But look: This NHS bashing misses the point. In 2003,
the British spent $2,231 per person. America spent $5,635. In other
words, they spent 39% what we did. So whether they're "better" or
"worse" is a bit hard to argue. Better or worse for what? They're
certainly cheaper. And I've never, ever heard anyone argue that
their health outcomes are 60% worse than ours. I would certainly
prefer to get in a car accident in America, particularly if I had
awesome insurance. But I'd certainly prefer to pay my health bills
in Britain. And I'd really prefer if people stopped pretending you
could make an apples-to-apples comparison between the
two.
Well, let me be the first to argue that the Brits' outcomes are
at least 60% worse than we are. Here is a study in the British Journal of Surgery
comparing the mortality rate (risk-adjusted) post non-cardiac
surgery in the U.S. and U.K. Turns out the mortality rate in the
U.K is four times higher than in the U.S., or about 400% worse.
Surely, some of the extra money we spend is wasted, but the
above study suggests some of it does produce better outcomes. And
while it would be nice if we could get our treatment here but pay
in Britain, I doubt one can so easily separate payment from quality
of treatment. Spend what they do in Britain, and you are probably
going to get treatment similar to that in Britain.