Healthcare in the US is currently in a state of chaos. Not only does a large percentage of the population lack health coverage, but overall we are increasingly paying more and more for what in comparison to other countries is a decreasing quality of healthcare. This article describes a few of the factors that compose the context both of current healthcare strategies in the US and of barriers to the creation of a true healthcare system. Accomplishing this goal will require unprecedented bipartisan cooperation of both the Obama administration and Congress.
Burt CW, McCaig LFStaffing, capacity, and ambulance diversion in emergency departments: United States, 2003-04. Advance Data from Vital and Health Statistics , 2006. Number 376.
2.
Moore M.Sicko, Dog Eat Films, Inc., 2007.
3.
Poisal JA, Truffer C., Smith S., et al. Health spending projections through 2016: modest changes obscure part D's impact. Health Aff2007; 26: w242-53.
4.
Keehan S., Sisko A., Truffer C., Smith S., Cowan C., Poisal P., Clemens MK, the National Health Expenditure Accounts Projections Team.Health spending projections through 2017: The baby-boom generation is coming to Medicare. Health Aff2008; 27: w145-55.
5.
Bittle S., Johnson J.Where does the money go? Your guided tour to the federal budget crisis . New York: HarperCollins Publishing , 2008.
6.
Schoen C., Collins SR, Kriss JL, Doty MMHow many are underinsured? Trends among U.S. adults, 2003 and 2007. Health Aff2008; 27: w298-w309.
7.
Abelson R., Freudenheim M.Even the insured feel strain of health costs. New York Times , May 4 2008; (downloaded at nytimes.com).
8.
Jacobs PD, Claxton G.Comparing the assets of uninsured households to cost sharing under high-deductible health plans. Health Aff2008; 27: w214-2l.
9.
Dorn S.Uninsured and dying because of it: updating the Institute of Medicine analysis on the impact of uninsurance on mortality. January 2008. Urban Institute (downloaded at urban.org).
10.
Paez KA, Zhao L., Hwang W.Rising out-of-pocket spending for chronic conditions: a ten-year trend . Health Aff2009; 28: 15-25.
11.
Editorial. The high cost of healthcare. The New York Times, November 25, 2007 (downloaded at nytimes.com).
12.
U.S. Healthcare Costs. The Henry J. Kaiser Family Foundation , 2006 (downloaded from kaiseredu.org).
13.
Samuelson RJRx for healthcare: pain. Newsweek , December 17, 2007.
14.
Orszag PR, Ellis P.Addressing rising healthcare costs-a view from the congressional budget office . N Engl J Med2007; 357: 1885-7.
15.
Anderson GFMedicare and chronic conditions. N Engl J Med2005; 353: 305-9.
16.
Sommers JPPrescription drug expenditures in the 10 largest states for persons under age 65, 2005. MEPS, Medical Expenditure Panel Survey, Statistical Brief #196 . Agency for Healthcare Research and Quality, January 2008.
17.
Editorial. When a drug costs $300,000. The New York Times, March 23, 2008 (downloaded at nytimes.com).
18.
Office of the Press Secretary.Legal reform: the high costs of lawsuit abuse, January 5, 2005 (downloaded at whitehouse.gov).
19.
Studdert DM , Mello MM, Guwande AA, et al. Claims, errors, and compensation payment in medical malpractice litigation. N Engl J Med2006; 354: 2024-33.
20.
Schoen C., Osborn R., Doty MM, Bishop M., Peugh J., Murukutla N.Towards higher-performance health systems: adult's healthcare expenditures in seven countries, 2007. Health Aff2007; 26: w717-34.
21.
Davis K., Schoen C., Schoebaum SC, et al. Mirror, mirror on the wall: an international update on the comparative performance of American healthcare. The Commonwealth Fund , May 2007.
22.
Begley S.The myth of ``best in the world.''Newsweek, March 31, 2008.
23.
Schoen C., Osborn R., How SKH, Doty MM, Peugh J.In chronic condition: experiences of patients with complex healthcare needs, in eight countries, 2009. Health Aff2008; 28: w1-w16.
24.
U.S. National Debt Clock, January 12, 2009 (downloaded at google.com).
25.
Phillips K.Bad money. Reckless finance, failed politics, and the global crisis of American capitalism. New York: Penguin Group , 2008.
26.
Crutsinger M.Factory jobs: 3 million lost since 2000. USA Today, April 20, 2008 (downloaded at usatoday.com).
27.
Bureau of Labor Statistics.The employment situation, March 2008. News, United States Department of Labor. Washington, Bureau of Labor Statistics, April 4, 2008 (downloaded at bls.gov).
28.
Dougherty C.Factories fading, hospitals step in. Wall Street Journal, April 15, 2008 (downloaded at wsj.com).
29.
Ohlemacher S.U.S.slipping down in live expectancy ratings. Associated Press , August 12, 2007 (downloaded at associatedpress.com).
30.
Sack K.The short end of the longer life. The New York Times , April 27, 2008 (downloaded nytimes.com).
31.
Ezzati M., Friedman AB, Kulkarni SC, Murray CJL .The reversal of fortunes: trends in county mortality and cross-county mortality disparities in the United States. PloS Medicine , April 2008 (downloaded at plosmedicine.org).
32.
Kohn LT, Corrigan JM, Donaldson MS (eds). To err is human: building a safer health system. Washington, DC: National Academy Press, 2000 .
33.
McGlynn EA, Asch SM, Adams J., et al. The quality of healthcare delivered to adults in the United States. N Engl J Med2003; 348: 2635-45.
34.
Nolte E., McKee CMMeasuring the health of nations: updating an earlier analysis. Health Aff2008; 27: 58-71.
35.
Market based healthcare: big money, politics, and the unraveling of U.S. civil democracy. IHSP: Institute for Health and Socio-Economic Policy, June 22, 2007 (downloaded at calnurses.com).
36.
Report: Lobbyists spend $17 million a day on Congress; insurance ranks second. Insurance Journal, April 14, 2008 (downloaded at insurancejournal.com).
37.
Jacobs LR1994 all over again? Public opinion and healthcare. N Engl J Med2008; 358: 1881-83.
