Health Care Spending Disparities Stir a Fight
By ROBERT PEAR
Nationally, according to the Dartmouth Atlas of Health Care, Medicare spent an average of $8,304 per beneficiary in 2006. Among states, New York was tops, at $9,564, and Hawaii was lowest, at $5,311.
Researchers at Dartmouth Medical School have also found wide variations within states and among cities. Medicare spent $16,351 per beneficiary in Miami in 2006, almost twice the average of $8,331 in San Francisco, they said....
In his blog last month, Mr. Orszag wrote, “The higher-cost areas and hospitals don’t generate better outcomes than the lower-cost ones.”
But other researchers and politicians are not so sure. They say it would be a mistake to cut or cap Medicare payments without knowing why spending in some places far exceeds the national average.
“There is too much uncertainty about the Dartmouth study to use it as a basis for public policy,” said Senator John Kerry, Democrat of Massachusetts. “Researchers can’t explain why some areas of the country spend more on health care than others. There are many reasons spending could vary: higher costs of living, sicker people or more teaching hospitals.”
“States like Massachusetts are concentrated centers of medical innovation where cutting-edge treatments are tested and some of the nation’s finest doctors are trained,” Mr. Kerry added. “This work might cost a little more, but it benefits the entire country.”...
Mr. Orszag says health spending could be reduced by as much as 30 percent, or $700 billion a year, without compromising the quality of care, if more doctors and hospitals practiced like those in low-cost areas. The supply of hospitals, medical specialists and high-tech equipment “appears to generate its own demand,” Mr. Orszag has said....
“The statement that Medicare costs can be cut by 30 percent has been repeated so many times that it has come to be viewed as a proven fact by some,” Dr. Langberg said in a recent letter to the Senate Finance Committee. “It is not a fact. It is a gross oversimplification of an untested theory.”
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Considering that we are a
Considering that we are a Nafta country with Canada and Mexico,,,,do you mean that we ALL three (3) countries should be on ONE (1) National Health Care Plan,,,or do you propose that the United States Citizens (i.e. Citizens) should be with a NATIONAL Health Care Plan,,,what is a U.S.Citizen anyway,,,,someone who lives in the U.S.born in the U.S. by legal means OR someone who works illegally in the U.S. and does not pay taxes OR anyone who lives here be any form is a National Citizen,,,,is there a such thing as a National Citizen?? For public (i.e. U.S. Citizen-paid) support(food stamps, Medicaid/Medical), do all countries qualify for these benefits?? Individuals who are NOT U.S. Citizens but visiting, just because they are on U.S. soil have rights to public/Federal Welfare or Retirement benefits in the United States??
Shouldn't we be asking for proof of U.S. Citizenhip for these participants. A bonified U.S. Citizen should not be denied help over someone(ILLEGAL) who never intends to work and PAY taxes in the U.S. Can a U.S. Citizen get Canadian Medical care and apply for medical AIDE and monetary Aide in Canada?? Do U.S. Citizens have the ability to apply for public/Retirement benefits. I am quite curious as to how many U.S. Citizens get the Social Canadian Medical Insurance , does Canada pay the U.S. Citizen to live in Canada and continue to pay in medical care and monetary funds, while the U.S. Citizen continues to have more family in the home????
I DARE the U.S. Health and Human Services Department to give the information of how many are Illegal Aliens on Public/Federal Assistance(i.e. Welfare/DPSS) to the Congressional Budgeting Department of the U.S. Government. But we All know you won't.
A lot of money is being spent on those who are not the U.S. Citizens of this country. The United States Government needs to investigate where all this money and assistance is going into, since we as a country seem to be in a financially tenuous position.
I got a mixed bag for you,
I got a mixed bag for you, Anonymous.
First, the answer to your embedded question.
I have no problem with the benefits of citizenry being restricted to citizens.
But you should know immigrants aren't the weight on our health care system you think they are.