An examination of the cost of healthcare, Total Healthcare Expenditures (THE), in any nation is comprised of five fundamental, yet analogous, parts. THE, is best viewed as a relation between those fees and the nation’s Gross Domestic Product (GDP.) In their book, Containing Health Care Costs in Japan, Naoki Ikegami and John Campbell, state that “…in the United States there has been a continuous increase in the ratio of the health expenditure to GDP....This pattern [is] unique to the US….”
The nonpartisan Organization for Economic Cooperation and Development’s (OECD) 2009 fact book states the USA spent in 2006 (the last year available for world data) 15.5% of its GDP on healthcare. A staggering 72% above the 30 industrialized countries’ world average of 9%.
Ikegami and Campbell argue, “from a public policy point of view, it is not the absolute growth in health expenditure that is important, but its relative share [of] GDP.” This is valid as a comparison between national healthcare systems; however, it does not explain America’s overwhelming cost differential mentioned by the OECD.
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