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GuestLecture_ProfessorLynch - Learning from Europe Health...

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Learning from Europe: Health Policy
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European policy models in the health care reform debate of 2008-10 Much lesson-drawing Some laudatory Health policy experts and journalists cite other systems with better outcomes, lower costs Often focus on European systems perceived to be most like ours (Netherlands, France, Germany) Some disparaging “Socialized medicine” Problems with English NHS, in particular
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Today’s lecture Why do we need to learn from Europe? Problems with US health care What policy models are available? In Europe (and OECD more broadly) How well do these models work? Comparative outcomes What can we learn? Difficulties with policy learning What we CAN learn
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Maybe there’s no need to learn at all The right answer is not to believe in European solutions. The right answer is to believe in America -- to believe in free enterprise, capitalism, limited government, federalism... I refuse to believe that America is just another place on the map with a flag. I believe that America is an exceptional nation , of freedom and opportunity and hope. The America I believe in has goodness and a greatness that creates a unique American genius .”
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Unique American Genius Medical innovation High-quality medical education Free markets for insurance, pharmaceuticals and medical devices No (transparent) rationing
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More Unique American Genius: US leads the world in health spending Health care spending as % of GDP: 16.5% Per capita health care spending: $7,400 per person per year
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We have the world’s most expensive health care, yet limited contact with doctors and below-average life expectancy. The price of genius
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Quality US is at or near the bottom of the developed world in Premature mortality Infant mortality Deaths from amenable causes Survival rates (e.g. asthma, diabetes, kidney transplant) Deaths caused by medical error Patient satisfaction
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Potential Years of Life Lost (females) 0 2 4 6 8 10 12
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Infant Mortality 0 2 4 6 8 10 12 Chart Title
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We’re #37! 2010 WHO global health systems ranking: U.S. in 37th place (just behind Costa Rica, well behind Colombia, Saudi Arabia)
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% Fairly or very satisfied with health care system 0 2 4 6 8 10 12
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Overall Views of Health Care System Percent FR GER NETH NOR SWE SWIZ UK US Only minor changes needed 42 38 51 40 44 46 62 29 Fundamental changes needed 47 48 41 46 45 44 34 41
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