Yet another myth is that although theUnited States spends more on health care, we don’t get more. That argument is oftensupported by pointing to life expectancy, which is not that much different amongdeveloped countries, and infant mortality, which is actually higher in the United Statesthan it is in most other developed countries. What do we get for our money? Thefirst thing we need to do is separate thosephenomena that have little to do withhealth care from those that do. In theUnited States, life expectancy at birth for African American men is 68 years, while for Asian American men it’s 81 years. We find wide differences in life expectancy among women, too. Nobody thinks that those dif-ferences are due to the health care system. What, then, would we want to look at if we really wanted to compare the efficacy of health care systems? We would look atthose conditions for which we know med-ical services can make a real difference. Among women who are diagnosed withthe world. Canadian ministers of health say much the same thing. In fact, Canadian andBritish doctors see 50 percent more patientsthan American doctors do, and, as a conse-quence, they have less time to spend witheach patient. In Britain, the typical generalpractitioner barely has time to take yourtemperature and write a prescription. Andeven if they discover something wrong with you, they may not have the technology tosolve your problem. Among people with chronic renal fail-ure, only half as many Canadians as Amer-icans get dialysis, and only a third as many Britons on a per capita basis. The Ameri-can rate of coronary bypass surgeries isthree or four times what it is in Canada,and five times what it is in Britain.Britain is the country that invented theCAT scanner, back in the 1970s. For a while it exported more than half the CATscanners used in the world. Yet they bought very few for their own citizens. Today, Britain has half the number of CATscanners per capita as we do in the UnitedStates. A similar problem exists in Canada.
VOLUME 3 • NUMBER 1
87203388466581274151Dialysis Patients Coronary Bypass Coronary Angioplasty
U.S. Canada U.K.
Use of High-Tech Medical Procedures (per100,000 people peryear)
Sources: Gerard Anderson, et al.,
“It’s the Prices, Stupid: Why the United States Is So Dif-ferent from Other Countries,”
21, no. 3 (May/June 2002): Exhibit 5.