It takes a long time to become a real doctor in the United States. The American College of Physicians controls the number of doctors by raising the barrier to entry, creating a professional monopoly. This has resulted in high fees and high income levels for doctors in the United States.
The fee level and corresponding income level of American doctors are the highest in the world, for example, the average fee level of American general outpatient physicians is more than three times that of Canada and France!
And, U.S. doctors are predominantly specialists, with a severe shortage of general practitioners. General practitioners are indeed able to play the role of medical gatekeepers, on the one hand, they are able to diagnose and treat common and frequent diseases in a more cost-effective way, on the other hand, they are able to perform better prevention, health management and chronic disease management; while specialists are not good at or willing to engage in prevention and health management, because prevention and health management are in conflict with the career path of specialists, whose career characteristics tend to be characterized by a tendency to use Specialists are characterized by a tendency to use costly new and complex technologies to treat a variety of conditions, including common and frequent diseases, thus pushing up healthcare costs
2. Hospital Factors
In the U.S. overall healthcare costs, the hospital is the first major expenditure, more than the cost of doctors. There are many reasons for the high cost of hospitals:
One is that the U.S. hospital industry is a powerful interest group with strong governmental lobbying capabilities that can successfully dismantle all kinds of policy efforts to try to control hospital costs;
The second is that a variety of advanced instruments, equipment, consumables, examination methods and treatment techniques are always generally prioritized for use in U.S. hospitals
, and U.S. hospitals are also often the birthplace of advanced medical equipment and technology around the world, a large proportion of the high medical costs of American hospitals is the cost of high technology;
Third is the United States of America's inpatient services are very luxurious, Americans in the diagnostic and examination of the time spent in the queue is much shorter, health care personnel's attitude of humanistic care is very great!
3. Technological advances
An important feature of the U.S. health care system is that new inventions are always quickly put into practice, and he is the most rapid user and the most extensive user of new technologies, new instruments and equipment, new consumables and new drugs in the field of medicine.
In addition to this, the U.S. health insurance system also has an impact on the high cost of health care.
All of the above reasons **** the same role led to the current situation of medical care in the United States, because the cost is too expensive, many Chinese living in the United States even said that they do not dare to get sick!