Who determines that healthcare is too high?

According to the Bureau of Labor Statistics, the average American family earned $74,664 (before taxes) and spent $57,311 across various expense categories in 2016.  [not sure what is “family”—probably means household—doesn’t give number of people] 

1. Taxes 2. housing 3. transportation 4. food 5. pensions and insurance 6. Entertainment and contributions 7.  health care

Taxes are the biggest chunk. $18,900 each year, and then housing, $18,886. “Following housing costs, transportation ($9,049), food ($7,203), and pensions and personal insurance ($6,831) topped the list for the biggest ticketed items on most Americans' budgets. For the majority of people who prefer not to cook, the cost of dining out could add up big. The occasional luxury experience may not seem like a big drain on the average budget, but entertainment, cash contributions, and apparel and services accounted for nearly $7,000 (over 10 percent) of most Americans' annual expenses.”  Health care was $4,612. That said, health care increased almost 67% between 2006 and 2016, 8 years of which Obama was taking over our health insurance choices.

https://www.creditloan.com/blog/how-the-average-us-consumer-spends-their-paycheck/

What socialized medicine looks like

What you have to look forward to if the socialists like Ocasio-Cortez and Sanders win in 2018: "Native Americans have received federally funded health care for decades. A series of treaties, court cases and acts passed by Congress requires that the government provide low-cost and, in many cases, free care to American Indians. The Indian Health Service (IHS) is charged with delivering that care." [IHS web site quote].

The per person cost is about 1/3 of what the other Americans spend, but is in line with Europe. Also, native Americans have a life expectancy 5.5 years less than all other Americans.

https://www.ihs.gov/newsroom/factsheets/disparities/

Health care costs soared under ACA

The Affordable Care Act was supposed to lower healthcare costs, but it has done just the opposite. Why? Because it ignored the realities of how markets work.

https://www.prageru.com/courses/economics/why-healthcare-so-expensive

But then, the intention was never to reduced costs.  It's always been about forcing us into single payer.

U.S. spending on diabetes

 

When I saw the figure in "US spending on personal health care and public health, 1996-2013"  JAMA 2016;316(24:2627-2645, I was surprised.  Diabetes was listed as the highest health care spending in 2013 with an estimated $101.4 billion.  If you look at other sources, it is sometimes listed as 6th or 7th.  I've never seen it as number one.

But most articles agree.  For a huge part of the population it is self inflicted and preventable.

Keeping a healthy weight is important. The Diabetes Prevention Program found that weight loss and increased physical activity reduced the chance of prediabetes turning into type 2 diabetes by 58 percent. For people 60 years or older, the reduction was 71 percent. For overweight people, losing five to seven percent of body weight through exercise and healthy eating could prevent the onset of type 2 diabetes. http://www.healthline.com/health/type-2-diabetes/statistics#4

Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes.  Diabetes can be treated and its consequences avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications.   World Health Organization fact sheet.

Other key findings from the paper include:   
This article on line is easier to read, provides a summary.

• Women ages 85 and older spent the most per person in 2013, at more than $31,000 per person. More than half of this spending (58%) occurred in nursing facilities, while 40% was expended on cardiovascular diseases, Alzheimer’s disease, and falls.
• Men ages 85 and older spent $24,000 per person in 2013, with only 37% on nursing facilities, largely because women live longer and men more often have a spouse at home to provide care.
• Less than 10% of personal health care spending is on nursing care facilities, and less than 5% of spending is on emergency department care. The conditions leading to the most spending in nursing care facilities are Alzheimer’s and stroke, while the condition leading to the most spending in emergency departments is falls.