Just the Facts – Health and Healthcare: Steve Ballmer Talks Through the Numbers - video Dailymotion

Business Insider

Find out the impact of the US healthcare system and the health of Americans to our costs and lifespans. Watch and get the facts.

Transcript

00:00Hi, I'm Steve Ballmer.

00:02I spent 34 years growing Microsoft,

00:0510 years owning the L.A. Clippers basketball team.

00:08I love computers, data, and facts.

00:11That's why I started USAFacts,

00:14to help understand what our government is up to

00:17and what's going on in America.

00:19I'll share with you the facts and data,

00:22all from our government.

00:24You make up your own mind.

00:26In this episode of Just the Facts,

00:28health and healthcare.

00:31But first, a quick disclaimer.

00:33As I talk, I do a lot of rounding of numbers,

00:36but the data you see on screen will be more exact.

00:40Things might have changed since I recorded this in mid-June.

00:43I can't predict the future,

00:45but I'll be reading about it when it happens.

00:48So now, let's roll.

00:51I think we can all agree that good health

00:53is one of the most important things in life.

00:56This leads me to ask,

00:57how are Americans' physical and mental health?

01:00And how's our healthcare system working for us?

01:03We'll focus on the facts.

01:05You make your own prognosis.

01:07There's a lot to chew on.

01:12Let's start here.

01:13America's getting older.

01:15And thankfully, so am I.

01:17The median age in the U.S. was only 30 years old in 1980,

01:2235.3 in 2000,

01:25and 38.9 in 2022.

01:28In 2022, 3.28 million Americans died,

01:32about 1% of our total population.

01:35Nearly 3.67 million people were born.

01:39And here are the top causes of death per age bracket,

01:42as reported for 2022.

01:44Out of 69 million children ages 1 to 17,

01:48just over 16,000 died.

01:50About 4,900 of those were from accidents,

01:54unfortunately 2,100 by homicide,

01:57and 1,600 by suicide.

01:59Out of 120.5 million people ages 18 to 44,

02:04215,283 died.

02:0783,000 of those were from accidents,

02:11including accidental drug overdoses,

02:1422,000 by suicide,

02:1617,000 from heart disease,

02:19and 16,000 by homicide.

02:22Of roughly 82.5 million people ages 45 to 64,

02:27just over 600,000 people died.

02:30Around 138,000 people died from cancer,

02:34118,000 from heart disease,

02:3765,000 from accidents,

02:40and 34,000 from COVID.

02:43Among the 51.3 million people ages 65 to 84,

02:48just under 1.5 million died,

02:51around 350,000 of those from cancer,

02:54319,000 from heart disease,

02:57and 93,000 from COVID.

03:00And out of nearly 6.5 million Americans over 85,

03:05933,000 people died,

03:08around 249,000 of those from heart disease,

03:12102,000 from cancer,

03:15and 73,000 from Alzheimer's.

03:19The conclusion from all of this,

03:21accidents are the leading cause of death

03:24between age one and 44,

03:27then cancer takes over at 45,

03:29with heart disease a close second,

03:32and finally, at 85 plus,

03:35heart disease is number one.

03:37Let's dig into the leading causes of death.

03:40COVID emerged in 2020

03:42and reached its peak in early January 21,

03:45with almost 26,000 deaths per week.

03:49But as of July 2024,

03:51it's down to only 600 deaths per week.

03:55Now let's look at accidental deaths.

03:57Unfortunately, they have been increasing

03:59over the last decade,

04:01totaling over 227,000 in 2022,

04:05and accounting for 7% of total deaths.

04:09Accidental poisonings, which include drug overdoses,

04:12represent 45% of all accidental deaths.

04:18The leading causes of overdoses are fentanyl and meth,

04:21with fentanyl overdoses alone

04:24growing from just over 3,000 in 2010,

04:2774,000 in 2022.

04:31One category of accidental deaths

04:33has improved with time.

04:35In 1970, there were over 52,000 vehicle deaths.

04:39And even though the U.S. population

04:41has grown by 130 million people since then,

04:44and the number of miles driven has nearly tripled

04:48from about 1.1 trillion miles to 3.2 trillion,

04:52vehicle deaths actually dropped

04:55to just over 42,000 in 2022.

04:58Overall, Americans are living longer,

05:01which brings us to Alzheimer's.

05:03As of 2023, 6.7 million Americans over age 65

05:08had been diagnosed with it.

05:10We also hear a lot about firearm-related deaths,

05:13and there were 48,000 of them in 2022,

05:16including gun accidents.

05:1855% of suicides were committed by gun,

05:22and 79% of homicides were by gun.

05:26What about active shooter incidents,

05:28defined by the FBI as one or more individuals

05:31actively engaged in killing or attempting to kill

05:35people in a populated area?

05:37This includes mass shooting,

05:39and account for just 100 of the total

05:4148,000 gun deaths in 2022.

05:45This does not include gang violence

05:47or drug-related violence.

05:49Firearm deaths accounted for 1.2% of all deaths in 1999

05:55and grew to 1.5% in 2022.

05:58Let's shift gears.

06:00Let's look at key health risk factors,

06:03smoking, drinking, obesity.

06:06First, smoking, which causes strokes,

06:08heart disease, and lung cancer.

06:11In fact, it's connected with about 90%

06:14of all lung cancer deaths,

06:16the most common cancer type,

06:18and accounted for about 130,000 deaths in 2022.

06:23Fortunately, the share of adults smoking tobacco

06:26keeps declining,

06:28falling below 14% in 2022.

06:31Next up, drinking.

06:33Alcohol misuse,

06:35including repeated episodes of binge drinking,

06:38contributes to liver disease,

06:41as well as an increased risk of head, neck, esophageal,

06:46liver, breast, and colorectal cancers.

06:50In 2022, the government characterized

06:53almost 17% of adults as binge drinkers.

06:56The next risk factor is obesity,

06:59which can contribute to higher rates of cancer,

07:02heart disease, and diabetes.

07:04Obesity is defined for an adult

07:07as having a body mass index of 30 or higher.

07:11Take me, for example.

07:12I'm 5'11 and weigh 210 pounds,

07:16and my body mass index is 29.3.

07:20Unfortunately, obesity among American adults

07:24increased from 15.8% in 1995

07:29to 33.6%.

07:32Wow.

07:33How common is mental illness?

07:35Around 34% of young adults ages 18 to 25

07:41had a mental illness.

07:43For adults ages 26 to 49, it was 28%,

07:49and adults 50 or older, 15%.

07:52Now let's go through who's insured and who isn't,

07:55where does all the healthcare spending go,

07:58how much of it comes directly out of your pocket,

08:01and who picks up the rest of the tab.

08:03About 92% of Americans, or 304 million people,

08:08had health insurance in 2022.

08:11Private insurance covered over 216 million people,

08:1566% of the total.

08:17Public insurance covered 119 million people.

08:21That's 36% of the total.

08:23It adds up to more than 304 million

08:26because people can be on more than one insurance plan at a time.

08:30The uninsured rate dropped from 16% in 2010

08:34to 8% in 2022.

08:372010 was the year the Affordable Care Act,

08:40also known as Obamacare, passed,

08:42but there could be many factors explaining

08:45the decrease in the uninsured rate.

08:47In total, this leaves about 26 million people

08:50with no health insurance.

08:52Now let's turn to health spending.

08:54That accounts for 17.3% of America's gross domestic product,

09:00$4.5 trillion.

09:04On average, Medicare spends about $15,400

09:09for every enrollee,

09:11Medicaid, $9,200 per enrollee,

09:16and private health insurance, $6,600 per enrollee,

09:21and CHIP, which is a program for children, $3,400 per enrollee.

09:28Of the $4.5 trillion in health spending,

09:31$3.7 trillion was spent on personal health care,

09:36while $760 billion was spent on things like public health,

09:40health research, health care facilities,

09:43medical equipment,

09:45and the cost of running health insurance programs.

09:48Private health insurance accounted for 31%,

09:51or $1.2 trillion,

09:53of all the personal health care spending in the United States,

09:56followed by Medicare at 24%, or $870 billion,

10:01and Medicaid at 19%, or $710 billion.

10:06The last 13%, which is about $470 billion,

10:10was all paid by us out of our pocket.

10:13It includes our co-pays, deductibles,

10:16stuff we buy at drugstores.

10:18It does not include monthly premiums,

10:21which we'll talk about later.

10:22So where did all this money go?

10:25Hospitals accounted for 37%,

10:28physician and clinical services are 24%,

10:32and then prescription drugs were only 11%.

10:36The average amount spent on health care per person per year

10:41went from $3,000 plus in 1980

10:46to more than $11,000 in 2022.

10:50One factor, the 65-plus population,

10:53went from nearly 26 million people in 1980

10:57to over 57 million in 2022.

11:01This does not mean people are paying $11,000 a year.

11:06On average, just over $1,400 of that came out of our pockets,

11:11not accounting for the premium.

11:13Most of out-of-pocket spending

11:15is on what are called non-durable medical products at 24%.

11:20That's $339.

11:22It's up 180%.

11:24Next is physician and clinical expenditures out of our pockets,

11:29then dental services, prescription drugs,

11:33nursing care facilities, hospital care,

11:36and durable medical equipment like crutches.

11:39We are spending more than ever on prescription drugs,

11:42but individuals are paying a lower percentage of it

11:45out of our own pockets.

11:46Between 1980 and 2022,

11:49Americans went from spending $135 to $170

11:54out-of-pocket per person per year,

11:57and then insurance pays the rest.

11:59This really surprised me

12:01given all of the discussion of drug prices.

12:05Now let's talk about premiums.

12:07Americans shell out $760 billion in premiums each year

12:12to private and government insurance programs.

12:15Of this, employees paid around $300 billion in premiums.

12:20People who get insurance through the health exchanges

12:22established by the Affordable Care Act pay $70 billion.

12:26Americans pay into Medicare

12:28both while they're working through payroll taxes

12:32and also through premiums that you pay

12:35once you start receiving Medicare benefit.

12:38Combined, that amounts to $339 billion a year.

12:42And some people have additional forms

12:44of property and casualty insurance

12:46covering some health care costs

12:49amounting to nearly $43 billion.

12:52Add these premiums to the other out-of-pocket costs

12:56and American households pay $1.2 trillion

13:00into the health care system.

13:02That equals just under $3,700 per year,

13:07per person, for every person in the country.

13:10What about the insurers themselves?

13:12For this, let's look at the administration costs.

13:15The total administration and net costs

13:18of all insurance programs in 2022 was $334 billion.

13:23Medicare had the highest administrative costs,

13:26with Medicaid close behind,

13:28and private insurance was just $644.

13:32This really interested me,

13:34given how much discussion there is

13:37about how private insurance companies' profits and costs

13:41are driving health care costs.

13:43Let's do a fact check.

13:45Adding this all together,

13:47in 1987, households paid 37% of health care costs.

13:52Today, they pay 28%.

13:55Private companies paid 23%,

13:58but today pay 18%.

14:01State governments paid and still pay 15%.

14:05And the federal government

14:07went from 17% of the total in 1987

14:10to 33% today,

14:13the largest portion of the bill for health care.

14:17That's it for health and health care,

14:19very complicated topics that touch all of us

14:23in very real and very personal ways.

14:26I hope you agree,

14:28the more we know about health care,

14:30the better voters we can be.

14:33Just the facts.

14:35You decide what you believe.

Just the Facts – Health and Healthcare: Steve Ballmer Talks Through the Numbers

Category

Transcript

Recommended