QUOTE(scubatim @ Oct 8 2007, 12:10 PM)

IT doesnt' take an MBA to do the simple math that Americans pay the most, and get the least, for health care.
I love your statistics, but they are meaningless in reference to health care. They don't account for environmental factors, eating habits, lack of exercise, genetics, or any factors excepting what happens in a hospital setting.
Americans pay the most for health care because we have a self-inflicted wound called "Big Business Insurance", and an exacerbated cost of health care due to lack of need for competition.
Why does McDonald's sell a burger for $1? Because Burger King does.
Why can I buy a Ford truck for $25K? Because Chevy trucks are $25K.
How many people shop doctors based upon "value"? Very few. We might find one we "like", but the fact is that a more expensive doctor, for us, rarely costs us more. The Doctors "in-network" know what they can charge for certain things, and they hit the top of the scale as often as possible, and/or find other ways to augment revenue (i.e. charging $25 for bandaids).
If you were paying out of pocket for health care, and knew that Hospital #1 was 1/2 the price of Hospital #2, and that the care was very similar... where would you go? Easy answer.
People in the US will never seem to get this. I'm not sure why. It's a very simple economic notion.
When it comes to children in the US, a Children's Health insurance bill that covers families 3x the poverty line only creates a larger opportunity for hospitals to milk the government. Right now, if a hospital only treats Medicare patients, they earn less money than privately insured patients.
HOWEVER, it
IS common practice for some "irreputable" hospitals to have "additional treatments", etc for such patients.
Think of Dialysis patients as good examples. If I give patient X a treatment that will last 2 days or send him home with peritineal dialysis (at home), I earn less. If I keep him/her in the clinic 4x/week, I have an overall earning potential that increases. HENCE- I make policy that shows that it's "better" for the patient to be in the clinic more. Then I bill Medicare. You better believe that happens. If I am the bean counter CFO, and I get together with the SVP of Patient Care, I say "my bottom line increases by ___ if we do ____". Then I say "SVP of Patient Care, is it not better for the patient to be in the clinic under the care of a professional staff?" ... to which the answer is YES! Bam- patients in the clinic all 'round the clock. Would the patient be happier and nearly (or as) healthy with an alternative treatment? Maybe. Probably. Most likely. But it doesn't make money in the same fashion. Keep the chairs filled, that's the game. If I have a Nurse on the clock with 3 patients, it's not nearly as profitable as if she has 6. (Yes, I know this happens. For 100% fact)
What would happen with kids on the government dole? Parents would also go more. If Billy has the sniffles now, and it costs a $25 co-pay + a $10 prescription to go, I might give him something over the counter and some chicken noodle soup. If it's
FREE, I'm going to Doctor to get the free care and the free prescription. If I'm the hospital, I'd be ELATED to do business like this... because then I'd also know that I could bill the government for the chest x-ray, and make a policy that increases x-rays. Why would it matter to Billy's mom/dad? It wouldn't. Now, under my insurance, if I don't need the X-ray it may not be prescribed, because then I have more co-pay. If it's free... x-rays galore.
It's the way of the world really. Poor kids
SHOULD get free health care, but I wonder if the parents should still have some "ability to pay" responsibility. Maybe if I make <$18K/yr, I pay $2.50. If I make <$30K I might pay $10, and so forth. Make the $$ meaningful, but not overbearing. It may seem like pennies, but would still make someone think about necessary healthcare versus frivolous care. Free and unlimited, with no accountability, is rarely a good answer.