08.20.09
Stupid Statistics: USA Actually Has Highest Life Expectancy
In terms of the health care debate, one reason reformers use to push change is that the USA has a low life expectancy for a developed country. That may be so, but the reason has nothing to do with our health care system. Read this great letter from Professor Philip Coelho to the Financial Times today.
Medical insurance debate is not advanced by prejudice
From Prof Philip R.P. Coelho.Sir, Philip Stephens’ article is misleading. Quoting raw data may energise argument but it is not a substitute for reasoned analysis. After adjusting for murder, suicide and other popular American forms of mayhem, Americans have the longest life expectancy of any developed nation (Robert Ohsfeldt John Schneider, 2008). It would be a surrealistic stretch to blame the American health system for our high rates of self-destruction and murder relative to other countries.
Similarly, infant mortality has to be adjusted for low birth weights and the definitions of live births. In a 2007 study June and David O’Neil found that the infant mortality rate of Canada would be above that of the US if Canada had the same incidence of low birth weight babies as the US. Low birth weight babies are much more common in teenage mothers than in older women, and teenage motherhood is very common in the US relative to Canada. Again, teenage motherhood may not be desirable, but it is not symptomatic of what is wrong with US healthcare.
Nor does Mr Stephens seem to be aware that much employer-provided healthcare is actually self-insurance by the employing company. “Insurance” companies manage the plan for employers and they are the gatekeepers that deflect criticism away from the employers and on to the “insurance” companies. Demonising insurance companies for their lack of coverage or their denial of care is misguided. If the US forces companies to provide greater health benefits to employees, this will disproportionately affect low-income workers (a mandated benefit of $2,000 per worker is a 10 per cent increase in the cost of employing a worker whose annual income is $20,000, while it is only a 2 per cent increase in the cost of employing a worker whose annual income is $100,000).
US healthcare is expensive and perhaps we should be spending less, but any critique of the system has to be based on accurate assessments, not on prejudice and “conventional wisdom”.
Philip R.P. Coelho,
Professor of Economics,
Ball State University,
Muncie, IN, US
