The article is from Reuters:
WASHINGTON - Higher prices and not lawsuits or other factors have driven up health care costs in the United States, according to a study published Tuesday.
Malpractice awards in the United States amounted to only $16 per capita in 2001, compared with $12 in Britain and $10 in Australia, the team at Johns Hopkins University in Baltimore found.
The same team found in 2002 that Americans pay more for prescription drugs, hospital stays and doctor visits than citizens of other industrialized countries.
Writing in the journal Health Affairs, they said the price tag for such services is the main reason.
“There is a popular misconception that we pay much more for health care in the United States compared to European and other industrialized countries because malpractice claims drive up costs and there are waiting lists in most other countries,” said Gerard Anderson, who led the study.
“But what we found is that we pay more for health care for the simple reason that prices for health services are significantly higher in the United States than they are elsewhere,” he added in a statement.
“We have less access to most health services and higher costs associated with malpractice insurance have only a marginal effect on overall health spending.”
Americans do file more lawsuits, Anderson’s team reported. ”The United States had 50 percent more malpractice claims filed per 1,000 population than the United Kingdom and Australia, and 350 percent more than Canada,” they wrote.
“Two-thirds of the U.S. claims were dropped, dismissed or found in favor of the defendant.”
The average payout was $265,000, lower than the average award in Britain or Canada, they found.
Congress is working on bills that would limit malpractice claims.
Doctors say skyrocketing insurance premiums are driving them out of business while insurers blame big awards and frivolous lawsuits.
The Senate has repeatedly taken up, but failed to pass, legislation that would limit damages, usually to $250,000 per claim. Similar legislation has passed the House.
In 2002 Anderson and colleagues reported that Americans spent $5,267 per capita for health care, $1,821 more than the next-highest spender, Switzerland.
14.6 percent of GDP
U.S. health spending accounted for 14.6 percent of U.S. gross domestic product in 2002. Only two other countries, Switzerland and Germany, spent more than 10 percent of their GDP on health care in 2002.
“Commonwealth Fund-supported research has indicated that the U.S. does not get commensurate value for its health care dollar,” said Commonwealth Fund President Karen Davis, whose group funded the study.
“Compared with other countries, the U.S. lags on such quality indicators as access to care, including waiting times for physician appointments. In the U.S., inequities persist between higher and lower income patients on almost every measure we look at, while other countries are able to assure access to care without creating disparities among patients according to income.”
The study also found no evidence that U.S. citizens spend more for health care because they get more services.
It found that Americans have less access to some services, such as hospital beds, time with doctors, nurses, magnetic resonance imaging or MRI, and computed tomography (CT) scans than citizens of other developed nations.