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	<title>Comments on: What We Know About Health Care Waste Isn&#8217;t True?</title>
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	<link>http://www.arnoldkling.com/blog/what-we-know-about-health-care-waste-isnt-true/</link>
	<description>taking the most charitable view of those who disagree</description>
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		<link>http://www.arnoldkling.com/blog/what-we-know-about-health-care-waste-isnt-true/#comment-450983</link>
		<dc:creator><![CDATA[Handle]]></dc:creator>
		<pubDate>Sun, 14 Sep 2014 00:48:08 +0000</pubDate>
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		<description><![CDATA[But this isn&#039;t the geographic variation comparative analysis we were looking for, which is international, not interstate.  And it isn&#039;t for variation in medical spending per capita in general, it&#039;s the variation in the price charged for the same treatments and procedures.

What we really want to know is why a comparable developed country with high-quality health outcomes, well-paid medical professionals and similar track records can do the same procedures for so much less.  A MRI costs +$1K in the US.  In France it&#039;s a quarter that.  An appendectomy in the U.S. can be over $10K, some places $20K.  In Japan it&#039;s less than $4K, even privately procured.  It&#039;s not just India and Mexico that do medical tourism for Americans, even Spain has a thriving market.

A difference of 20-50% isn&#039;t too bad.  A difference of a few hundred percent without any apparent bang for the extra bucks is what needs explanation.]]></description>
		<content:encoded><![CDATA[<p>But this isn&#8217;t the geographic variation comparative analysis we were looking for, which is international, not interstate.  And it isn&#8217;t for variation in medical spending per capita in general, it&#8217;s the variation in the price charged for the same treatments and procedures.</p>
<p>What we really want to know is why a comparable developed country with high-quality health outcomes, well-paid medical professionals and similar track records can do the same procedures for so much less.  A MRI costs +$1K in the US.  In France it&#8217;s a quarter that.  An appendectomy in the U.S. can be over $10K, some places $20K.  In Japan it&#8217;s less than $4K, even privately procured.  It&#8217;s not just India and Mexico that do medical tourism for Americans, even Spain has a thriving market.</p>
<p>A difference of 20-50% isn&#8217;t too bad.  A difference of a few hundred percent without any apparent bang for the extra bucks is what needs explanation.</p>
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