American taxpayers footed the bill for at least $1.8 trillion in federal and state health care expenditures in 2022 — about 41% of the nearly $4.5 trillion in both public and private health care spending the U.S. recorded last year, according to the annual report released last week by the Centers for Medicare and Medicaid Services.
On top of that $1.8 trillion, third-party programs, which are often government-funded, and public health programs accounted for another $600 billion in spending.
This means the U.S. government spent more on health care last year than the governments of Germany, the U.K., Italy, Spain, Austria, and France combined spent to provide universal health care coverage to the whole of their population (335 million in total), which is comparable in size to the U.S. population of 331 million.
Between direct public spending and compulsory, tax-driven insurance programs, Germany spent about $380 billion in health care in 2022; France spent around $300 billion, and so did the U.K.; Italy, $147 billion; Spain, $105 billion; and Austria, $43 billion. The total, $1.2 trillion, is about two-thirds of what the U.S. government spent without offering all of its citizens the option of forgoing private insurance.
Where I am in the US, dentist schedules 6 months out, doctor likes you to schedule annual exams a year out and non urgent a couple of weeks at a minimum but there are some urgent care appointments available each day (or most days). Dermatologist and GYN a couple months wait for routine care. But there are lots of independent urgent care standalone clinics, including for orthopedic stuff, so for broken bones I did not have to go to the emergency room and incur that cost.
It’s uneven I would say. Definitely not worth what we are paying in taxes, insurance premiums and payments to providers, though.