How Has Our Healthcare System Improved in Recent Decades?

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Well, the US does certain things wonderfully. It remains a fantastic engine of innovation of new basic scientific knowledge, the human genome and all that comes from that, to a very significant extent has comes from the United States, from the commitment to fundamental biological and human sciences from the national institutes of health from the private sector, in many areas, from great academic institutions from the innovative nature of our society.

But we're also a society of unbelievable inequality and that inequality has widened considerably over the last 30 years and in my view we've also made a pretty basic mistake to think that health is simply unmarketable and a marketed phenomenon. So we turned the health sector largely over to the private sector, no other high income country has done that.

I think while there have been certain advantages to that perhaps in innovation there have been huge costs as well. Not only is inequality so palpable in the United States but the cost of the US health system are absolutely truly out of control and out of sighting in comparison with other health systems.

Service by service, delivery of good by each area, the US is probably 15-100% more expensive than comparable health systems abroad, and that is reverberating through the economy and through the budget to create a pretty significant crisis in the country.