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Health Care Crisis in America: A Critical Analysis of the U.S. Healthcare System

This comprehensive report delves into the troubling trends of rising healthcare spending, lack of access, uninsured population growth, and poor quality of care in the United States. With data comparisons to other countries, it highlights the urgent need for systemic change.

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Health Care Crisis in America: A Critical Analysis of the U.S. Healthcare System

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  1. “If We Are So Good . . . Why Aren’t We Better?” A Critical and Quick View of the U.S. Health Care System Forces of Change - Fall 2010 Eric D. Kupferberg, PhD 23 September 2010

  2. HC Spending Rising Faster than GDP

  3. HC Spending Rising Faster than Wages

  4. Average spending on healthper capita ($US PPP) Total expenditures on healthas percent of GDP U.S. Health Care Spending Outpaces All Other Countries 16% $7,290 8% $2,454 Note: $US PPP = purchasing power parity. Source: Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).

  5. U.S. Health Care Spending Outpaces All Other Countries

  6. U.S. Health Care System Ranks Poorly Note: * Estimate. Expenditures shown in $US PPP (purchasing power parity). Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).

  7. U.S. Has Poor Access to Health Care

  8. Many U.S. Citizens Have Trouble Paying for HC

  9. U.S. Has High Number of Uninsured Data: Medical Expenditure Panel Survey, Household Component (Rhoades, J.A. 2006. Agency for Healthcare Research and Quality).

  10. U.S. Has High Percentage of Population Uninsured Data: Medical Expenditure Panel Survey, Household Component (Rhoades, J.A. 2006. Agency for Healthcare Research and Quality).

  11. Uninsured Ranks are Growing

  12. No Insurance = Gaps in Care Data: Commonwealth Fund Biennial Health Insurance Survey (Collins, S. R., K. Davis, M. M. Doty et al. 2006).

  13. US Poor in Coordinating Care Data: 2006 Commonwealth Fund International Health Policy Survey (Schoen, C. et al. 2006. Health Affairs Web Exclusive W555-509–71). AUS = Australia; CAN = Canada; GER = Germany; NETH = Netherlands; NZ = New Zealand; UK = United Kingdom; US = United States. Responses included "often" or "sometimes."

  14. U.S. Has Poor Quality of Care:Adverse Events per 1,000 Data: Healthcare Cost and Utilization Project, Nationwide Inpatient Sample (Agency for Healthcare Research and Quality 2006). Rates were risk-adjusted. *Primarily related to intravenous lines and catheters.

  15. High Percentage of Patients With Medical Mistakes Data: 2005 Commonwealth Fund International Health Policy Survey (Schoen, C. et al. 2005. Health Affairs Web Exclusive W5-509–25). AUS = Australia; CAN = Canada; GER = Germany; NZ = New Zealand; UK = United Kingdom; US = United States. Sicker adults have a high incidence of chronic disease and recent intensive use of health care. Source: McCarthy and Leatherman, Performance Snapshots, 2006. www.cmwf.org/snapshots

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