I posted this over a year ago. I think that it is very important for us to remember that there are a few very sick people in the US. The question is how we care for these Americans. Look, every insurance company in America is lining up to take care of healthy Americans. Those of us who have an occasional appendicitis or pneumonia, no problem. Our premiums more than cover that. This whole healthcare debate is about how we take care of those patients, those Americans who are chronically ill. –
If you stop to think about it, you probably already know who is spending our health care dollars. There are a few people in our society who are really, really sick. They are in and out of the hospital all of the time. They should have a frequent flier card at their doctor’s office. They simply don’t get any better. This cycle may last months or years. On the other hand, there are many of us Americans who simply don’t use the healthcare system at all. We don’t have a family doctor. Even if we do, we go once a year and that’s it. Nothing else. Maybe a cold or a broken bone, but that’s it. Here’s the latest data. There are a few Americans who really suck up resources.
In 2008, 1 percent of the population accounted for 20.2 percent of total health care expenditures, and in 2009, the top 1 percent accounted for 21.8 percent of the total expenditures with an annual mean expenditure of $90,061. The lower 50 percent of the population ranked by their expenditures accounted for only 3.1 percent and 2.9 percent of the total for 2008 and 2009 respectively. Of those individuals ranked at the top 1 percent of the health care expenditure distribution in 2008, 20 percent maintained this ranking with respect to their 2009 health care expenditures.
In both 2008 and 2009, the top 5 percent of the population accounted for nearly 50 percent of health care expenditures. Among those individuals ranked in the top 5 percent of the health care expenditure distribution in 2008 (with a mean expenditure of $35,829), 38 percent retained this ranking with respect to their 2009 health care expenditures (figure 1). Similarly, the
top 10 percent of the population accounted for 63.6 percent of overall health care expenditures in 2008 (with a mean expenditure of $23,992), and 44.8 percent of this subgroup retained this top decile ranking with respect to their 2009 health care expenditures. The data also indicate that a small percentage of the individuals in the top percentiles in 2008 had expenditures for only one
year because they died, were institutionalized, or were otherwise ineligible for the survey in the subsequent year.