Who’s Paying For Health Care?

America invested 17.3% of its gross domestic product on healthcare in 2009 (1 ). If you break that down on a specific level, we spend $7,129 per person each year on health care … more than other countries in the world (2 ). With 17 cents of every dollar Americans spent keeping our nation healthy, it’s no wonder the federal government is identified to reform the system. In spite of the overwhelming attention health care is getting in the media, we know very little about where that cash comes from or how it makes its way into the system (and truly so … the way we spend for healthcare is insanely complex, to state the least). This convoluted system is the unfortunate result of a series of programs that attempt to control spending layered on top of one another. What follows is a methodical attempt to peel away those layers, assisting you to become an informed healthcare consumer and an incontrovertible debater when discussing “Healthcare Reform.”

Who’s footing the bill?

The “costs payers” fall into 3 distinct buckets: individuals paying out-of-pocket, private insurance provider, and the government. We can take a look at these payors in 2 various ways: 1) Just how much do they pay and 2) How many people do they spend for?

Most of the people in America are insured by personal insurance companies via their companies, followed second by the government. These 2 sources of payment combined account for near 80% of the financing for health care. The “Out-of-Pocket” payers fall under the uninsured as they have actually decided to bring the danger of medical expenditure independently. When we take a look at the quantity of loan each of these groups spends on health care yearly, the pie moves dramatically.

The government currently spends 46% of national health care expenditures. How is that possible? This will make a lot more sense when we examine each of the payors individually.

Comprehending the Payors


A select part of the population decides to bring the threat of medical costs themselves rather than buying into an insurance strategy. This group tends to be more youthful and much healthier than insured clients and, as such, accesses treatment much less frequently. Since this group needs to spend for all sustained expenses, they likewise tend to be much more discriminating in how they access the system. The outcome is that clients (now more appropriately described “consumers”) contrast look for tests and optional treatments and wait longer before seeking medical attention. The payment technique for this group is basic: the medical professionals and hospitals charge set fees for their services and the client pays that amount directly to the doctor/hospital.

Private Insurance coverage

This is where the entire system gets a lot more complex. Private insurance coverage is acquired either separately or is offered by companies (most people get it through their company as we discussed). When it pertains to personal insurance, there are 2 primary types: Fee-for-Service insurance companies and Managed Care insurance companies. These two groups approach paying for care very differently.