This week, my guest is DAVID GOLDHILL. After the death of his father, Goldhill, a business executive, began a personal exploration of a health-care industry that for years has delivered poor service and irregular quality at astonishingly high cost.
His September 2009 Atlantic cover story rocked the health-care world, and Goldhill has written a book expanding on the topic, Catastrophic Care: How American Health Care Killed My Father-And How We Can Fix It. It is a system, he argues, that is not worth preserving in anything like its current form. He asserts Obamacare will not fix it, and offers his own radical solution.
* As a nation, we now spend almost 18% of our GDP on health care.
* In 1966, Medicare and Medicaid made up 1% of total government spending; now that figure is 20%.
* The federal government spends
– 8 times as much on health care as it does on education
— 12 times what it spends on food aid to children and families
— 30 times what it spends on law enforcement
— 78 times what it spends on land management and conservation
— 87 times the spending on water supply
— 830 times the spending on energy conservation.
* For every two doctors in the U.S., there is now one health-insurance employee-more than 470,000 in total. In 2006, it cost almost $500 per person just to administer health insurance.