We have extracted information from US Government-provided per capita health care expenditure data for 2004.

1987 Per Capita (in dollars)
Age Group Total Total Private Total Public
Total $1,796 $1,088 $709
0-18 $868 $653 $216
19-44 $1,223 $878 $344
45-54 $1,781 $1,307 $474
55-64 $2,636 $1,939 $697
65-74 $3,998 $1,559 $2,439
75-84 $5,984 $2,109 $3,876
85+ $10,562 $4,194 $6,368
0-18 $868 $653 $216
19-64 $1,521 $1,104 $417
65+ $5,282 $1,996 $3,286
2004 Per Capita (in dollars)
Age Group Total Total Private Total Public
Total $5,276 $2,921 $2,355
0-18 $2,650 $1,558 $1,092
19-44 $3,370 $2,269 $1,100
45-54 $5,210 $3,760 $1,451
55-64 $7,787 $5,371 $2,415
65-74 $10,778 $3,851 $6,927
75-84 $16,389 $5,066 $11,323
85+ $25,691 $8,304 $17,387
0-18 $2,650 $1,558 $1,092
19-64 $4,511 $3,117 $1,395
65+ $14,797 $4,888 $9,909
’04 / ’87 Growth
Age Group Total Total Private Total Public
Total 2.9 2.7 3.3
0-18 3.1 2.4 5.1
19-44 2.8 2.6 3.2
45-54 2.9 2.9 3.1
55-64 3.0 2.8 3.5
65-74 2.7 2.5 2.8
75-84 2.7 2.4 2.9
85+ 2.4 2.0 2.7
0-18 3.1 2.4 5.1
19-64 3.0 2.8 3.3
65+ 2.8 2.4 3.0

It is true that total spending by the government should be expected to rise faster than total spending by private providers as the well meaning, but inefficient government undertakes providing health care to groups of people who were not previously being provided for.  However, these data are per capita, that is spending per individual.  Again it is true that the government will take on the poorest, with the least healthy lifestyles and so forth, so that as these groups are added to the public burden, we should expect a somewhat faster growth rate for public spending than for private.  But the government’s performance is nowhere near the performance of private business. As the bottom growth rate table (between 1987 and 2004) shows, per-individual spending by the government on all groups grew by a factor of 3.3X, while spending per-individual by private insurance providers grew by 2.7X.  This means the government’s spending per individual grew at a 22.2% faster rate than private spending over the period.

For example, the government has set out to provide health care to poor children. Total spending on the age 0 to 18  group by the government has grown from about $15B in 1987 to about $85B in 2004.  Government spending on this group rose from about 25% of the total public and private spending to 41% during this time.  So how efficient was this spending?  Well… per individual  it grew faster than even spending on old people – by a factor of 5.1X (compared to the growth factor for private spending on kids of 2.4X).  Thus, the government’s own data show that government-run health care will not slow the rise in health care spending — total spending on health care will grow much faster if we let the government run it.

More on this topic (What's this?) Read more on Pharma & Healthcare, Wells Fargo at Wikinvest

One Comment on “Comparing Public to Private Health care stats from 2004”

  • myxzptlk says:

    Can you really draw the conclusions in this post from these numbers? There are all sorts of factors – differential growth rates in the number of insured, ratio of insurance payments to fees, and the selective nature of private insurance (cherry picking for risk factors, no preexisting conditions) that make this an apples-to-oranges comparison.

    The only valid way to compare public and private insurance efficiency is using medical loss ratios, i.e., the ratio of insurance payments to insurance premiums. For private insurance, that ratio is about 80%, on average. For public plans like Medicare, it’s well over 95%.

    See: http://www.pnhp.org/news/2006/march/medicalloss_ratios_.php.

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