It's a fundamental shift from:
"I sell this product for the cheapest price possible and I make everything possible in my business to be cost effective and buy from more cost effective businesses."
TO
"I don't care about cost-effectiveness. I just try to find out how to get the most money out of my customers."
I'd re-write that as "the more you consume the more you pay". Seems normal.
Companies like Google or Amazon pay for a server computer only a small fraction of the price I would have to pay to buy it.
Similarly for any electronics or computing device or component. The same is true for any food ingredient. I can buy some spice by the kilogram at a price an order of magnitude lower than when I buy 10 grams of it.
If the same were applied in healthcare, someone with a chronic disease should pay much less for the same drug, in comparison with someone with an acute disease.
What is the root cause w.r.t. the current situation? Are there any obvious ways out? Do any US politicians have any plans for a change? Are there any discussed proposals how to reform?
With paracetamol :)
(Dutch people know what I am talking about)
The current US is built to accomodate the top 0.1%. Their profiteering is more important than the good health of the population.
> Are there any obvious ways out?
Not really. Get money out of politics? Aggressively tax the wealthy and nationalize the entire health apparatus? Easier said than done.
> Do any US politicians have any plans for a change?
The only ones serious about it are on the progressive left, fought harshly by both Republicans and Establishment Democrats, under the guise of their respective patrons.
it is worth considering whether could a rational person could possibly disagree with the idea that the government is best placed to decide whether extending your life is a good investment (there are European systems that are not well run which resolve this unusual ways i.e. being unable to provide basic healthcare whilst giving hundreds of millions to PR agencies, sometimes run by people who happened to work for the government...total coincidence, to run media campaigns to "prevent" ill health).
it is not simple. there are largely private systems that run very well, funnily enough most of these are in Europe. there are public systems that run very badly, again many of these are in Europe. the discussion of public vs private is largely not relevant or particularly interesting (do people think that doctors just work for free in Europe? they do not, the incentives when you try to create a cheaper healthcare system by underpaying doctors, which exists in parts of Europe, creates some very bad situations i.e. an overreliance on doctors from Africa who have unknown training, Americans tend not to have imagined the scenario where healthcare is "free"/paid with taxes but they are being operated on by someone who can't speak English).
In which metric(s)? Afaik, life expectancy is lower in the US than in most of western Europe. And Americans are known to pay much more than Europeans on healthcare, on average.
Could be more tied to poor diet and lifestyle, and not the healthcare system itself.
Like if you sit on the chair all day on your remote job, then move to the couch for after-work Netflix and PS5, while you drink soda and eat processed food, then the only time you leave your house is you drive your Tesla/F-150 to Walmart and McDonald's, there's no magic healthcare system in the world that can undo decades of self inflicted damage.
Meanwhile people in some impoverished balkan town could end up living longer because they spend their entire lives moving outdoor all day in fresh air and only eat organic what they grow on their plot of land, even if their hospitals and healthcare systems are significantly worse than what americans have.
There's way more variables to life expectancy than just the healthcare system.
Probably because Europeans commenting don't know how big Medicare and Medicaid are.