Skip to main content

Comparative Medical Care

One thing I'd like to understand is why there is such a difference between medical costs here and those in Haiti. At the time the book Mountains Beyond Mountains was written, in 2003, it often cost $15,000 to $20,000 annually to treat a patient with tuberculosis, while it cost one one-hundredth of that-- $150 to $200-- to treat a patient for the disease in Haiti. Even if the figures aren't completely accurate, the sheer difference would still be there.

Indeed, the United States pays more per capita for medical care than any other country on Earth. My first guess for why the disparity exists is that there is a market willing and able to pay more for medical treatment, so suppliers see the demand and respond with higher prices. According to at least one doctor (go to http://scienceblogs.com/denialism/2009/05/what_is_the_cause_of_excess_co.php), part of the reason is administrative prices here. People here have a higher standard of living, and so the cost of care is shifted to the consumer to pay for that standard. This is oversimplified, but it is good to know that institutions in Haiti like the Zanmi Lasante are able to pay such a comparatively small amount for treatment. This medical facility is an example of the good being done in a country known so long for the bad.
Labels:

Comments

  1. AnonymousJune 30, 2011 at 10:53 PM

    This is a good question. Here are some thoughts.

    One, supply and demand. The demand for medical care in the US is high. It's high because its cost is not born directly by the user, but by an intermediary known as an insurer, be it public (government, medicare) or private, (a private insurance company). When demand for a product or service remains high because increases in cost reflected by that high demand are not passed directly to the consumer, the demand and thus cost will not fall. For example, I should have to think twice for running to the doctor for a sniffle. It should cost me enough that I weigh my need for medical attention vs. the cost I will pay for that medical attention. However, in our current environment,that is not the case. I pay my $25 or $50 co-pay and someone else picks up the balance. Where is the inducement for me not to run to the doctor in that picture? Answer? There is no inducement. Result? Demand remains high and thus the cost. In Haiti? Going to the doctor I would imagine is for real need, not a sniffle. Demand for un-needed/unwaranted healthcare is no doubt less.

    Two: litigation; Providers of healthcare products and services continue to experience litigation with huge settlements. Until we see legal reform that brings sanity to amounts of settlement regarding providers of and to the healthcare industry, including malpractice, reduced costs in healthcare will be difficult to achieve. Regarding Haiti? Probably not allot of attorneys trolling the waters for malpractice settlements, etc.

    Three: government regulation; when you have government beauacracy dictating how an industry will conduct its business, users costs will dramatically rise. Time and administrative costs to simply comply with government regulation is huge and must be passed on to users. As long as government regulation rules business, costs will continue to rise. Haiti? Not sure what role government plays in Haitian healthcare, but I would imagine nothing when compared to the US.

    Again, very interesting and pertinent question you have asked.

    Lee Robinson

    ReplyDelete
  2. TonyJuly 1, 2011 at 2:14 PM

    Thanks for the clarification, Lee! All three of your points make sense. Your first point, regarding supply and demand, seems like it would account for more of the higher costs than even litigation. When a large population has ease of access to medical care, and someone else has to pay for most of it, prices will remain high (like you said). Thanks for your input.

    ReplyDelete

Post a Comment

Popular posts from this blog

Pleasure

*Note: In the following post, I am heavily influenced by a pastor named Bob Shirock. Specifically, Shirock writes about Solomon's response to the pleasures he experienced in life in Ecclesiastes, and observes that we can enjoy pleasures in life if we accept them as God's gifts, and if we express our gratitude in their enjoyment. He cites Ecclesiastes 2:24-26 and 1 Timothy 4:1-5. I’ve noticed something about pleasure: the highs can be followed by lows. This sounds obvious, but what I mean is that times of joy and fun in life's pleasures are wonderful, and can lift your spirits for a time, but they can be followed by a disappointment that comes from the realization that they are short-lived and will not satisfy us in the long-term. I’m calling this a pleasure hangover. We gain happiness for a time, but see that this happiness is temporary. We therefore feel a subsequent low that leaves us still longing. It reminds me of a theme in the life of C.S. Lewis: sehnsucht , or a wist...
Post a Comment
Read more

Ghosts

Exercising at a gym seems to be pretty important in our culture, but it's kind of weird to see the social dynamics when you're there. Usually, if you're running an errand, you see others doing the same thing, going about their days and focusing on what's in front of them. The same thing happens at the gym, only everyone is relatively stationary. They don't really go anywhere, except from one machine or area to another. One might think this lends itself to lots of interaction between members, especially since they're all there for the same purpose, but it isn't true. Not only do people generally avoid talking to one another, but they also avoid even looking at one another. It is as though there is no one else there, even though there are dozens on any given day. Most people follow this unwritten rule, unless something in the environment-- say, two people wanting to use the same set of weights-- gives them common ground to interact, or unless they've alr...
2 comments
Read more

End of an Era

It was over two years ago that I joined an experiment that would last until last July, an experiment that would significantly change me and the eleven others involved. That experiment was the creation of a new church comprised of twelve members whose purpose was to serve the people of downtown Stockton. Most attractive to me about it was that half of our income would be used in some way outside the church, to benefit the local community or to aid in international assistance. In that span of time, we did in fact serve in ways we'd envisioned. One of our first events was a pizza and school supplies giveaway (coupled with games for the kids who came) toward the end of our first summer. Many of those who came seemed genuinely happy at this. Through that year, we also hosted an event called a "card me house party," wherein each person's ticket to the event was a gift card. Once inside, chips could be purchased to play card and other games, with the resulting collection g...
1 comment
Read more