Do NOT mistake health insurance for health care. We, in America, pay a lot for health insurance. Are we getting what we paid for.
Firstly, don’t misinterpret that I don’t think we need insurance or care. Acute care, in which the American delivery system is particularly good, is vital. We need good prenatal care, life-saving interventions in the ER, etc. However, 90% of healthcare costs are due to chronic diseases, and that’s where the system is failing you.
Heart disease is one of our most “well” managed conditions, yet between 2011 and 2016 premature deaths related to cardiovascular diseases rose by 4.3%. The only conclusion that can be made is the medical diagnostics and interventions for this disease are woefully inadequate.
A new subscriber to my channel sent me the following message yesterday. I’m reproducing it with my reply….. (I apologize in advance for the terse nature of my response)
“ Do you accept insurance for the more standard items on the blood test list? I know my annual physical CBC covers most of the list but not all.”
The CBC w/ diff cost $2 so the hassle of insurance costs $50. That’s why healthcare is so expensive. My value is not in drawing the labs, but in interpreting chronic disease risk, COVID-19 risk, etc. If you go to my blog you will see that I’m offering a significant discount this month which includes the risk assessment, the labs, and a consult that includes past record review.
If you want basic labs, insurance will cover that and you get nothing else. Old adage — you get what you pay for — except in standard of care medicine. I hope the graphic gives you some insight. Hope I wasn’t too flippant but most of us trying to do better know that insurance is the biggest impediment.
Here is the graphic I sent, from the Organization of economic cooperation and development (OECD). Anyone can verify this data by going to the OECD site and downloading the health information. In this graphic, America is compared to 35 other developed nations… Interpretation after the image.
The interpretation of this graph is very simple. As we spent more on healthcare, we die sooner — and on that path we have substantially more chronic diseases.
So as not to bore you with a long article, next time I’ll present data and references that show how surgeries do not improve lifespan, how common drugs increase mortality, and how when the most prestigious academic professors / doctors go to conferences, in-hospital mortality goes DOWN, how statins cause a myriad of chronic afflictions and don’t lower cardiovascular mortality and, if I can find references, how white blood cell count normal ranges were tighter 40 years ago compared to today.
In this last case, simply put, someone who was considered “ill” 40 years ago, is now considered healthy. Maybe this explains why even very high level healthcare professions die suddenly in their sleep. This is a serious health issue impacting your healthy longevity.