Tampa Bay Times
Forget car dealers; Americans are flummoxed by the marketplace for health care. Two new reports published show that consumers are increasingly anxious about medical costs and access to care, with record numbers signing up for subsidized health coverage. The system is not working for the majority of Americans, and the inequities are only getting worse.
A new national survey shows the frustration that Americans are feeling amid the continuing grind of the pandemic. An estimated 100 million Americans would describe the health care system as either “expensive” or “broken,” according to the West Health-Gallup 2021 Healthcare in America Report. Almost half say their view of the system has worsened in the era of COVID-19.
The United States spends nearly $4 trillion on health care, making it the most expensive system in the world. Yet it produces the worst outcomes in categories such as life expectancy, obesity rates, chronic disease burdens and suicide rates, compared to other high-income countries, according to the Commonwealth Fund. While the nation’s top 1% experience the best health outcomes, according to one West Health executive, those outcomes worsen as income decreases.
The survey, billed as the largest of its kind on health care since the start of the pandemic, shows that COVID amplified the worries that Americans have about the cost of health services and prescription drugs. Seven in 10 Americans say their household pays too much for the quality of care they receive.
The concern over affordability comes as the Biden administration announced that a record 13.6 million Americans have signed up for health coverage for 2022 on the Affordable Care Act marketplaces, with nearly a month remaining to enroll in most states. White House advisers credited increased government subsidies, which lowered out-of-pocket costs, for the surge in enrollment. They also said enhanced outreach efforts resulted in connecting more people to insurance options.
Cost-shifting to government and private insurers has hidden the growing crisis in medical costs for years. And America’s bloated health-care bureaucracy has never seriously confronted the middlemen who simultaneously siphon profit and limit choice. Consumers are pinched, stressed out and foregoing care, and two years of COVID has only fueled greater uncertainty. West Health and Gallup have provided a valuable snapshot of the burden and pessimism consumers are carrying. Expensive, broken, unfair — that’s hardly a health system for America or a model for the world.
