Americans are paying a quarter million dollars more for healthcare over a lifetime compared to the most expensive socialized system on earth. Half a million dollars more than countries like Canada and the UK.

One in three American families had to forgo needed healthcare due to the cost last year. Almost three in ten had to skip prescribed medication due to cost. One in four had trouble paying a medical bill. Of those with insurance one in five had trouble paying a medical bill, and even for those with income above $100,000 14% had trouble. One in six Americans has unpaid medical debt on their credit report. 50% of all Americans fear bankruptcy due to a major health event.

So there’s a good chance you wouldn’t be able to pay for it, especially if you get sick enough to lose the job you depend on for insurance.

mediocre healthcare for free.

Except it’s US healthcare that’s mediocre vs. it’s peers.

• US Healthcare ranked 29th by Lancet HAQ Index
• 11th (of 11) by Commonwealth Fund
• 59th by the Prosperity Index
• 30th by CEOWorld
• 37th by the World Health Organization
• 52nd in the world in doctors per capita.
• Higher infant mortality levels. Yes, even when you adjust for differences in methodology.
• Fewer acute care beds. A lower number of psychiatrists. Etc.

The US has the worst rate of death by medically preventable causes among peer countries. A 31% higher disease adjusted life years average. Higher rates of medical and lab errors. A lower rate of being able to make a same or next day appointment with their doctor than average.

Comparing Health Outcomes of Privileged US Citizens With Those of Average Residents of Other Developed Countries

These findings imply that even if all US citizens experienced the same health outcomes enjoyed by privileged White US citizens, US health indicators would still lag behind those in many other countries.

When asked about their healthcare system as a whole the US system ranked dead last of 11 countries, with only 19.5% of people saying the system works relatively well and only needs minor changes. The average in the other countries is 46.9% saying the same. Canada ranked 9th with 34.5% saying the system works relatively well. The UK ranks fifth, with 44.5%. Australia ranked 6th at 44.4%. The best was Germany at 59.8%.

On rating the overall quality of care in the US, Americans again ranked dead last, with only 25.6% ranking it excellent or very good. The average was 50.8%. Canada ranked 9th with 45.1%. The UK ranked 2nd, at 63.4%. Australia was 3rd at 59.4%. The best was Switzerland at 65.5%.

OECD Countries Health Care Spending and Rankings (Source)

If the world were a village of 1000 people:

• 584 would be Asians
• 123 would be Africans
• 95 would be East and West Europeans
• 84 Latin Americans
• 55 Soviets (still including for the moment Lithuanians, Latvians, Estonians, etc.)
• 52 North Americans
• 6 Australians and New Zealanders

The people of the village would have considerable difficulty communicating:

• 165 people would speak Mandarin
• 86 would speak English
• 83 Hindi/Urdu
• 64 Spanish
• 58 Russian
• 37 Arabic
• That list accounts for the mother-tongues of only half the villagers. The other half speak (in descending order of frequency) Bengali, Portuguese, Indonesian, Japanese, German, French, and 200 other languages.

In the village there would be:

• 300 Christians (183 Catholics, 84 Protestants, 33 Orthodox)
• 175 Moslems
• 128 Hindus
• 55 Buddhists
• 47 Animists
• 210 all other religons (including atheists)
• One-third (330) of the people in the village would be children. Half the children would be immunized against the preventable infectious diseases such as measles and polio.

Sixty of the thousand villagers would be over the age of 65.

Just under half of the married women would have access to and be using modern contraceptives.

Each year 28 babies would be born.

Each year 10 people would die, three of them for lack of food, one from cancer. Two of the deaths would be to babies born within the year.

One person in the village would be infected with the HIV virus; that person would most likely not yet have developed a full-blown case of AIDS.

With the 28 births and 10 deaths, the population of the village in the next year would be 1018. In this thousand-person community, 200 people would receive three-fourths of the income; another 200 would receive only 2% of the income. Only 70 people would own an automobile (some of them more than one automobile).

About one-third would not have access to clean, safe drinking water. Of the 670 adults in the village half would be illiterate. The village would have 6 acres of land per person, 6000 acres in all of which:

• 700 acres is cropland
• 1400 acres pasture
• 1900 acres woodland
• 2000 acres desert, tundra, pavement, and other wasteland.
• The woodland would be declining rapidly; the wasteland increasing; the other land categories would be roughly stable. The village would allocate 83 percent of its fertilizer to 40 percent of its cropland — that owned by the richest and best-fed 270 people. Excess fertilizer running off this land would cause pollution in lakes and wells. The remaining 60 percent of the land, with its 17 percent of the fertilizer, would produce 28 percent of the foodgrain and feed 73 percent of the people. The average grain yield on that land would be one-third the yields gotten by the richer villagers.

If the world were a village of 1000 persons, there would be five soldiers, seven teachers, one doctor. Of the village’s total annual expenditures of just over $3 million per year, $181,000 would go for weapons and warfare, $159,000 for education, $132,000 for health care.

The village would have buried beneath it enough explosive power in nuclear weapons to blow itself to smithereens many times over. These weapons would be under the control of just 100 of the people. The other 900 people would be watching them with deep anxiety, wondering whether the 100 can learn to get along together, and if they do, whether they might set off the weapons anyway through inattention or technical bungling, and if they ever decide to dismantle the weapons, where in the village they will dispose of the dangerous radioactive materials of which the weapons are made.