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The real reason American health care is so expensive


Hint: single-payer won’t fix America’s health care spending.

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Americans don’t drive up the price by consuming more health care. They don’t visit the doctor more than other developed countries:

But the price we pay for that visit – for a procedure – it costs way more:

The price you pay for the same procedure, at the same hospital, may vary enormously depending on what kind of health insurance you have in the US.

That’s because of bargaining power. Government programs, like Medicare and Medicaid, can ask for a lower price from health service providers because they have the numbers: the hospital has to comply or else risk losing the business of millions of Americans.

There are dozens of private health insurance providers in the United States and they each need to bargain for prices with hospitals and doctors. The numbers of people private insurances represent are much less than the government programs. That means a higher price when you go to the doctor or fill a prescription.

Uninsured individuals have the least bargaining power. Without any insurance, you will pay the highest price.

For more health care policy content, check out The Impact, a podcast about the human consequences of policy-making.

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Source: https://blogema.org
Read more all post Health : https://blogema.org/health/
  1. John White says

    Because your university education is so expensive so professionals including have to charge more

  2. Glitchy Potato says

    0:15 Protugal?

    You mean… Portugal

  3. Andy says

    Just ask for the bill and then the price will decrease dramatically ?

  4. Farida Gbepo says

    So how much do people pay?

  5. Shelley McRae says

    The system ain’t broken it’s doing it’s job perfectly make money

  6. Luke Wiggins says

    Yet another anti patriotic video from vox… nice.

  7. Pat Veldon says

    The 1% and corporations have convinced with a well funded campaign that health care for all is bad…greedy and soulless billionaires run this country.

  8. Laugh Guaranteed says

    I have been dealing with some issues in my body for the past few years. I do not know go to the doctor because I cannot afford it. I know a lot of people with similar issues. This country needs a fix, especially during this pandemic.

  9. Pradeep Muppavarapu says

    Instead of non-sensible things like 22nd amendment the Congress have to look at the health care system

  10. Tafa says

    Norway is free lol

  11. Porgiepugson says

    You don’t need to make this nearly 6 minutes long, there is one simple conclusion.

    America loves money.

  12. Thalya Sylos says

    Can we also compare the time and cost of becoming a doctor in the US x Other countries? I believe doctors in the US deserve to earn more because they often need 3x times longer of training to become a doctor and hundreds of thousands of dollars more than European countries.

  13. Life of Max says

    Saying America's healthcare is the worst because it is the most expensive is like saying a Ferrari is the worst car because it is the most expensive. Did you know America leads by far in drug development? Say I just went to a store and told you, "I just spent $20! That is expensive!" Your first question would be, " What did you buy?" You see Vox is only stating the cost not the treatment.

  14. Thịnh Phạm says

    What if the public healthcare doesn't work so they have to pay more for private?
    It would be nice to have some interviews of individuals work in or use both private and public healthcare

  15. claraa castilhoo says

    0:22 “PROTUGAL” ?? ??

  16. DizzyMindset says

    So take away incentive to progress medicine?

  17. Skeggi Skjeldarson says

    The real reason for the expensive health care is plain greed.

  18. Juan Padrón says

    There's one huge thing that this video gets incredibly wrong: THE USA DOES NOT HAVE A FREE MARKET HEALTHCARE SYSTEM

  19. tedfaun says

    Really interesting. It is fascinating to see how subtle (or not so subtle) messaging from politicians and the media telling Americans to be scared of a more socialist system penetrates as deep as it does in regards to heathcare. Where does this deep-rooted fear of the state come from? American's love their presidents and country but they also never really trust the state.

  20. David 365 says

    what is the reason why.it.cant come in taxes like norway????

  21. Golden Darc says


  22. Keith Robert Bantug says

    The history to why this happened is very interesting to me. Back then going to the hospital was pretty cheap and not a pain but when insurance companies rose and they requested all hospitals to raise prices so the Insurance companies can get their share of the profit

  23. Thu Hiền Lê says

    Do you have to pay for stepping your foot into the hospital?

  24. X-90 says

    Welcome to Vox, where nobody watches the video and only talk about the title

  25. hampus dicksson says


  26. mc nigkakiller 724 says

    broke arm got ambulace ride got painkillers got cast go home 2 days later surgery to fix arm get painkillers and cast but whats the price you ask? 350€

  27. Rob Dee says

    Seems like the US needs some freedom

  28. JI Rony says

    Funny thing is even some third world country offers free healthcare ?

  29. S T says

    Although he makes good points
    I respectfully disagree

  30. Ari9000 Gamer says

    Isnt everything wrong with America? There is only a few sane, nice, un – ignorant ppl there

  31. Marcus Solberg says

    The us should look at the Norwegian health-ceare and learn

  32. Pro Aaron says

    If you have a population that would rather bankrupt themselves or others than pay some taxes, you see the problem.

  33. Junhong Ao says

    It is right to convince the doctors to charge less for health care. But at the same time, how can you tell them to charge less while still asking them to go through years of school without income and in fact taking out large debt. If your boss said you need to take a 50% pay cut while doing the same work are you going to keep working for them? If you are going to ask the doctors to get less paid, you need to also take care of the price they have to pay for their training. Otherwise, who can afford a life of being a doctor?

  34. Professor X says

    Why not copy what us in Canada do for healthcare? ??

  35. Raúl Cabezalí says

    Education, Transport, Electricity, Water, Healthcare are essential services. They can't be for profit.

  36. lamanchadale says

    In the USA, anyone can walk into a private hospital and demand and get free health care. This is what causes US medical care cost so much. Illegal aliens routinely use the emergency room of private US hospitals as their primary care and pay nothing. I know a case personally where a US woman I know had a baby with a problem, and an illegal alien was there in the hospital with a baby having the same problem. The cost of treatment was about 1.5 million dollars in each case. The US mother paid $60,000 for the bill with insurance paying the bulk. The illegal alien mother paid nothing. So the hospital ate 1.5 million dollars thanks to an illegal alien getting free service that US citizens do not get. This is what needs to stop. The US government forcing un funded mandates on private hospitals that have to pass the expense to US patients that pay their bills.

  37. Doctor Willow says

    Medicaid for all, run by the government.

  38. John Marston says

    The government disliked this

  39. John Marston says

    Wrong they’re lazy

  40. Trần Minh Hoàng says

    Goverment do not have to make profit. Business does . Goverment do not take risk . Business does . EU Medical students do not go bankrupt paying students fee. US student do. That 's why

  41. Pranam :o says

    Ambulances cost $200 in Australia, in America is $2000

  42. Pranam :o says

    In Australia, public healthcare is literally free.

  43. Dominate955 says

    America has the largest economy in the world, yet it can't provide free healthcare to its citzens

  44. a human says

    For all the Europeans here, it isn't because the country was made to be an open, capitalistic economy, it's because our government is just bad at innovating. Many, many things that need to have some federal system of standardization just, don't.

  45. CoolKidGamer 1497 says

    Healthcare ain’t free anywhere. You pay for it in your taxes.

  46. Netharas says

    And it still misses the main point about European and other countries' health systems. It's not about who pays for it, it's just that the health system is public, run by the states, not companies. Doctors and nurses are public workers. That way it's never treated as business, a transaction, but plain and fundamentally as health issues. You go the doctor, get the required treatment, no money involved. Hope you get there at some point.

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