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I N N O V A T I O N Doctors in the US spend about 25% of their time dealing with insurance companies
In Germany the adminstrative effort including documentation is at 50%.
It's pretty disconcerting that we're the second worst after the US.
Sure. But the graphic is very much cherry picked. There is plenty of space between the US and Germany: https://en.wikipedia.org/wiki/List_of_countries_by_life_expectancy
What surprises me is the high rank of Australia!
- Infrastructure in Australia is unfavorable… like the US (thin emc network vs. helicopters in Germany that are super common, Germany is a dense country, everywhere hospitals… Australia a desert with some coast. Like US.)
- Australians are basically US americans of the south (think food: originally british, cannot be healthy, no good car manufacturers, afraid of foreigners…)
- Everything is trying to kill you in Australia!
What the heck are they doing?
But maybe the Germans can learn from the Australians something. Germany‘s System is such a inefficient mess… just the administrative effort to maintain dozens of public health care insurances… crazy!
I don't understand the points of this post.
Australia is very urbanised with the vast majority of the country clinging to the coastal rim. The interior of the country is vastly unpopulated.
Australia has a much better health outcomes than the US. Our fast food culture, although not great, cannot be compared to Americans.
The 'everything can kill you' thing is a meme. Yes, we have tons of venomous creatures but as we mostly live in the cities the rare deaths cause headlines and are not common place. Plus we don't experience mass shootings every week, let alone single gun deaths.
The single biggest benefit for Australian life expectancy is socialised medicine. It's not perfect, and insurance is encouraged, but a poor person in need of major medical intervention has almost identical access to health care as a fully insured person, and mostly with no financial outlay. In fact, an insured person may lie side-by-side in a hospital bed next to an uninsured person getting the same treatment.
Medical insurance is not tied to employment.
All this is under threat. Conservatives are attacking our health system and underfunding it. It is only a matter of time before we start tracking downwards like the US. The secret to a longer life expectancy is government regulation and social responsibility, a healthy personal lifestyle and not feeding the corporate medical parasites that sit between the patient and the required healthcare.
Point is, Australia pays less and gets more. while being -culturally- a “western” country (unlike Japan). Somewhat similar in many ways to Germany and the US.
Being a rich country seems not to be the only reason for high life expectancy. See comparatively low scores of Germany and the US. And to me it is puzzling how Australia, of all countries, ended so far at the top.
Public healthcare is available in Germany too… and on a small scale, basically in the US now too… Still, both suck hard and Australia excels. Tied insurance to a job is utmost stupid and unfair. Point well taken! Good job Australia! But this is the same in Germany.
@[email protected] did a great job explaining some aspects!
Thanks for the effort. Not everything tries to kill you Australians either in reality? Was just playing around with some cliches… to underscore that I know nothing about Australia. The term ‘fast food culture’ is awesome. And surely you are able to compare pears with apples.
‘Government Regulation’ alone seems not be too important here, as all compared countries have many regulations in place. Especially also the US with their FDA. Typically, for the good, regulations increase cost for something to achieve something. Here ‘Drug and medical device safety’. And that public healthcare is a requirement is agreed upon by all of us. But these are not all aspects.
And for some reason Japanese are even better, even if they spend lives working all day while eating raw fish… don’t tell me now that this is not the entire truth either! (Having a healthy fast food culture eating sushi may help them too!)
Any good example for a corporate medical parasite? I’d like to dig deeper. I mean, do you mean ‘Pharma-Industry’ or Health Care insurance here? Any specific case? In Germany public health insurance is not really ‘evil’ it is just a huge bulky inefficient mess… And US Pfizer is of course a big corporation making billions. But they also brought us a pretty good COVID vaccine, pretty fast (with the help of a small company in Germany). IMHO Billions well deserved - in this single case.
I can't compare the US or German situation in any depth because I'm neither American nor German. Like you I can only go by appearances when viewing the other. I think that big pharma has got you guys around the balls to a larger extent. For instance, insulin medication has never been expensive over here and we have a thing called the Pharmaceutical Benefits Scheme (PBS) that lets Australians get necessary prescribed medicines without paying full price. The scheme began in 1948. Some medicines which costs thousands in the US are subsidised to the tune of about $10 a month here. That is the extreme end, but drug subsidy is a thing and is tax payer funded.
As to why other rich western countries don't do as well, I'm not sure. I speculate that social policies probably have a great deal to do with it. The US seems to treat socialised anything with a degree of contempt, at least according to the horror stories we hear about. You know, patients without sufficient insurance being refused treatment or massive bill shock after an operation. I'm sufficiently ignorant about this matter to be confident about the detail.
All I can say is that something structural is at work that might explain why the Aussie medical experience is better, and I doubt that it's better or different fast food.
To add to @[email protected] 's points, Australia isn't afraid of foreigners, it has very high migration. You might be confused because of the government's reprehensible treatment of asylum seekers. Yes it was colonised by England, but internally, diversity is the most celebrated aspect of Australia.
Australia has been dubbed 'the lucky country' because despite a lack of smarts (manufacturing and other value added economic activity), we've always been able to dig things out of the ground and sell it (coal, wood, gas, food, gold...). Though Australia never developed a serious manufacturing sector, it has pivoted to a service economy instead, with that sector's highest export being higher education.
The lessons to learn from Australia is be rich, be on the other side of the world away from the world wars, and have high welfare spending (plenty of room for improvement though).
I don't know about much diversity is celebrated in Australia. I have cousins who grew up in NSW and eventually migrated to the UK, which they said had a marketed improvement in how they were treated. (N=2)
Australians are basically US americans of the south (think food: originally british, cannot be healthy, no good car manufacturers, afraid of foreigners…)
They're really more like Canadians than Americans, although I've heard it said that New Zealand more accurately fills that role
https://ourworldindata.org/us-life-expectancy-low
The life expectancy in the US is also dragged down by other factors. The US is a huge outlier in several other aspects:
- Higher death rates from smoking, obesity, homicides, opioid overdoses, suicides, road accidents, and infant deaths, compared to other countries.
- Additionally, deeper poverty, economic inequality.
It could just be that the US has way more vices per capita than other countries.
Is this a good comparison? Feels like we're missing all of the US administration, insurance is just a part of it.
Barely, but doctors here in Germany are always complaining about difficulties they have with insurances. Especially the dozens of different public insurances. System here is an unconsolidated mess. Apart from having optional private insurance.
Like my doctor working on treatment and not being buried with administrative tasks.
Those seem like two radically different things. Documentation is extremely important for doctors. That's not the same as dealing with insurance companies.
That seems low
I think some areas bring down the curve (ER etc, maybe). It might be like 50% for GPs, idk
My doctor has added a few extra checks to visits so it can be billed to the insurance company as a general checkup, and not the specific thing I came in for that would bill at a much higher rate. I appreciate him doing that, but he shouldn't have to.