Viewing profile — rcafdm

Outcomes are determined by more than health system inputs alone (indeed, it has little to do with health care in the developed world), and costs have much to do with the intensity …

This is my blog. I'll check comments later on and respond if anyone has serious questions or comments.

> Your findings are not mutually exclusive with other theories about the underlying causes of high U.S. healthcare expenditure, such as a chronic lack of price transparency. My fin…

> We spend 17.4% of GDP on healthcare. The OECD average is 9.5% Health spending is almost entirley explained by income levels, especially in the long-run. The US spends much more b…

> Obesity is not an independent variable Nothing is perfect, but most experts believe this has little to do with healthcare today because healthcare interventions tend not to be ef…

> The obesity explanation doesn't pass the sniff test. Canada is 12% less obese than the U.S., but it spends 6% less of its GDP on healthcare. It's my blog (RCA). My argument is th…

> a) many (perhaps the majority, don't have time to source now) of the bankruptcies in the US are due to medical issues and spending The vast majority of medical bankruptcies have …

I'm not a language zealot (most languages/frameworks come with pros and cons) and I use R and the tidyverse quite regularly, but "performant" is not a word I'd associate with the t…

> Yet 81 percent of the leading health economists agreed with the statement, “The primary reason for the increase in the health sector’s share of GDP over the past 30 years is tech…

Thanks. I haven't seriously considered that before, but I may put one up!

> 1. You didn’t. https://i0.wp.com/randomcriticalanalysis.com/wp-content/uplo... > 2. Asymptotic growth towards 100% certainly sounds unsustainable. "Sounds" isn't an argument and …

I (RCA) have been meaning to dedicate a blog post to this topic exclusively and quantify the root causes in considerable detail. In short, yes, I believe globalization and, specifi…

The point is that almost all of what people have termed "medical bankruptcy" has approximately nothing to do with healthcare costs. It has to do with income/career disruption assoc…

One can come up with a narrative to support almost any argument. The question is, do you have data to support it, is it credible, and how much can it actually explain? The truth is…

1, I can fit the US on a linear trend amongst high income countries. 2, there’s no necessary reason why increasing health share with rising real income is unsustainable. We can and…

I’m not sure what you’re getting at. Obviously, healthcare must be paid for somehow and it’s a fair assumption workers bear most of the incidence. However, the role of real incomes…

You absolutely can in real terms. https://randomcriticalanalysis.com/2019/12/03/no-means-no-th... Also while I agree that 100% of a GDP is a reasonable approximation of an upper li…

My analysis strongly suggests costs strongly track with income levels. Relative Prices rise with income, but purchasing power also rises, so it's not necessarily less affordable re…

Yes, I'm the author of the blog (RCA). No, I haven't studied this narrow question, though it's somewhat tangential to the arguments I've advanced (outcomes; prices; aggregate costs…

US also has "programs" and generally spends more on preventative medicine. Further, actual medical evidence suggests medicine doesn't have good treatments for obesity (getting peop…

The exact numbers depend on the source/methodology, but all credible estimates show large differences and these differences imply large effects for mortality rates [in the broader …

No, but this is addressed in my post. Australia's obesity rate is substantially lower, plus they suffer from lower homicide, drug abuse, and the like. More generally, the diminishi…

My point is that there's very little to suggest US healthcare is uniquely ineffective. There rapidly diminishing returns to health spending and US outcomes are badly handicapped by…

> That argument is either wrong or tautological. There are two distinct claims here. (1) National health expenditures are overwhelmingly determined by the resources available to ho…