PUB HLT 150 Lecture Notes - Lecture 1: Patient Protection And Affordable Care Act, Health Savings Account, Adverse Selection

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Health politics policy: us health system performance. Evaluate: cost of spending, access to healthcare; quality of healthcare: spending. Us spends far more than other countries because we can afford so (17. 1% gdp) 2001 (managed care backlash), 2008 (recession): account for price hikes. We don"t have price control as much as other countries (not so market-oriented) If prices get so high, people cannot afford. See a big expansion in health insurance (but leads to demand for more services) Gdp/ capita = how rich a country is. Us = the anomaly; we spend more than capacity. Norway = due to the oil industry that constitutes more gdp/ capita. Switzerland (a rich country) = spend about 1/8 as much as us. Yet, physician incomes are highest in the us! We spend per procedure; pay physicians and health personnel more. Hospitalization rate, doctor visits are very low in the us. Cumulative increases in health insurance premiums, workers" contributions to premiums,

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