The cost of health care: how to make it affordable
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- čas přidán 31. 05. 2024
- The cost of health care is unaffordable for many in the developing world. But while universal health care may sound like an impossible dream, it’s more achievable than you might think.
Film supported by @bainandcompanyinsights
00:00 - The argument for universal health coverage is clear
00:57 - Thailand’s path to universal health coverage
03:31 - Universal health care around the world
04:48 - How to finance universal health coverage?
05:30 - Rwanda: from genocide to public health exemplar
07:19 - What is a pooling finance system?
08:01 - Which services make the cut?
11:17 - The economic benefits of UHC
12:23 - Could covid-19 be a catalyst for reform?
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Read our special report on universal health care: econ.st/3gRa5QP
Universal health coverage is in reach - here’s why: econ.st/3Fk09d8
How the coronavirus pandemic could reform care? econ.st/3gNRVjc
America is the only developed country without universal health insurance: econ.st/3fbn2oa
View all of The Economist’s coronavirus coverage: econ.st/3U5ZeB9
Why rich and poor countries can reap the benefits of universal health care: econ.st/3gEbKJu
Why has Mexico's road to UHC been rocky? econ.st/3gIMlOR
Why health services priorities must adapt to meet citizens needs: econ.st/3szum07
Covid-19’s legacy for public health: econ.st/3sDC35u
Why more spending on mental health matters: econ.st/3gMr7zF
Cutting edge - why improving access to surgery is important: econ.st/3DEKzHC
Never fully privatize healthcare, transportation and education.
Most of the first world countries have universal health care. In contrast, the US has the world’s most expensive medical care industry that’s bankrupting people and is a huge drain on companies that pay for insurance.
Some of the lowest taxes for the highest wages.
@@prestonanonuoso5508 You not including the cost of private insurance with your taxes. When you include that bill, you pay far more taxes than than the Canadadians to your north.
And if you use the excuse that you don't have to pay that, it means you can't afford to, as all Americans with the means, actually buy health insurance.
And if you say your work pays for it, then thats missed out extra wages that they could have spent on their employees rather than offering it as a benifit.
@@Eoin-B thats very untrue , most Americans who are employed get their health insurance mostly funded by employers
Canada's healthcare is expensive and it blows, all any Canadian who's been through it, it's collapsing. Americans is corrupt with big pharma, insurance companies, and hospitals lobbying the federal government to keep their scam going. The way to make things affordable and quality go way up is get rid of the third body (insurance) and (government) and go free market healthcare, there will never be cures without it. Lasik eye surgery is a perfect example in the states.
@@johnsamuel1999 This varies and the quality of insurance varies via employers.
I have no experience with medical systems yet have a strong suspicion that (2) basic care would be helped by preventive medicine, with easy, massive regular check ups to help individual corrections, through networks of nurses.
As the Thais, We are very satisfied with universal health care. But, the big burden loaded on public health care. The government health care budget increase every year ,and if the government can not find tax income enough, the country may have the long term financial difficulty. Moreover the health care staffs are overloaded.
Prevention is better than cure
You are what you eat. Your diet impacts your health.
Lower stress, reduce obesity and more exercise are key to a healthy life.
Obesity in children and adults is rising across the world.
Fast food and sugary drinks are contributing to the problem of poor health and obesity.
Eat a healthy plant based diet and exercise regularly.
Reduce or ELIMINATE cows milk, eggs, cheese and meat. Eat more salad greens, beans, fruit and vegetables. Eliminate fast food, snacks like cookies, cakes, chips, and sugary drinks and juices.
Every adult and child should own a bicycle and ride it regularly.
Regular exercise will help you sleep better. Yoga is a great stress reducer.
Obesity is all too common today. Get off the couch. Get off the phone, ipad or video game.
A variety of stretching and other exercises help with increased mobility.
Ride to work, ride to school, ride for fun.
Every city should be a bicycle city.
Speak up for bicycles in your community
Three different family members lost their Farms for Health Care cost in the United States. And even in the past year the local hospital which had been in the community over 100 years was shut down in favor of a satellite nursing station instead. Prenatal care has to be done over an hour away. When I consider that I see some of the produce we used to raise locally is now flown in from overseas because it's cheaper I realize corporations aren't concerned with the resilience or survival of any one local community unless they live in it. Universal Health Care may come to the United States but only after there's a crisis that devastates corporations. The problem with that is that the American economy is so linked to the rest of the world it May harm other countries economies that are linked to ours closely. As the health of Americans go so other countries will be affected as well. Countries that are aware of this would do well to pressure the United States to offer their citizens Universal Health Care. There is such a thing as a global economy the US is more of a weak link then we admit in public relations and one source of this weakness is our lack of Universal Health Care.
There is NEVER a debate or any difficulties in securing MILITARY FUNDING even when there is massive waste, mismanagement, and particularly in the USA🇺🇸 despite continuous FAILURES in auditing, the budgets are awash in ever increasing funds without much fiduciary oversight.
Budgets are all about PRIORITIES and as such few countries cut back on military spending to shift those funds to other vital areas.
Imagine spending 600 billions dollar a year on military and not having universal Healthcare system just to loose against angry afghan guys
Healthcare costs in the developped world is rising quickly too, with higher life expectancy comes a higher elderly population that needs care putting pressure on the existing structure of universal healthcare
what is your alternative then?
@@adam346 idk but just blindly spending isnt the answer
@@ssad47 it's only blindly spending money because you are not involved with the actual decision making... can you imagine asking random civillians what the military needs? I think this is a case of "I know a little, therefore a lot".
I love your channel, your content and your way to offer the news and explain the concepts. Truly impressive!
as a European, I don't have to imagine
Tell that to burgerlanders xd
As a Swede, I'd hope my old mother would get what she needs, not what me an my sister have to beg and bully for. Imagine this: emergency visits have to be scheduled, during phone hours, which often are 10-12 am.
Taiwan started the affordable universal health care system in 1995. Now it covers 99% of the population.
The trick is, the richer people pay more under the health insurance system.
The trick is on average the population are much healthier. They also tax everyone including the poor. Nordic countries are notorious with regressive tax.
The rich can afford it. They would have their wealth save for the millions that work for them.
A healthier population is also a more productive population. The more affluent ones shoulder a larger burden can benefit everyone including the affluent.
@@MiCnWww
While health does influence productivity to some extent, there is no evidence to show that access to healthcare is in any way correlated greater productivity, otherwise, the US would not rank 5th in the world in labor productivity, outranking nearly every developed nation in Europe, except for Norway, Luxembourg, Ireland and Switzerland, in spite of not having a universal healthcare system.
But most importantly, access to healthcare does not automatically translate to people being healthier, this is evidenced by the high rate of non-compliance with medical advice in the US and even the UK, with both countries spending billions on treatment of preventable illnesses related to obesity.
As a Taiwanese with relatives working in a big hospital, I wonder the success of Taiwan's healthcare system will be just a huge bubble that cannot last long enough for me. It extends too long and too broad to those uncurable clinic diseases. The result is more and more money is spent in the old people who just can increase little productivity if they havn't retire. Plentiful in ideal, skinny in reality.
Make our priority to take care our health
And the government should prioritize an access to universal health system.
Philippines should do this.
The Philippines is already doing this through the passage of the RA 11223 or Universal Health Care Act in 2019. Considering that implementing universal health care is a herculean task, the government has adopted a progressive approach. At the moment, the focus is reforming existing systems and putting enabling mechanisms that would make population-based services accessible to everyone. We are still at our infancy stage but we will soon have this, hopefully.
The financial argument is the only one which could pursue governments to make the change.
Why is universal healthcare such a hard concept to grasp? Healthcare should go to everyone and should not be too expensive for the poor to pay.
How much do doctors get paid in universal healthcare systems vs America?
@ghost mall
Comparing locally funded public services like law enforcement, infrastructure and emergency/fire services, to public goods funded at the federal level is an apples to oranges comparison.
Also, what do you mean by “healthcare” when referring to it as a “human right”? That’s a pretty broad synonym.
@@cbl6520 funding system then should be changed to provide universal healthcare. Germany, the UK, Sweden and other European countries somehow made it, and the US can make it too.
@@dreama1375
Not really. Aside from such a system being extremely expensive, the taxes needed to fund it would never make it past the ballot, because Americans don’t like to pay higher taxes. The countries you mentioned have been funding the system for so long that they’ve become conditioned to it, but the moment you tell people in the US that they’re going to have to pay higher taxes to fund such a system, it’s going to be unpopular. And not only would it be unpopular, but it would be political suicide for any politician who advertises it honestly, hints why Elizabeth Warren wouldn’t admit that taxes would increase under her universal healthcare proposal during the 2020 presidential campaign.
Cheaper healthcare is better than universal healthcare imo
Very informative
To avoid the cost of healthcare, first fix our worlds food distribution, the food we eat are toxic itself, and make the poulation work less, it’s ironic… we keep on getting more population and getting more work hours….
Other than providing a universal healthcare. Thailand also emphasizing on a basic annual checkup in a community level. We’ve ground teams visiting a community yearly so that the government could save up some budget on a surgery as people would likely be diagnosed earlier. We encourage people to take care of themself and provide the resources- the information thru ads, campaign, community health center they need in order to build a stronger root. It’s kind of die down tho with the lack of interest under a recent gov. but universal healthcare is still our normality. Thankfully, people can still relies on it.
So (1) pool money, (2) focus on basic care first; which requires (3) a government actually seeking to help its nation, and not just focused on appearances like populist politicians.
Sharing will save the world
Not Rwanda being a benchmark for universal healthcare 😭😭The patriot in me is twerking 😂😂😂
You can get the fund also in
Sovereign wealth fund
Rich countries take universal healthcare for granted? What? I live in Canada and we supposedly have universal healthcare. The reality is that what we really have is the Universal Healthcare Waiting List. Basic procedures have waiting list measured in years and unlike other countries, it is illegal to pay for healthcare here so you can't get it at all. At any cost! Access to a waiting list does not equal access to healthcare.
Well...I guess if everyone goes on a waiting list the it IS equal access to healthcare, isn't it? But it's not equal access for another reason...where are the stories of Canadian lawmakers suffering through the literal pain of a waiting list? As you wonder why this exists look at your money! Who's picture is on it? Was that person elected or entitled to it by birth?
No matter what your told...you can never have equality with those pics on your money.
The waiting list for non-cosmetic surgeries isn't terribly long. It's also much better than just having no access whatsoever like certain backwards countries.
Can you given an example of a basic procedure with a year-long waiting list?
I like the focus on poorer countries and those which have put Universal Health Care into practice. You might have also mentioned the Bismarck system of health care, which admittedly is not about collecting money so much but how it is distributed and allows people to have choice.
The American System is a terrible one, for which a lot of money is spent and a sizeable amount of the population have poor benefits. Market systems do have their place though, it is not the case of the only alternative to Public Funding is the American System.
The cheap and easy retort to any suggestion of reform in the NHS for instance is 'they are privatising the NHS'. There are alternative versions of funding which allow patient choice which are nothing to do with the US system. Certainly the French, Germans and Swiss do not have the problems which the NHS seem to have - Winter crises are a given at least according to the press.
So how about it Folks? Perhaps our European neighbours have got something we can learn from.
Patient choice should be incorporated without bringing the profit-motive into it.
It is interesting to see even pro-capitalist channels admitting that universal healthcare is better, but we should be wary of accepting their framing that it's better because it means more value can be extracted from laborers. We should push to have healthcare for the sake of health.
Work for it , not have your hand out to Governemnt to provide for you unless your a idiot that can't read history to see what will happen .
@@joecamel6835 Oh look guys. I found the American.
Let's each country find out what works for them, everyone knows US has a different system, and because that private sector invest 1,3 trillion dollars every year on research, while the second one that is France invest 90 billion
Where are you getting that research number?
Anyway, U.S. "research" results in a bunch of slightly new versions of existing drugs in order to get new patent protection. Virtually none of it results in actually new products. New drugs overwhelmingly come from public sector research which is then bought up once it shows promise.
@@lynpotter6471 Don't repeat the truth out loud...it bursts their bubble, lol.
3:50 chn 8:58 9:03 9:57 10:43 13:05
"For poor country, for developing countries "
America: 😴
Sure seems like Health Insurance Companies and Medicare would be receptive to a WFPB vegan message.
It would save them money on health care costs. This could off set the lobbying by food manufacturers.
Maybe educating health Insurance Companies and Medicare administrators should be a priority.
Health Insurance companies might even push doctors to take nutrition more seriously by paying for nutrition counseling of patients.
Interesting how she says “affordable” healthcare but not “quality” healthcare. 🤔
I live in a so call “third world country”, when my sister was 3 she went through a difficult brain surgery, now she’s 29. My neighbor’s 7 years old daughter had a hip surgery a couple months ago, now she’s so much better. Neither my neighbor or my mom had to pay for anything. ( is not free we all pay it with our taxes), I’m beyond grateful with the doctors, so i don’t understand when you say “quality”, what do think doctors are doing here, killing people secretly 😅
@@Linda_Clerc
First off, you contradicted yourself, if it’s paid for through taxes, then it isn’t “free”. Secondly, eyewitness testimony does not count as evidence, give me peer reviewed research.
@@cbl6520 he never claimed that it was free
@@gyurhanaziz7676
They edited their comment.
Only the US goes without affordable healthcare when all the Western countries have instituted it. Health care should be getting cheaper in an industrialized world instead it is getting more expensive.
The U.S. has a very innovative and unique social system that can be basically described as a "dog-eat-dog" microcosmos.
What about libya's Gaddafi
Murdered by Hillary and crew .
Well done Thailand!
Ras House Music 🎶 Laborie Beach ⛱️ St Lucia
This really isn’t a video on how to make healthcare, more fordable, but rather strategies on how to tax it.
You can't call yourself a first world country without providing universal healthcare
Or perhaps they can stop meddling other countries business stop sending arms deploying soldiers and invading countires instead they can provide these budgets to its own people
It's strange that you also appear in such comment sections where you cannot spit your anti-Turkish venom. Seems like your employer, the Iranian regime, makes you work hard for the meagre amounts they pay you. Poor you!
Forget developing countries! How about developed countries like the UK. We don't even have a health care system at all.
Developing countries like the USA
Focus in primary care is championed by Cuban health system. It should to explored too
in india we cartel of doctors.
Cartel 😂😂 or cradle
@@raw_dah Sh*tting in the streets aint healthy .
Im from europe, why do i have it recommended ? We already know how to do it ...
As a Swede, I'd hope my old mother would get what she needs, not what me an my sister have to beg and bully for. Imagine this: emergency visits have to be scheduled, during phone hours, which often are 10-12 am.
$700 vs $11,000
Read your GP advice and apply ir your gran
British people are like...health caah
Why is medical care now termed health care ? Health as a concept and a practice extends far beyond the consulting rooms and operation theatres of hospitals and clinics. And it works on the principle of 'a stitch in time saves nine'.
Basic nutrition, regular exercise, awareness of medical implications of hygiene issues maternity issues nutrition issues substance abuse issues is a result of a matrix of efforts in multiple sectors, all conducted in their simplest and fairest forms without seeking to favour commercial interests and continuously monitored for program efficacy rather than "outcomes".
The outcomes approach leans constantly on monitoring efficacy of therapeutic interventions ( and is a darling of the private sector for the very same reason ) rather than preventing the influx which swells the number of 'positive outcomes' in the first place.
The best way to lead a disease free life would be not contracting it in the first place, rather than contracting it, passing through the system which proceeds to cure you ( or more often, manage the disease ) and emerge 'disease free' at the other end. An unwary statistic in a cesspool of outcomes. ( This is relevant to lifestyle diseases, the suffering of which is a particularly nasty 'outcome' of indulgence in excesses on the constant suggestion and cajoling by the food-entertainment-hospitality complex )
To my mind, it is high time govts let the pvt sector do their own data collection and process monitoring, and govts should focus on eliminating causative factors behind alarming increase in such 'outcomes' so that medical care reaches those who need it most going forward.
There are many medical conditions which are not caused by unhealthy lifestyles, but are quite devastating for the sufferers and their families. The primary objective of governments is to ensure that the health of general population is maintained or improved.
So as not to overwhelm medical care delivery systems and ensure timely delivery of appropriate medical care to the 0.5-1% who are sick due to no fault of their own.
Just learn from Taiwan health system.
And you better learn from Türkiye's universal healthcare coverage system.
Americas health care system IS NOT free market. Saying so is misleading and disingenuous.
😂😂😂
In Vietnam, we don't have this system, and when we go to the hospital we will pay a lot of money, by the way, the corruption is terrible on the whole vietnam's society. That's why Vietnam is one of the poorest countries in the world but the communist is always told that Vietnam is developing
The poorer the country, the more it benefits from universal health care. Taking care of the work force helps businesses and taking care of the sick and poor saves governments. However, the richer the country the more it can lose by not having universal healthcare.... get my point?
Wrong...Canadian here...As our Baby Boomer age and massive waves of non-contributing new immigrants, our broken, high cost Health Care system is breaking down badly...Trouble finding a family Doctor (they are retiring faster than replacement) too bad - you without...waiting lists to see a specialist/therapy/surgery, you need a referral from your GP, requirhip/knee replacement - 18-24 months wait list...Require therapy/surgery/drugs specified NOT in the Health Act - denied...
Low cost Universal Health care is a MYTH,... We pay 51% personal income tas when you earn over $227K CDN, ($170 USD), EVERYTHING you buy is taxed, GST 15%...Gas/alcohol/tabacco all have embedded taxes
Tot the topic was a joke
Come on @TheEconomist.We know the trade off is between affordable vs timely health care. So long as you pay for private/on-demand/private healthcare, the price of all healthcare rises. Are you willing to cut your insurance so that everyone else has?
Actually there are some books written on the cost-saving of timely care. If you get it well in time, you'll likely be healthier, and need less going forward. The new model is to have teams of a couple of different professions (physician, specialty nurse, therapeut, &c) to address all aspects of what's ailing the patient in one go. But, yes, there is still the old system: going to the nurse, ok you need a physician, wait 3 weeks, then wait 3 weeks for any next appointment.
Poor people are living healthier lives . pharma will swallow up most of this money . universal income for survival is much better idea
Get the profiteers out of healthcare and universal delivery is possible. But not unless and until.
👎👎
You make health care affordable by teaching people how not to get sick. Fasting on a regular basis for a min of 4 days protects the body from illness.
As usual, targeting the rich. Classic lazy poor mentality
Health care should not be affordable, in order to encourage responsible behaviour
Exactly...in Canada EVERY year our Emergency rooms are flooded with flu patients, demanding care because either they don't have a GP assigned yet or they refuse to go to a walk-in clinic and wait...Since they cannpt be denied service it costs the health care system millions upon millions of $$$ each year...Look at Canadian tax rates- SKY FCK'g HIGH - we are taxed to death and it will only get worse as the population ages...BTW, show up as a "landed immigrant" or refugee, you get a Health card...We are flooded with non-contributing users/people that think health care is FREE!!!!!!
Have you ever need some healthcare assistance?
In Thailand we found that universal health care makes people "more responsible for their health". Do you know why? Because people meet the doctors more frequently and the doctors give them useful advice. This educates and makes people realize more about their health conditions.
The universal health care is not just about getting people treatments but it is also about educating people and preventing the diseases.
When you are in med school the first semester they drill into you is that 99% of the healing is done by the patient own body, not the doctor. Prevention and giving advice on prevention is as much a part of the job of the doctor. I would imagine if people didn't seek preventive medicine or advice then health outcome would be worse.
@@viniciusfranceschi2095 Healthcare is PURE evil. It fills up our land with irresponsible non-viables. I'd like to see the instant annihilation of THE ENTIRE healthcare industry
Great video and we are very lucky in the UK with our NHS after the build-back better success post WW2 economic boom and war debt repaid too! Although sanguine , I'm hopeful that we are building back better today and preserving the NHS with our nascent hydrogen economy and energy security and NEtzero carbon included! Just already several decades into our energy/industrial strategy in the UK now. Unfortunately, most don't realize we are past conventional hydrocarbon energy as from 2005-6 and observing it! Indeed that was the peak, the energy returns are terminally down nowadays! Therefore an ever-decreasing circle of prosperity will entropy in our energy crisis efforts unless other inputs are found as soon as possible! Consequently, the UK will have to pay for it's education, NHS universal healthcare and public services with a 2-10GW initial 2024-2030 from various forms of hydrogen! This is mainly renewables stored from the largest offshore infrastructure built that we share with the EU and builtit last several decades. Still moving to 2035 is our target of a100%+ energy circle security infrastructure completion! My final point, the need to change our energy source, just essential to enable our economy to ALSO grow FASTER than our sovereign debt does (incidentally last time this was 15 years ago and the start of the GFC!). My last point as I'm a millennial who just thinks we will increasingly rely on our renewable resources goingforward in this millennium to get through the 21st century)! Our green quantum fourth industrial strategy will hopefully prevail!Indeed I hope we can do this, in that we can all be on same level with universal healthcare going forward! With providence and perhaps paid with electrolytic hydrogen storage from renewable energies without carbon netzero globally for helping developing and developed countries to rely on alike!
Pakistan has Universal Health care thanks to Imran Khan
Remove government and watch the cost of healthcare improve and quality as well