American taxpayers footed the bill for at least $1.8 trillion in federal and state health care expenditures in 2022 — about 41% of the nearly $4.5 trillion in both public and private health care spending the U.S. recorded last year, according to the annual report released last week by the Centers for Medicare and Medicaid Services.

On top of that $1.8 trillion, third-party programs, which are often government-funded, and public health programs accounted for another $600 billion in spending.

This means the U.S. government spent more on health care last year than the governments of Germany, the U.K., Italy, Spain, Austria, and France combined spent to provide universal health care coverage to the whole of their population (335 million in total), which is comparable in size to the U.S. population of 331 million.

Between direct public spending and compulsory, tax-driven insurance programs, Germany spent about $380 billion in health care in 2022; France spent around $300 billion, and so did the U.K.; Italy, $147 billion; Spain, $105 billion; and Austria, $43 billion. The total, $1.2 trillion, is about two-thirds of what the U.S. government spent without offering all of its citizens the option of forgoing private insurance.

  • shuzuko
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    6 months ago

    Most people cannot see their primary care physician just by driving up and being like, hey, I need to be seen for x issue. You pretty much have to make an appointment unless you go to a minute clinic or something. And that’s with insurance. Your experience is very much an outlier.

    • JonEFive
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      6 months ago

      No kidding. There’s at least a month long wait to see any of my doctors. Same with my dentist unless it’s urgent. Usually it’s closer to two months.

      If I need immediate attention, I have to go to an urgent care clinic or emergency room.

      The nice thing is that in the year 2023, all of my doctors are reachable via the hospital system’s app and they respond to questions relatively quickly. So there’s no need to schedule a 15 minute appointment that ends up taking hours just to ask a simple question or two or to get a referral.