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World’s top economies pull back on healthcare spending

By | July 5, 2012, 5:37 AM PDT

Healthcare spending in the U.S. and other nations with advanced economies is growing, but that growth is screeching to a halt.

A new report in the Wall Street Journal explains that the global economic recession has helped to slow healthcare spending. This is in line with a recent report by the Organization for Economic Cooperation and Development, or OECD, which showed a slump among its member nations — the U.S., U.K., France, Germany, Spain, Japan, Canada, etc.

Here’s the graph showing the OECD fall-off:

The OECD explains:

While government health spending tended to be maintained at the start of the economic crisis, cuts in spending really began to take effect in 2010. This was particularly the case in the European countries hardest hit by the recession.

Now, the Journal reports that U.S. per-person spending on healthcare grew at an annual average rate of 2.1 percent between 2005 and 2010. That compares with 4.3 percent between 2000 and 2005 and 3.2 percent in the five years before that.

David Wessel writes:

Americans cut back spending on nearly everything but iPhones. They go less frequently to the doctor, put off elective procedures and cut back on prescription drugs. It is the most significant slowdown in health spending since the heyday of managed care in the late 1990s.

The wild card is, of course, the latest reforms to the American healthcare system. The U.S. has long had a problem with overspending (total and per capita) on its healthcare services; the economic question is whether the recent drop is a temporary low or a new normal.

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Andrew Nusca

About Andrew Nusca

Andrew Nusca is the editor of SmartPlanet.

Andrew Nusca

Andrew Nusca

Editor

Andrew Nusca is editor of SmartPlanet and an associate editor for ZDNet. Previously, he worked at Money, Men's Vogue and Popular Mechanics magazines. He holds degrees from the Columbia University Graduate School of Journalism and New York University. He based in New York but resides in Philadelphia.

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Andrew Nusca

Andrew Nusca
Andrew Nusca does not hold any investments in the companies he covers.
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-2 Votes
+ -
really?
Cut backs, never knew that people stop getting sick in downturns, someone should do research on it. Cut backs, no less people with insurance in the US yes.
Posted by Kiljoy616
5th Jul
+1 Vote
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Not a surprise...
...as Western Europe flirts with bankruptcy and fewer people in the US can afford insurance.
Posted by JohnMcGrew@...
5th Jul
0 Votes
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What?
I thought health care was free now! WTF!
Posted by Common_Sense
6th Jul
+2 Votes
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Healthcare spending
Hold on ... talk about deceptive spin ...The graph and text indicate a slow-down in healthcare spending GROWTH not a reduction in healthcare spending. Even worse that is not growth in healthcare spending over all it is growth in spending PER PERSON!!! That is just insane. Growth is still growth even when it is slower.

The growth needs to slow down, preferably until there is no growth and spending is either stable or becoming less because of more efficient healthier systems. What we have now is healthcare spending that is insane and still WAY out of contol.

Why not spend that that money on buying high-quality food instead? Then maybe we won't need to spend such crazy amounts fixing the problems our own bad habits create.
Posted by amulhollan
6th Jul
+1 Vote
+ -
Not by government standards.
Remember, by government thinking, "cuts" are in the rate of growth, not growth itself. Such cuts in the rate are hyperbolized as "draconian" whereas actual reduction in growth is merely inconceivable.
Posted by JohnMcGrew@...
9th Jul
0 Votes
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Interesting.
In one breath there is concern over the drop in spending growth while in the next an admittance that there has been over spending that needed controls.

Which is it? Cause for concern or overdue restraint?
Posted by Hates Idiots
6th Jul
0 Votes
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Mauritius a Welfare State covering free Health care
Free health care together with, free social aid/old age pension, free education (up to tertiary level) and free Public Transport to students and retired citizens form the Welfare State status of Mauritius. Even visiting foreigners would receive FREE health care in Public Hospitals if they arw sick or met with an accident!
I would advise all of you to go through the article of Nobel Prize winner By Joseph E. Stiglitz (Nobel Prize Winner - Economics):What the United States can learn from the tiny island nation of Mauritius

Posted Monday, March 7, 2011, at 3:58 PM ET
Suppose someone were to describe to you a small country that provided free education through to university for all of its citizens, transportation for school children, non-contributory old age pension and free health care???including heart surgery???for all (including visiting foreigners). You might suspect that such a country is either phenomenally rich or on the fast track to fiscal crisis.

After all, rich countries in Europe have increasingly found that they cannot pay for university education and are asking young people and their families to bear the costs. For its part, the United States has never attempted to give free college for all, and it took a bitter battle just to ensure that America's poor get access to health care???a guarantee that the Republican Party is now working hard to repeal, claiming that the country cannot afford it.

But Mauritius, a tropical island nation of 1.3 million people off the east coast of Africa, is neither particularly rich nor on its way to budgetary ruin. Nonetheless, it has spent the last decades successfully building a diverse economy, a democratic political system, and a strong social safety net. Many countries, not least the United States, could learn from its experience.

In a recent visit I had a chance to see some of the leaps Mauritius has taken???accomplishments that can seem bewildering in light of the debate in the United States and elsewhere. Consider home ownership: While American conservatives say that the government's attempt to extend home ownership to 70 percent of the U.S. population was responsible for the financial meltdown, 87 percent of Mauritians own their own homes???without fuelling a housing bubble.

Now comes the painful number: Mauritius's GDP has grown faster than 5 percent annually for almost 30 years. Surely, you think, this must be some "trick." Mauritius must be rich in diamonds, oil, or some other valuable commodity. But Mauritius has no exploitable natural resources. Indeed, so dismal were its prospects as it approached independence from Britain, which came in 1968 that the Nobel Prize-winning economist James Meade wrote in 1961:
"It is going to be a great achievement if [the country] can find productive employment for its population without a serious reduction in the existing standard of living. ??? [T]he outlook for peaceful development is weak."

As if to prove Meade wrong, the Mauritians have increased per capita income from less than $400 around the time of independence to more than $6,700 today. The country has progressed from the sugar-based monoculture of 50 years ago to a diversified economy that includes tourism, finance, textiles, and, if current plans bear fruit, advanced technology.

During my visit, my interest was to understand better what had led to what some have called the Mauritius miracle and what others might learn from it. There are, in fact, many lessons, some of which should be borne in mind by American and European politicians as they fight their budget battles.

First, the question is not whether we can afford to provide health care or education for all or ensure widespread homeownership. If Mauritius can afford these things, America and Europe???which are several orders of magnitude richer???can, too. The question, rather, is how to organize society. Mauritians have chosen a path that leads to higher levels of social cohesion, welfare, and economic growth???and to a lower level of inequality.

Second, unlike many other small countries, Mauritius has decided that most military spending is a waste. The United States need not go as far. If the United States reduced by just a fraction its defence spending, much of which goes toward weapons that don't work against enemies that don't exist, it would go a long way toward creating a more humane society, including the provision of health care and education to those who cannot afford them.

Third, Mauritius recognized that without natural resources, its people were its only asset. Maybe that appreciation for its human resources is also what led Mauritius to realize that, particularly given the country's potential religious, ethnic, and political differences???which some tried to exploit in order to induce it to remain a British colony???education for all was crucial to social unity.

So was a strong commitment to democratic institutions and cooperation between workers, government, and employers???precisely the opposite of the kind of dissension and division being engendered by conservatives in the United States today.

This is not to say that Mauritius is without problems. Like many other successful emerging-market countries, Mauritius is confronting a loss of exchange-rate competitiveness. And as more and more countries intervene to weaken their exchange rates in response to America's attempt at competitive devaluation through quantitative easing, the problem is becoming worse. Almost surely, Mauritius, too, will have to intervene.

Moreover, like many other countries around the world, Mauritius worries today about imported food and energy inflation. To respond to inflation by increasing interest rates would simply compound the difficulties of high prices with high unemployment and an even less competitive exchange rate. Direct interventions, restrictions on short-term capital inflows, capital-gains taxes, and stabilizing prudential banking regulations will all have to be considered.

The "Mauritius miracle" dates to independence. But the country still struggles with some of its colonial legacies: inequality in land and wealth, as well as vulnerability to high-stakes global politics. The United States occupies one of Mauritius's offshore islands, Diego Garcia, as a naval base without compensation, officially leasing it from the United Kingdom, which not only retained the Chagos Islands in violation of international law but expelled its citizens and refuses to allow them to return.

The United States should now do right by this peaceful and democratic country: recognize Mauritius' rightful ownership of Diego Garcia, renegotiate the lease, and redeem past sins by paying a fair amount for land that it has illegally occupied for decades.

This article comes from Project Syndicate.
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Posted by Harry Krishna
6th Jul
+1 Vote
+ -
First off,
Nothing is free. Someone is paying for it (usually through taxes), so it's time to stop referring to it as "free" as it is anything but. I don't know how it is where you are at, but in most places, when the national government runs things, it invariably costs more, gets rationed at some point and is grossly inefficient.

Hates Idiots is correct, but I'm not sure I even trust the state government to run such a thing efficiently, especially in states like California (pop 37 million, many illegal) where I used to live and thankfully managed to escape from 2 years ago with a profit on my house sale. (Lower than it should have been thanks to the housing crap Hates Idiots mentioned).

As for Diego Garcia, maybe the proper thing is to go through the British regarding Mauritius' claim as they are the ones who own it. As one who visited DG regularly in the past, I had to clear British customs and immigration before they let me through to the American base. Beautiful island, by the way.
Posted by mudpuppy1
7th Jul
+1 Vote
+ -
Perhaps is America were to become a low tax haven...
...we could afford to do the same.
Posted by JohnMcGrew@...
9th Jul
+2 Votes
+ -
Maybe, but
the preamble to the US Constitution says, among other things, "... to PROMOTE the general welfare...", not PROVIDE it. And that is what this is, a giant welfare program.
Posted by mudpuppy1
11th Jul
0 Votes
+ -
I said "afford" to do it...
...not actually do it. If we could afford to do it, it would also mean that our economy would be vibrant enough that doing so would not be necessary.
Posted by JohnMcGrew@...
12th Jul
0 Votes
+ -
I agree
It's just that I don't want the government involved (at least not in the heavy-handed way they are now). Things always go downhill when that happens.
Posted by mudpuppy1
12th Jul
+1 Vote
+ -
Good for them, but.
With a population of only 1.29 million, down from 1.31 million in 2000, Mauritius can hardly be called an example that would be easy for the rest of the world to follow. It is even smaller than the Bronx in population.

A sizable portion of the tax revenue comes from being a low rate tax shelter for foreign financial businesses. So they are collecting taxes, but pay next to nothing for infrastructure to support the revenue. All the income and almost none of the costs. The US cannot duplicate that with the extensive transit systems needed to support our economy.

To say the model of health care funding used there can be transferred to a country the size of the US is nonsense.

I do like the Italian healthcare model. Under the Italian model, healthcare is managed at the regional level. (think state level) The funding is through individual premiums paid to the state and property taxes. The property taxes are set and collected at the regional level.

The key management positions are elected offices so there is a strong incentive to provide good services at a reasonable cost to keep taxes and premiums at a reasonable level. Leaving out the national government leads to a flat administration structure that is more cost effective than a cumbersome federal agency.

While they have decent coverage for everyday medicines and routine care, the list of what is considered ELECTIVE CARE is extensive. Elective care is subject to a large deductable.

It was the property taxes and the deductibles that were left out of the calculations when Italy was declared by the WHO the most affordable healthcare system in the world in 2000. A statement that was quietly retracted by the WHO in 2002 when the missing figures were added in after protests from other European nations.

On a side note: The US housing boom was fueled by bad government policy designed to promote home ownership. Instead it only raised false hopes and shattered dreams. But that is another post for another day.
Posted by Hates Idiots
6th Jul
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