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Comparing non-fatal health across countries: Is the US medical system better?

Author

Listed:
  • Cutler, David M.

    (Harvard University)

  • Mas, Nuria

    (IESE Business School)

Abstract

The primary focus of the paper is to assess whether the US, which spends significantly more than any other country in health care, has better health outcomes. It has long been clear that mortality as a whole is not better in the US than in other countries. We focus our analysis on the US performance for the treatment of non-fatal health outcomes and we compare the health of the United States to that of Canada, the United Kingdom and Spain. Our results indicate a discrepancy between high quality of life for some outcomes and low quality of life for others. Such discrepancy is not attributable to measurement issues in determining a person's quality of life, nor is it attributable to differing performance by income. Our results suggest that the discrepancy is due to the fact that the US does better for the treatment of conditions where high-tech medicine is a key to better health and worse in conditions requiring substantial chronic disease management.

Suggested Citation

  • Cutler, David M. & Mas, Nuria, 2003. "Comparing non-fatal health across countries: Is the US medical system better?," IESE Research Papers D/525, IESE Business School.
    • Handle: RePEc:ebg:iesewp:d-0525
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    File URL: http://www.iese.edu/research/pdfs/DI-0525-E.pdf
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    References listed on IDEAS

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    1. Janet Currie & Patricia Reagan, 1998. "Distance to Hospitals and Children's Access to Care: Is Being Closer Better, and for Whom?," NBER Working Papers 6836, National Bureau of Economic Research, Inc.
    2. Cutler, David M & Richardson, Elizabeth, 1998. "The Value of Health: 1970-1990," American Economic Review, American Economic Association, vol. 88(2), pages 97-100, May.
    3. David M. Cutler & Mark McClellan, 1996. "The Determinants of Technological Change in Heart Attack Treatment," NBER Working Papers 5751, National Bureau of Economic Research, Inc.
    4. David Cutler & Mark McClellan & Joseph Newhouse, 1998. "The Costs and Benefits of Intensive Treatment for Cardiovascular Disease," NBER Working Papers 6514, National Bureau of Economic Research, Inc.
    5. David M. Cutler & Elizabeth Richardson, 1999. "Your Money and Your Life: The Value of Health and What Affects It," NBER Chapters, in: Frontiers in Health Policy Research, volume 2, pages 99-132, National Bureau of Economic Research, Inc.
    6. Joseph P. Newhouse, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer.
    7. T. D. McBride, "undated". "Uninsured Spells of the Poor: Prevalence and Duration," Institute for Research on Poverty Discussion Papers 1131-97, University of Wisconsin Institute for Research on Poverty.
    8. Alan M. Garber, 1999. "Frontiers in Health Policy Research, volume 2," NBER Books, National Bureau of Economic Research, Inc, number garb99-1, May.
    9. Mossey, J.M. & Shapiro, E., 1982. "Self-rated health: a predictor of mortality among the elderly," American Journal of Public Health, American Public Health Association, vol. 72(8), pages 800-808.
    10. David M. Cutler & Elizabeth Richardson, 1997. "Measuring the Health of the U.S. Population," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 28(1997 Micr), pages 217-282.
    11. Martin Neil Baily & Alan M. Garber, 1997. "Health Care Productivity," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 28(1997 Micr), pages 143-216.
    12. Carol Propper & Neil Söderlund, 1998. "Competition in the NHS internal market: an overview of its effects on hospital prices and costs," Health Economics, John Wiley & Sons, Ltd., vol. 7(3), pages 187-197, May.
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    Keywords

    international comparison; healthcare systems; chronic diseases; technology; health;
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