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United States’ healthcare spending has been increasing steadily since 1960.

 In 2010 dollars.
In 2010 dollars.

We sometimes hear comments that it’s a bad thing to spend so much on healthcare. Reducing spending was one of the major focal points during the debates over the Affordable Healthcare Act and other alternatives proposed in Congress.

Here’s something to consider: should we instead be spending more on healthcare?

How much of this increase in spending has been due to having access to more services and products that improve quality of life, like better drugs, imaging technology, and advanced medical procedures?

Given what American consumers currently spend: should more be spent on consumer goods like beer and clothes, on cars and housing, or on our health?

What if we think about health spending holistically, and include yoga, emotional therapy, FitBits and sneakers, gym memberships, vitamins, and organic foods? Might we benefit from spending more on health?

Leave a comment with what thoughts come to mind!

51 Comments

  • Chris McAdam, March 10, 2015 @ 1:19 am Reply

    "Should" we prioritize our health? Surely. Do we? Not until we need to. That’s the problem, of course. When we talk about what gets spent on health care,it is generally more on treatment and less on prevention (which is cheaper overall) and the greatest slice is spent to those who are very ill, in the end of their lives. The last six months is often the most expensive six months. So it may not be a matter of more, or less, but rather where we focus it. And of course, what we do when people ignore that and need a fortune to save their lives.

    • Erik Fogg, March 10, 2015 @ 2:52 am Reply

      Totally agreed. I wonder how we might incentivize people to spend more on those fitbits/sneakers/veggies?

      • Chris McAdam, March 10, 2015 @ 3:35 pm Reply

        Carrot, stick, or both? Many insurance plans offer discounts to gyms and businesses offer incentives for healthy living. There are laws about soft drink sizes and requiring menus to show caloric content. Much of this is a good idea, but where to draw the line (whether to tax overweight people more, or to make gym memberships fully deductible, for instance) leads to debates on personal freedom.

        I am fully in favor of personal freedom until I have to pay for someone else’s bad decisions. If we socialize medicine more, expect a greater push on restrictions, or at the least higher taxes, on unhealthy choices. I’m not a fan of that, either, but one cannot allow people all the choices they want, without placing responsibilities for those choices on them as well.

        • Erik Fogg, March 10, 2015 @ 7:02 pm Reply

          Definitely making this a blog post 🙂

  • Jack Jester-Weinstein, March 10, 2015 @ 3:41 pm Reply

    Chris, you’re understating the point. The last six months aren’t just expensive — they’re nearly 1/3 of all Medicare spending. That’s broken.

    http://kaiserhealthnews.org/morning-breakout/end-of-life-care-17/

    • Chris McAdam, March 10, 2015 @ 5:21 pm Reply

      I agree philosophically. I suspect my view may be different when I am in those last six months. (Though I have hope for medicines speedy advancement to keep putting that off)

    • Erik Fogg, March 10, 2015 @ 7:03 pm Reply

      And it seems we’re the only country that does it…

      http://blogs-images.forbes.com/danmunro/files/2014/04/hccostsbyage.png

      Also going to be a post. I wonder what’s causing it? And how we feel about whether the taxpayer "should" bear that burden?

  • Christopher Grouard, March 11, 2015 @ 2:08 am Reply

    I think at least part of the questions we should ask ourselves about the spending is what are we getting for it? I mean would it be a smart decision to spend the extra money to upgrade from a regular Bugatti Veyron, to the Super Sport edition? In the same way is it worth keeping Human insulin in the hundreds of dollars to continually make small improvements of marginal value? Should glucose meters have a similar development cycle as smart phones? Spending doesn’t equal quality of service. Answer that question, before asking should we spend more.

    All of you have made some great points, which by and large I agree with. I definitely want to jump onto this last six months thing. However everything I could say has already been said better by NPR ( http://www.npr.org/blogs/money/2014/03/05/286126451/living-wills-are-the-talk-of-the-town-in-la-crosse-wis ) To the other Chris I would definitely say listen to the questions the nurse asks. I think you would find a few that you would say no to. I hate that these kind of discussions got labeled as death panels.

    • Chris McAdam, March 11, 2015 @ 12:54 pm Reply

      I am hoping for them to learn how to disable the aging gene. Once that happens, they can slow the rate of progress down as much as needed. I own that I am selfish enough to want to live to see us come close to immortality.

  • Amos Meeks, March 11, 2015 @ 1:10 pm Reply

    Since we don’t live in a post-scarcity world, spending money on one thing, like healthcare, means not spending money on another thing. I think the question is not "should we be spending more or less money on healthcare?" but "Should we take money we’re spending on healthcare and spend it on other things, or vice versa?"

    In your question you frame it as a decision between consumer goods and healthcare, but I think that’s only one possible decision to look at. What about spending more money on poverty alleviation? On education? Since there is a pretty strong link between poverty and poor health, I wonder if we might even be able to get better health outcomes for the country by spending money on poverty alleviation, thus preventing a lot of the poor health that our system deals with and that costs so much.

    One example of this is giving homeless people homes. Society pays a lot of money, through police and ER visits, for homeless people to be homeless. Just giving people homes, for free, no strings attached, has been shown to pay for itself in fewer ER visits. So why not take the money we spend on emergency healthcare for homeless people, and spend it on giving them homes?

    • Erik Fogg, March 11, 2015 @ 4:01 pm Reply

      This is awesome. I feel like this is the kind of thing that could win bipartisan support: help the poor by spending less money!

      I wonder how we’d "transfer" the money to keep the books balanced. That is: do you have a good sense of "where the money comes from" for the homeless to be treated in the ER? Being able to keep the accounting straight there would I think go a long way in making the idea super-supportable.

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