to avoid falling further behind than can be made up for, or needing to somehow trim $1 million from our budget, like happened last year.

If you can, please support the reporting you get from Mother Jones—that exists to make a difference, not a profit—with a donation of any amount today. We need more donations than normal to come in from this specific blurb to help close our funding gap before it gets any bigger.

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