U.S. Health Care Expenditures: Costs, Lessons, and Opportunities Proceedings of a Workshop (2023) / Chapter Skim
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1 Introduction
1 Introduction
Pages 1-6
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health care spending -- specifically, that it affects health equity, quality, and outcomes and leads to opportunity costs such as a reduced ability to invest in public health infrastructure and in the social factors that support health and well-being. The workshop was also intended to showcase innovative examples, such as state-level target setting for health care cost growth; to explore communication strategies to further the goal of reducing health care spending; and to highlight areas for research.
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No incentives exist, Magnan said, to address health care's increasing share of GDP in the United States or the estimated 25 to 30 percent of waste ful health care spending -- that is, spending that does not result in improved health. Furthermore, she continued, spending on wasted administrative costs, high prices, and unnecessary services creates an opportunity cost, with less funding available for other areas that contribute to health, such as education and affordable housing.
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. The workshop was structured in four sessions held over 2 days in a virtual format, featuring invited presentations and discussion that focused on: • The rationale for addressing wasteful health care expenditures (HCE, including opportunity costs such as investing in public health infrastructure and education, among other social determi nants of health;
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• National, state, and local frameworks and models for helping the United States achieve parity with comparable OECD nations in HCEs, including the work of states in setting targets for health care cost growth; • Strategies to reframe the narrative (i.e., the common but erroneous conflation of health and health care) to further the goal of reducing HCEs (the total cost of health)
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, chapters 2 through 5 include both opening remarks and presentations given by a panel of speakers, followed by a discussion that integrates questions from the virtual audience and panelists answers. Chapter 2, titled Economic Perspectives Framing Health Care Expenditures, provides an overview of the scope of health care spending in the United States and discusses the opportunity costs associated with high health expenditures in terms of the benefits that redirected spending might elicit.
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• Polling indicates that the public recognizes racism as a critical challenge in society and in the health system. But it is important to go beyond narrow notions of interpersonal racism and underscore the systemic and structural nature of racism operating in health care, housing, employment, education, and other drivers of health (Faber, Haynes, Jones, Thornton)
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