Peterson-Kaiser Health System Tracker Health of the Healthcare System: An overview

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: /data en (Accessed on June 25, 2014). The U.S. has the lowest life expectancy at birth among OECD comparable countries Life expectancy at birth in years, 2011

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health expenditure and financing: Health expenditure indicators", OECD Health Statistics (database). doi: /data en (Accessed on June 25, 2014). Notes: Because 2012 data was unavailable, 2011 were used for Australia and the Netherlands. Data for Canada and Switzerland are estimated values. On average, other wealthy countries spend about half as much per person on health than the U.S. spends Total health expenditures per capita, U.S. dollars, PPP adjusted, 2012

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health expenditure and financing: Health expenditure indicators", OECD Health Statistics (database). doi: /data en (Accessed on June 25, 2014). Notes: Data unavailable for: the Netherlands in 1970, 1971, and 2012; Australia in 1970 and 2012; Germany in 1991; and France from 1971 through 1974, 1976 through 1979; 1981 through 1984, and 1986 through Break in series in 2003 for Belgium and France and in 2005 for the Netherlands data for Canada and Switzerland are estimated values. Since 1980, the gap has widened between U.S. health spending and that of other countries United States Comparable country average Total health expenditures as percent of GDP, 1970 – 2012 Year

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: /data en (Accessed on November 6, 2014). For most of the leading causes of death, mortality rates are higher in the U.S. than in comparable countries Age-adjusted major causes of mortality per 100,000 population, in years, 2010

Peterson-Kaiser Health System Tracker Source: Nolte E, McKee C. Martin. Health Affairs “Measuring the Health of Nations: Updating an Earlier Analysis” Available at: The U.S. has the highest rate of deaths amenable to health care among comparable OECD countries Amenable mortality per 100,000 population, in years, and

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Interview Survey About 1 in 10 adults report that they delayed or did not get care because of its cost Percent of adults who reported delaying or going without care due to costs, 2013

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Interview Survey Uninsured adults are more likely to delay or go without care due to cost Percent of adults who reported delaying or going without care due to cost, 2013

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Interview Survey Note: Shading represents years when a recession took place in the U.S. Lower income adults report more cost-related access problems than higher income adults Percent of adults who report delaying and/or going without medical care due to costs, 1998 – 2013

Peterson-Kaiser Health System Tracker Source: OECD (2013), “OECD Health Data: Health expenditure and financing: Health expenditure indicators”, OECD Health Statistics (database). (Accessed on September 16, 2015). In 2013, the U.S. had the lowest insured rate of all OECD countries Percent of total population covered by private and/or public health insurance, in years, 2013

Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health care utilisation", OECD Health Statistics (database). doi: /health-data-en (Accessed on October 29, 2014). Notes: In cases where 2011 data were unavailable, data from the countries' last available year are shown. The U.S. has fewer physician consultations per capita than most comparable countries Doctors Consultations, per capita, in all settings, 2010

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health care utilisation", OECD Health Statistics (database). doi: /health-data-en (Accessed on September 10, 2014). Notes: In cases where 2010 data were unavailable, data from the countries' last available year are shown. Patients in the U.S. have much shorter average hospital stays than patients in comparable countries Average number of days in the hospital per visit (all causes) (2010)

Peterson-Kaiser Health System Tracker Source: International Federation of Health Plans (2013), “2013 Comparative Price Report, Variation in Medical and Hospital Prices by Country” The average price of an angioplasty or bypass in the U.S. is higher than in other comparable countries Average price of an Angioplasty (2013)Average price of Coronary bypass surgery (2013)

Peterson-Kaiser Health System Tracker The average price of a caesarean section in the U.S. is more than the price of a normal delivery Average price of a caesarean section (2013) Source : International Federation of Health Plans (2013), “2013 Comparative Price Report, Variation in Medical and Hospital Prices by Country” Average price of normal delivery (2013)

Peterson-Kaiser Health System Tracker Source: International Federation of Health Plans (2013), “2013 Comparative Price Report, Variation in Medical and Hospital Prices by Country” The average price of an MRI in the U.S. is significantly higher than in other comparable countries Average price of an MRI (2013)

Peterson-Kaiser Health System Tracker Source: Institute for Health Metrics and Evaluation. Global Burden of Disease Study 2010 (GBD 2010) Data Downloads, available here: Disease burden is higher in the U.S. than in comparable countries Age standardized disability adjusted life year (DALY) rate per 100,000 population, 2010

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Note: 2014 to 2015 percent changes are calculated using 2014 actual and 2015 projected amounts. U.S. health care spending per capita has risen at historically low rates recently, but is expected to pick up Average annual growth rate of health spending per capita for 1970’s – 1990’s; Annual change in actual health spending per capita 2000 – 2014 and projected health spending per capita (2015 – 2024)

Peterson-Kaiser Health System Tracker Source: Kaiser Family Foundation analysis of National Health Expenditure (NHE) data from Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group Note: 2014 to 2015 percent changes are calculated using 2014 actual and 2015 projected amounts. U.S. health care spending per capita has risen at historically low rates recently, but is expected to pick up Average annual growth rate of health spending per capita for 1970’s – 1990’s; Annual change in actual health spending per capita 2000 – 2014 and projected health spending per capita (2015 – 2024)

Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: /data en (Accessed on March 2, 2015). Notes: Data for 2006 Comparable Country Average are from Foot and leg amputations due to diabetes are decreasing in the U.S. and comparable countries Age standardized diabetes lower extremity amputation rate per 100,000 population, ages 15 and older, in years 2006, 2008, and 2010

Peterson-Kaiser Health System Tracker Note: Experienced medical mistake, given wrong medication or dose, lab test error, or delay receiving abnormal test results. Source: 2011 Commonwealth Fund International Health Policy Survey in Eleven Countries, available here: survey-datahttp:// survey-data The U.S. has higher rates of medical, medication, and lab errors than comparable countries Medical, medication, or lab errors or delays in past two years, 2011

Peterson-Kaiser Health System Tracker Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: /data en (Accessed on March 2, 2015). Notes: Data for breast and cervical cancers are for females. Five-year survival rates for certain cancers are higher in the U.S. than in comparable countries Percentage of age-adjusted five-year relative survival for breast, colorectal, and cervical cancer, ages 15-99, in years

Peterson-Kaiser Health System Tracker Source : OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: /data en (Accessed on May 5, 2015). Notes: Data for breast and cervical cancers are for females. Mortality rates for breast and colorectal cancer in the U.S. are lower than in comparable countries Age-standardized mortality rate per 100,000 population for breast, colorectal, and cervical cancer, in years, (2010)

Peterson-Kaiser Health System Tracker Source: Bureau of Economic Analysis Health Care Satellite Account (Blended Account). Accessed January 25, Note: Expenditures on nursing home and dental care are not included in health services spending by disease. Circulatory and ill-defined conditions, such as check- ups, are the largest category of spending Total expenditures in $ billions by disease category, 2012

Peterson-Kaiser Health System Tracker Source: International Federation of Health Plans Notes: U.S. average prices are calculated using commercial claims data from Truven MarketScan Research databases. Methods and sources for comparable countries can be found here: The average price of Celebrex in the U.S. is about 63% higher than in Switzerland Average Price, 2013

Peterson-Kaiser Health System Tracker The average price of Nexium in the U.S. is almost 3 times more than the average price in Switzerland Average Price, 2013 Source: International Federation of Health Plans Notes: U.S. average prices are calculated using commercial claims data from Truven MarketScan Research databases. Methods and sources for comparable countries can be found here:

Peterson-Kaiser Health System Tracker The average price of Cymbalta in the U.S. is 76% more than the average price in Canada Average Price, 2013 Source: International Federation of Health Plans Notes: U.S. average prices are calculated using commercial claims data from Truven MarketScan Research databases. Methods and sources for comparable countries can be found here: