Paying an Arm and a Leg

Let our journalists help you make sense of the noise: Subscribe to the Mother Jones Daily newsletter and get a recap of news that matters.

So many charts, so little blog. Which chart should I show you from yesterday’s release of the latest global comparison of healthcare prices? How about the cost of hip replacements? Here it is:

The “average” number is a little hard to see, so here it is: $34,454. That’s 2x what it costs in Germany, 3x what it costs in France, and 6x what it costs in Switzerland. WTF?

This goes a long way toward explaining why hip replacements are so popular in the United States: they’re a huge profit center for doctors and hospitals. Keep this in mind the next time someone starts going on about how you never have to wait in line for a hip replacement in America. It’s not because our healthcare system is super efficient, it’s because doctors are super eager to perform them.

The full set of cost charts is here, and they’re pretty instructive. You can, if you want, try to make the case that we perform better hip replacements or do better angioplasties than other countries. But appendectomies? CT scans? Normal deliveries? As Aaron Carroll says about the astonishing numbers for routine CT scans and MRIs:

Why does it cost so much more in the US? Does the radiation work better here? Are the scanners different? If you’re wondering, the CT scanner was invented in the UK, so it’s not like there’s some reason to believe our machines are better….Let’s be clear. I have no problem with things costing more when they are demonstrably better. Or, if you’re getting more of them for your money. But a scan is a scan is a scan. There had better be a good reason for it costing more here, and I can’t think of a good one.

This is one of the reasons healthcare costs so much in America. We aren’t getting more for our money, we’re just paying a lot more for the same stuff as everyone else.

POSTSCRIPT: One caveat: the report doesn’t mention how they convert foreign prices into dollars, and it probably makes a difference whether they apply purchasing power parity adjustments. Not a huge difference, but it’s possible that different methodologies would produce modestly different results.

DOES IT FEEL LIKE POLITICS IS AT A BREAKING POINT?

Headshot of Editor in Chief of Mother Jones, Clara Jeffery

It sure feels that way to me, and here at Mother Jones, we’ve been thinking a lot about what journalism needs to do differently, and how we can have the biggest impact.

We kept coming back to one word: corruption. Democracy and the rule of law being undermined by those with wealth and power for their own gain. So we're launching an ambitious Mother Jones Corruption Project to do deep, time-intensive reporting on systemic corruption, and asking the MoJo community to help crowdfund it.

We aim to hire, build a team, and give them the time and space needed to understand how we got here and how we might get out. We want to dig into the forces and decisions that have allowed massive conflicts of interest, influence peddling, and win-at-all-costs politics to flourish.

It's unlike anything we've done, and we have seed funding to get started, but we're looking to raise $500,000 from readers by July when we'll be making key budgeting decisions—and the more resources we have by then, the deeper we can dig. If our plan sounds good to you, please help kickstart it with a tax-deductible donation today.

Thanks for reading—whether or not you can pitch in today, or ever, I'm glad you're with us.

Signed by Clara Jeffery

Clara Jeffery, Editor-in-Chief

payment methods

We Recommend

Latest