OECD is not a supply-side think tank.
Anyway, part of the differences, as the report suggests are the fact that 1/3 Americans are obese, that cardio-vascular problems are much more common here, and that patients in the US by and large, elect to have surgery rather than focus on prevention early in their lives. This fact alone accounts for alot of the spending differences. Couple that with the fact that every doctor wants to buy the latest and greatest devices, and prescribe the newest medicines and you have a recipe for higher spending.
Boiled down: Americans are fat and sedentary and this places a higher strain on the system. On the other hand, the life expectency average is still around 76 something, (I think Germany is 77.1), reflecting either the fact that even an unhealthy diet can be handled by higher health care spending, OR, probably diminishing returns to life extension and maximum once you reach the late 70s using tradition medical approaches.
Something more exotic (GM, hormonal therapy, organ cloning) will be needed to boost most people past this hurdle. And even then, there is the issue of how to keep the brain healthy, since neurons don't get replaced.
Anyway, part of the differences, as the report suggests are the fact that 1/3 Americans are obese, that cardio-vascular problems are much more common here, and that patients in the US by and large, elect to have surgery rather than focus on prevention early in their lives. This fact alone accounts for alot of the spending differences. Couple that with the fact that every doctor wants to buy the latest and greatest devices, and prescribe the newest medicines and you have a recipe for higher spending.
Boiled down: Americans are fat and sedentary and this places a higher strain on the system. On the other hand, the life expectency average is still around 76 something, (I think Germany is 77.1), reflecting either the fact that even an unhealthy diet can be handled by higher health care spending, OR, probably diminishing returns to life extension and maximum once you reach the late 70s using tradition medical approaches.
Something more exotic (GM, hormonal therapy, organ cloning) will be needed to boost most people past this hurdle. And even then, there is the issue of how to keep the brain healthy, since neurons don't get replaced.