home
RSS
Health care costs to surpass total income?
March 14th, 2012
03:13 PM ET

Health care costs to surpass total income?

Take a close look at the chart up above. It’s taken from a new paper, in the Annals of Family Medicine. If you believe the doctors who put it together, it tells one of the scariest stories you’ll ever hear.

The gentle upward slope represents the median income for an American family, projected through 2035. The lighter colored curve is projected average spending on health care - insurance premiums, and out of pocket costs.

With current trends, the authors say, in less than 20 years the average family will face medical costs that are higher than their total income. All of it.

Dr. Jennifer DeVoe, one of the authors, says she already sees the strain in her practice at the Oregon Health Sciences University in Portland.

“I see people who don’t eat, or don’t pay rent, so they can pay medical bills,” she says. “They can’t afford their medication, or in some cases, even a mammogram.”

The basic facts aren’t new. Health care costs have been growing faster than inflation since the government began to track them in the 1960s. Between 2000 and 2009, the paper says, the average annual increase in insurance premiums was 8%, while household income rose an average of 2.1%.

But some experts say the doom and gloom is overblown. J.D. Kleinke, who last month wrote a Wall Street Journal op-ed titled “The Myth of Runaway Spending,” points out that growth in health spending has been moving closer to the overall inflation rate, for the past decade.  He says the slowdown came because insurers and private companies introduced plans with higher deductibles and bigger co-pays at the same time the government introduced health savings accounts, where individuals can get a tax break to help pay for medical expenses.

“In the old days, people never questioned cost because they were basically given a blank check,” says Kleinke. “Industry figured it out and said, 'This is madness.' ”

DeVoe acknowledges the trend, but says what strikes her first, “is that these costs are still increasing.”

Whether you see health spending as a crisis, depends, in part, on your focus.

In 2009 and 2010, total spending on health care grew at a slower rate – 3.8% and 3.9%, respectively – than at any time on record. But even that outstripped inflation –  1.6% in 2010, and a negative 0.3% the year before.

At the same time, a larger share of the cost is being borne by individual families. According to a survey last year by the Kaiser Family Foundation, premiums for family health insurance plans rose 9%.

To Kleinke, a resident fellow at the American Enterprise Institute, shifting the burden is good and necessary.

“Because people feel the economic pain directly, they’ve actually changed behavior, and spending did start to come down.”

A wild card in all this is the Affordable Care Act, often called “Obamacare.” Critics say expanding health insurance to cover another 30 million people will send costs through the roof. But ACA supporters point to provisions meant to slow or reverse the growth in spending - especially an emphasis on preventive care, which is supposed to reduce the need for expensive hospitalizations and emergency room visits.

DeVoe says the ACA is a “great first step, but it’s not enough to get us where we need to go in terms of sustainability.”

Co-author Dr. Richard Young, who runs the country’s largest family practice training program, at John Peter Smith Hospital in Fort Worth, Texas, points out that the new federal “comparative effectiveness” program - meant to compare the benefits of different treatments - is explicitly forbidden from considering cost, just as Medicare is forbidden from denying any “medically necessary” treatment, no matter how high the cost, or how small the medical benefit.

Young put it bluntly in an interview: “Until we’re willing to say 'no' to somebody, anybody, there is nothing to stop this inflationary pressure.”

Asked if the analysis isn’t deeply pessimistic, he said: “That’s right.”


soundoff (972 Responses)
  1. Chevy Venture Van Repair

    https://za.zalo.me/v3/verifyv2/pc?token=OcNsmjfpL0XY2F3BtHzNRs4A-hhQ5q5sPXtbk3O&continue=commercialrepairshop.com/coachmen-van-repair-shop-near-me

    May 26, 2021 at 12:40 | Report abuse | Reply
  2. RV Beds Near Me

    http://www.ci.pittsburg.ca.us/redirect.aspx?url=https://ocrvcenter.co/rv-repair-shop-corona-california

    May 26, 2021 at 12:47 | Report abuse | Reply
  3. rv repair orange county

    Spot on with this write-up, I actually believe this site needs far more attention. I’ll probably be returning to read more, thanks for the information!

    https://53938.measurementapi.com/serve?action=click&publisher_id=53938&site_id=92394&sub_campaign=g5e_com&url=https://ocrv.world/rv-repair-shop-hesperia-california

    May 26, 2021 at 13:05 | Report abuse | Reply
  4. ambulance companies in orange county

    https://vse-doski.com/redirect/?go=https://ocrvcenter.biz/rv-repair-shop-banning-california

    May 26, 2021 at 14:08 | Report abuse | Reply
  5. camper remodel supplies

    http://zumax.com/__media__/js/netsoltrademark.php?d=ocrvmotorcoaches.com/rv-repair-shop-escondido-california

    May 26, 2021 at 14:08 | Report abuse | Reply
  6. shop for seats rv

    This blog was... how do I say it? Relevant!! Finally I've found something which helped me. Many thanks!

    https://ssp.send.microad.jp/cc?ep=3WkB-sR7-kgCUB3oC4dc3s608eSsloN9K9NHq6iY9RsN0FgxwNmpck0T4k-9LLI9yuidcEtEYotIEUzjREa-S5R4v2nHvcF0QtXiQsDdubYMYrJ_XftQVRNkmURGNS6aGMDFcsiCQl_lNKo507iRUEbVxoJ8HW2yDEKqX54dvXTI&r=https://ocrvcenter.net/rv-repair-shop-encino-california

    May 26, 2021 at 14:38 | Report abuse | Reply
  7. Robotic Process Automation in Banking

    629473 742990The posh distributed could be described as distinctive; customers are actually yearning for bags can be a Native aspirations. Which strange surroundings is built that is to market diversity furthermore importance with travel and leisure market trends. hotels unique offers 720740

    May 26, 2021 at 17:21 | Report abuse | Reply
  8. RV Tires Orange County

    https://rsv.nta.co.jp/affiliate/set/af100101.aspx?site_id=66108024&redi_url=https://ocrvcenter.mobi/rv-repair-shop-van-nuys-california

    May 26, 2021 at 17:54 | Report abuse | Reply
  9. RV Refrigerator California

    I seriously love your blog.. Great colors & theme. Did you build this website yourself? Please reply back as I’m hoping to create my very own website and would love to know where you got this from or just what the theme is named. Cheers!

    http://rd.fresheye.com/opg/web/1/?go=https://ocrv.xyz/semi-truck-collision-repair-shop-near-me

    May 26, 2021 at 17:59 | Report abuse | Reply
  10. Internet Marketing Specialist

    Iím impressed, I must say. Rarely do I come across a blog thatís both equally educative and amusing, and let me tell you, you've hit the nail on the head. The problem is something which not enough men and women are speaking intelligently about. I am very happy I came across this during my hunt for something concerning this.

    http://singhui.com/uchome/link.php?url=http://spokanevalleymarketing.com

    May 26, 2021 at 18:25 | Report abuse | Reply
  11. RV Inspection Los Angeles

    https://www.bookforum.com/ads/www/delivery/ck.php?ct=1&oaparams=2__bannerid=967__zoneid=1__source=ad__cb=01bb4cc389__oadest=https://ocrv.fun/shuttle-bus-collision-repair-shop-near-me

    May 26, 2021 at 19:02 | Report abuse | Reply
  12. fiberglass near me

    I truly love your blog.. Pleasant colors & theme. Did you build this web site yourself? Please reply back as I’m trying to create my own website and would love to know where you got this from or what the theme is called. Kudos!

    https://monitor.clickcease.com/tracker/tracker?id=Tcmwi3RgKQiVSy&kw=yahoobacklinks&nw=g&url=https://ocrv.life/rv-repair-shop-lakewood-california

    May 26, 2021 at 19:18 | Report abuse | Reply
  13. Repair My 2006 Dodge Sprinter 3500 Rv

    Spot on with this write-up, I absolutely believe that this website needs far more attention. I’ll probably be back again to see more, thanks for the information!

    https://www.fms.treas.gov/fmsweb/disclaimer.jsp?ciURL=https://commercialvanrepairshop.com/promaster-van-conversion-shop-near-me

    May 26, 2021 at 19:30 | Report abuse | Reply
  14. Internet Marketing Specialist

    This page truly has all the info I wanted about this subject and didnít know who to ask.

    http://sintesi.provincia.so.it/portale/LinkClick.aspx?link=https://affordableranking.com

    May 26, 2021 at 19:38 | Report abuse | Reply
  15. solar orange county

    Way cool! Some extremely valid points! I appreciate you writing this write-up and the rest of the website is extremely good.

    http://ad.affpartner.com/cl/click.php?b_id=g56m96&t_id=t21&url=https://ocrvexperts.com/rv-repair-shop-costa-mesa-california

    May 26, 2021 at 20:22 | Report abuse | Reply
  16. Janise Cavalero

    You're so cool! I do not suppose I've read through anything like that before. So good to discover someone with genuine thoughts on this subject matter. Really.. thank you for starting this up. This website is something that's needed on the internet, someone with some originality!

    https://teacher.piano.or.jp/redirect_link?ptna_id=100017&url=https://hootnholler.net/

    May 27, 2021 at 00:13 | Report abuse | Reply
  17. furniture repair in orange county ca

    http://odokon.org/w3a/redirect.php?redirect=https://ocrvmotorsports.com/rv-america-rv-collision-repair-paint-shop-near-me-orange-county

    May 27, 2021 at 01:20 | Report abuse | Reply
  18. RV Shades California

    https://www.leroymerlin.com.br/logout?redirect=https://ocrv.art/motorhome-interior-remodeling-near-me

    May 27, 2021 at 01:30 | Report abuse | Reply
  19. fake richard mille

    Water is 1000 meters.This model is three violent relationships.

    http://auto-wassenaar.nl/richardmille

    May 27, 2021 at 04:36 | Report abuse | Reply
  20. Somer Reiland

    http://admin.kpsearch.com/active/admin/customer/customer_email1_birthday.asp?item=&chname=gnc&strhomeurl=www.jrkreations.com&ch=283085

    May 27, 2021 at 08:25 | Report abuse | Reply
  21. rv furniture san diego

    https://www.t10.org/cgi-bin/s_t10r.cgi?First=1&PrevURL=https://ocrv.rocks/motorhome-renovation-near-me

    May 27, 2021 at 09:59 | Report abuse | Reply
  22. drinking fountain bubbler

    Pad Dab Flashcards one hitters A one hitter dugout is one of the simplest ways to smoke legal herbs on the market. So while they are extremely convenient to use, the disadvantage is that it holds a relatively small amount of weed and needs to be refilled all the time if you tend to smoke frequently .

    https://pilotdiarystore.com/products/8-inches-recycler-dab-rig

    May 27, 2021 at 12:31 | Report abuse | Reply
  23. RV Generator Orange County

    http://pt.tapatalk.com/redirect.php?app_id=4&fid=8678&url=https://theocrv.com/rv-alignment-repair-near-me

    May 27, 2021 at 13:01 | Report abuse | Reply
  24. RV Fabrication California

    http://services.nfpa.org/Authentication/GetSSOSession.aspx?return=https://ocrv.fun/trailer-repair-near-me

    May 27, 2021 at 17:34 | Report abuse | Reply
  25. RV Fabrication Riverside

    https://vse-doski.com/redirect/?go=https://ocrv.fun/rv-repair-shop-apple-valley-california

    May 27, 2021 at 19:32 | Report abuse | Reply
  26. how to repair rv fiberglass exterior damage

    https://eu.eventscloud.com/emarketing/go.php?i=200276927&e=c2ltb24udGhvbWxpbnNvbkBsZWFkZXJzaW5zcG9ydC5jb20=&l=https://ocrv.xyz/bucket-truck-collision-repair-shop-near-me

    May 27, 2021 at 21:39 | Report abuse | Reply
  27. motor home repair parts

    http://go.xscript.ir/index.php?url=https://theocrv.com/business-vehicle-collision-repair-shop-near-me

    May 27, 2021 at 23:41 | Report abuse | Reply
  28. RV Steps California

    I’m amazed, I have to admit. Seldom do I encounter a blog that’s both educative and entertaining, and without a doubt, you have hit the nail on the head. The issue is something that not enough folks are speaking intelligently about. I am very happy that I found this during my hunt for something regarding this.

    /

    May 28, 2021 at 01:05 | Report abuse | Reply
  29. rv replacement parts near me

    /

    May 28, 2021 at 01:26 | Report abuse | Reply
  30. rv step repair

    /

    May 28, 2021 at 02:28 | Report abuse | Reply
  31. box truck roof repair

    Good blog post. I definitely love this website. Stick with it!

    https://www.ladygamer.jp/ws/rank.cgi?mode=link&id=299&url=https://www.papillonsalapage.fr/index.php?/guestbook&start=11370

    May 28, 2021 at 02:29 | Report abuse | Reply
  32. Internet Marketing Specialists

    https://www1.arbitersports.com/Content/HideMobileAlerts.aspx?redirectUrl=https://cdaseo.com

    May 28, 2021 at 02:36 | Report abuse | Reply
  33. dj rv center

    This is a topic that is near to my heart... Take care! Where are your contact details though?

    https://client.paltalk.com/client/webapp/client/External.wmt?url=http://discordoba.com/index.php/envases-tapas-valvulas/item/19-cristaleria?start=341550

    May 28, 2021 at 02:53 | Report abuse | Reply
  34. RV Frame Riverside

    /

    May 28, 2021 at 06:00 | Report abuse | Reply
  35. RV Inspection Near Me

    &filename=rpn-calculator_0.9.0.wdgt.zip&project=RPN-Calculator

    May 28, 2021 at 07:09 | Report abuse | Reply
  36. fiberglass company near me

    The next time I read a blog, I hope that it doesn't fail me as much as this particular one. I mean, Yes, it was my choice to read, but I genuinely believed you would have something helpful to say. All I hear is a bunch of whining about something that you can fix if you weren't too busy seeking attention.

    http://zhouyiworld.com/home/link.php?url=ingenieurleistungenreiter.de/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&t=60&limitstart=68380

    May 28, 2021 at 07:25 | Report abuse | Reply
  37. repair rv toilet

    https://forum.everleap.com/proxy.php?link=https://pointfinal.biz/relecteur/index.php?post/2010/12/20/rien-ne-remplace-l-oeil-du-relecteur

    May 28, 2021 at 08:28 | Report abuse | Reply
  38. RV Roof Los Angeles

    Very nice post. I definitely appreciate this site. Keep it up!

    http://dort.brontosaurus.cz/forum/go.php?url=https://ignitedelivers.com/media/free-digital-marketing-series-for-business-owners?page=8548

    May 28, 2021 at 12:44 | Report abuse | Reply
  39. oc truck shop

    I was extremely pleased to uncover this web site. I need to to thank you for your time due to this wonderful read!! I definitely appreciated every little bit of it and i also have you book-marked to look at new things in your blog.

    https://www.coloradoballet.org/Redirect.aspx?destination=https://ingenieurleistungenreiter.de/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&t=160&limitstart=62240

    May 28, 2021 at 12:46 | Report abuse | Reply
  40. Internet Marketing Company Near Me

    I quite like reading through a post that can make men and women think. Also, many thanks for allowing for me to comment!

    https://l-www.sitepal.com/affiliates/entry/?spdirect=1&affId=75895&promotionId=17691&link=https://www.internetmarketingidaho.com/

    May 28, 2021 at 13:15 | Report abuse | Reply
  41. one stop shoppe

    https://cpmlink.net/C85sAQ

    May 28, 2021 at 19:36 | Report abuse | Reply
  42. dashboard repair shop near me

    This is the right website for anybody who would like to find out about this topic. You realize a whole lot its almost hard to argue with you (not that I actually will need to…HaHa). You certainly put a brand new spin on a topic that's been written about for many years. Wonderful stuff, just wonderful!

    https://b.link/69c3th

    May 28, 2021 at 20:50 | Report abuse | Reply
  43. solar freakin roadways busted

    Everything is very open with a really clear explanation of the issues. It was really informative. Your website is very useful. Thanks for sharing!

    http://gg.gg/p0sqy

    May 28, 2021 at 20:51 | Report abuse | Reply
  44. Bus Repair Shop Near Me

    Having read this I believed it was rather enlightening. I appreciate you finding the time and effort to put this informative article together. I once again find myself spending a lot of time both reading and leaving comments. But so what, it was still worthwhile!

    https://www.etypeservices.com/Flash/LinkRedirection.aspx?IssueID=46912&Returnurl=https://fleetrepairshops.com/celebrity-van-repair-shop-near-me/

    May 29, 2021 at 05:21 | Report abuse | Reply
  45. Google Marketing Company

    http://onlinemanuals.txdot.gov/help/urlstatusgo.html?url=https://masternearme.com/

    May 29, 2021 at 09:17 | Report abuse | Reply
  46. Local Marketing Company

    https://pub.accesstrade.vn/deep_link/4511350997178678070?url=https://postfallsmarketing.com

    May 29, 2021 at 11:03 | Report abuse | Reply
  47. Hairy Fetish

    I was able to find good advice from your articles.

    http://channel.iezvu.com/share/UnboxingyanálisisdeChromecast2?page=http://lesbianassworship.net

    May 29, 2021 at 14:41 | Report abuse | Reply
  48. Courier Van Repair Shop

    http://www.vets.ne.jp/cgi/jump_link.cgi?URL=https://boxtruckrepairshop.com/nissan-cargo-van-repair-shop-near-me/

    May 29, 2021 at 15:37 | Report abuse | Reply
  49. Rv Body Shop

    http://go.e-frontier.co.jp/rd2.php?uri=http://fleetservicesorangecounty.com/chevrolet-high-top-van-repair-shop-near-me

    May 30, 2021 at 12:16 | Report abuse | Reply
  50. Specialty Van Repair Shop

    https://eservices.dls.moi.gov.cy/translationCatalog.aspx?redPage=https://fleetservicesorangecounty.com/ram-high-top-van-repair-shop-near-me

    May 30, 2021 at 13:02 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Leave a Reply to Sem Specialist Salary


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.