A third of Americans say they have gone without medical care or skipped filling a prescription because of cost, compared with 5 percent in the Netherlands, according to study released yesterday.
The study is the latest in a series by the non-profit Commonwealth Fund showing that while Americans pay far more per capita for healthcare, they are unhappier with the results and less healthy than people in other rich countries.
The study published in the journal Health Affairs also showed that 20 percent of US adults had major problems paying medical bills, compared with 2 percent in Britain and 9 percent in France, the next costliest country.
“US adults were the most likely to incur high medical expenses, even when insured, and to spend time on insurance paperwork and disputes, or to have payments denied,” the report reads.
The Commonwealth Fund, which advocates US healthcare reform, commissioned a Harris Interactive poll of almost 20,000 people in 11 countries between March and June.
“What we are hearing directly from adults around the world, and what we hear regularly at home, is that there is substantial room for improvement in the US health insurance system,” Commonwealth Fund president Karen Davis said.
Healthcare reform was US President Barack Obama’s signature policy effort, but not a single Republican voted for the bill that Obama signed into law this year and conservatives in Congress have promised to try to dismantle it.
The new law is meant to address some of the weaknesses in the US system by forcing more Americans to buy health insurance, expanding public insurance and preventing insurers from dropping coverage.
About 60 percent of Americans under 65 get health insurance through an employer — about 157 million adults. About 45 million people 65 and older have coverage through the nation’s Medicare program for the elderly and disabled.
The system leaves 47 million without any health insurance and last week the US Centers for Disease Control and Prevention estimated that 59 million Americans had no insurance for at least some of the beginning of this year.
The 10 other countries in the survey — Australia, the UK, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden and Switzerland — all provide a mix of public and private insurance.
Adults in the UK, Switzerland, New Zealand and the Netherlands were the most likely to be able to get to a doctor the same day or next day when they needed to, the survey found.
More than 90 percent of Swiss adults said they could see a doctor that fast, compared with 57 percent of adults in Sweden and the US, and fewer than half in Canada and Norway. Only 70 percent of adults in the US or Norway said they were confident they would get the most effective treatment if ill, compared with 90 percent in the UK and 89 percent in Switzerland.
“The United States is the only country in which one-fifth of adults reported serious problems paying healthcare bills,” the study says.
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