In the aggregate, the United States spends far more per capita on care services than does any other industrialized nation; but understanding the price a consumer would pay for an individual service or set of services is far more difficult.
Research suggests that noneconomic damage caps are moderately successful in constraining the growth of liability insurance premiums, but that a mix of measures may be most effective.
Many provisions in the 2010 Affordable Care Act (ACA) aim to curb the rising cost of health care through greater competition among health plans, taxes on high-priced insurance coverage, measures to cut fraud and other approaches.
Medical liability generates direct costs, such as higher liability insurance premiums, and indirect costs, such as the extra medical services ordered to protect providers from liability risk.
The United States spends a larger share of its gross domestic product (GDP) on health care than any other major industrialized country. Over the past decade, increases in American health care spending have far outpaced increases in inflation and income, placing tremendous strain on employers, families and the overall economy.
Why It Matters
Health care expenditures in the United States surpassed $2.3 in 2008, more than three times what was spent in 1990, and over eight times more than 1980. United States spending on health care—as a percentage of GDP—is more than six percentage points higher than the average for other developed countries, but Americans are no healthier.
Increases in health care costs over the past two decades, coupled with an overall economic down turn and rising federal deficit in the past 10 years, place great strains on private health care financers and federal programs, such as Medicare and Medicaid.
Policy Context
One of the most hotly contested debates surrounding the Affordable Care Act (ACA) is whether the legislation will lower health care costs. Many say it will lower the federal budget deficit over the long-term, and others contend that it will inflate the deficit and national debt. As reform is implemented, it will be important to track how cost controls in the legislation, new rules for allowing purchase of health insurance across state lines and malpractice reform could affect the amount of money America spends on health care.