[From the diaries by susanhu.] A new report titled Tracking Health Care Costs: Declining Growth Trend Pauses In 2004 highlights that while medical costs have slowed their increases, these increases are still far faster than inflation and the pace of wage increase:
“Health care spending increased 8.2 percent in 2004. This was virtually unchanged from 2003, which suggests that health care cost trends have stabilized. Hospital spending grew 10.1 percent in 2004, also virtually unchanged from 2003, reflecting a small increase in the hospital utilization trend and a small decline in hospital price inflation. Meanwhile, growth in prescription drug spending continued to fall as a result of slower growth in prices. Growth in health insurance premiums slowed again in 2005, likely reflecting earlier years’ slowing in cost trends and signaling that a turn in the insurance underwriting cycle might be under way.”
“The trend in private health insurance premiums slowed in 2004 after a long period of acceleration culminating in a peak increase of 13.9 percent in 2003. Nevertheless, premium growth continues to outpace growth in the economy and workers’ incomes by a wide margin, making health care benefits increasingly unaffordable for employers and employees alike. The high rate of growth in premiums is primarily the result of rapid growth in the health spending that underlies private health insurance premiums–that is, the cost of services typically covered by private health insurance. Underlying cost trends are the dominant long-term determinant of premium trends.”
The Report also highlights the following price trends.
Spending on prescription drugs increased 7.2%, while prescription drug prices increased 3.3%
Hospital prices increased 7%.
Hospital Outpatient appending Increased 11.3 while inpatient spending increased 6.2%.
The report stated that health spending “stabilized at 8%”. This indicates the US can expect this rate of spending increases to continue for the foreseeable future. Consider this fact from the following perspective: real wage growth has been stagnant for the last few years. Therefore, health spending is taking a greater proportion of the average person’s salary. And that continued increase is not going to slow down anytime soon.
So, why all this attention on health care? It’s not as sexy as the Downing Street Memo and talk about impeachment. Let’s get back to the real issue of the day.
Here’s the answer. In a recent CBS news survey, 28% of the respondents stated health care was the most important domestic issue, making it the number one main concern of Americans. People could care less about the DSM; what they do care about is how are they going to deal with the ever-increasing costs of staying healthy. And no one is talking to these people about their real concerns.
Terrific report. And I agree with you that we should concentrate on the “real issues” that affect everyday Americans. .. too beat to say much more but I’m glad you did this, and I’m glad you’re writing here.
Thanks. Glad to do it.
I know I’m repeating myself but, this:
“no one is talking to these people about their real concerns.
“
is why so many people don’t vote and don’t care what the political parties are up to…
Thank you again, bonddad!
Thanks for reading.
What is the increase in’92 – ’02? That would be a much more interesting comparison. Looking at two consecutive years is simply not enough data to call a trend or draw any conclusions from. Also, I note that 8.2% is still significantly above the rate of inflation and not sustainable compared to GDP growth. This still indicates a severe problem with paying for health care, particularly considering the deficits in Medicare. –M
The increases for eariler years was in fact higher.
Here’s the link to the complete report
http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.286/DC1
My point remains. One can’t call two years of lower increases in health care spending a trend. I saw the article and realize that spending was higher prior to these two years (though I didn’t make myself clear on that). It would have been interesting to see five or ten years (data points) of reduced spending – that would indicate a real trend, particularly if the spending sloped downward over time. But two data points just doesn’t say anything. It could be a blip, or it could be a trend. Who knows? And what of the greater point that 8.2% growth is still not sustainable over time? –M
44 million uninsured and inequality/discriminatory health insurance, particularly towards chronic/catastrophic illnesses and mental health issues.
I have a good job and pretty much just about as good a health insurance plan as one can get in New York state. I also have a family member with chronic mental health issues that had a particularly bad year last year. As a result we have no savings. The several years worth of equity we built in our home is gone, chewed up in a home equity loan that was used to pay off medical bills instead of the work that needs to be done on our old farm house. Our retirement account is down to a bare minimum and is our only remaining resource. One more year like last year and it is bankruptcy time.
Oh yeah… I forgot… they passed the “bankruptcy reform” law that will essentially send me into indentured servitude for the rest of my life should worst come to worst and we have a repeat of last year.
Why do we discriminate between one organ of the body and another? Why is that since it is the chemistry of the brain that is out of whack there is VERY limited coverage but had it been the chemistry of the liver it would have been almost completely covered? How is this justified?
The spin in the article is amazingly absurd. 8.2% increase for two years is not good. AT ALL. Better than the 11-12% before that, but ‘stabilized’? The rate of increase has ‘stabilized’, but that doesn’t help if it has stabilized at a rate far above inflation. Stable prices would be a rate of increase at the rate of inflation, this was 3-4x the rate. Its a bit misleading.
That means costs that were 100 at beginning of 2002 were 117 in 2004. This Washington Post article has a helpful chart of the last 10 years or so. Health care costs have risen faster than inflation by 2x to 4x every year since 1997 (and higher every year since 1994)
If costs were 100 in 1995, they’d be over about twice today (203) at the rates they’ve grown. If they grew only at the rate of inflation that 100 would be around 126. inflation rates last 10 years).
An 8% increase is not sustainable for the average family, much less lower-income families and individuals.
Talk about crisis.
And now we have the genomics era upon us.
If we don’t fix something soon, it ain’t going to be pretty.