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U.S. Healthcare is a Global Outlier, and Not in a Good Way

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Historically, the United States has spent more money than any other country on healthcare.

In the late 1990s, for example, the U.S. spent roughly 13% of GDP on healthcare, compared to about a 9.5% average for all high income countries.

However, in recent years, the difference has become more stark. Last year, as Obamacare continued to roll out, costs in the U.S. reached an all-time high of 17.5% of GDP. That’s over $3 trillion spent on healthcare annually, and the rate of spending is expected accelerate over the next decade.

High Costs, High Benefit?

With all that money being poured into healthcare, surely the U.S. must be getting better care in contrast to other high income countries.

At least, that’s what one would think.

Today’s chart comes to us from economist Max Roser (h/t @NinjaEconomics) and it shows the extreme divergence of the U.S. healthcare system using two simple stats: life expectancy vs. health expenditures per capita.

U.S. Healthcare is a Global Outlier, and Not in a Good Way

The Divergence of U.S. Healthcare

As you can see, Americans are spending more money – but they are not receiving results using the most basic metric of life expectancy. The divergence starts just before 1980, and it widens all the way to 2014.

It’s worth noting that the 2015 statistics are not plotted on this chart. However, given that healthcare spend was 17.5% of GDP in 2015, the divergence is likely to continue to widen. U.S. spending is now closing in on $10,000 per person.

Perhaps the most concerning revelation from this data?

Not only is U.S. healthcare spending wildly inefficient, but it’s also relatively ineffective. It would be one thing to spend more money and get the same results, but according to the above data that is not true. In fact, Americans on average will have shorter lives people in other high income countries.

Life expectancy in the U.S. has nearly flatlined, and it hasn’t yet crossed the 80 year threshold. Meanwhile, Chileans, Greeks, and Israelis are all outliving their American counterparts for a fraction of the associated costs.

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Politics

How Much Do Americans Trust the Media?

Media trust among Americans has reached its lowest point since Trump won the 2016 presidential election.

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How Much Do Americans Trust the Media?

Media trust among Americans has reached its lowest point in six years.

Gallup began its survey on media trust in 1972, repeating it in 1974 and 1976. After a long period, the public opinion firm restarted the polls in 1997 and has asked Americans about their confidence level in the mass media—newspapers, TV, and radio—almost every year since then.

The above graphic illustrates Gallup’s latest poll results, conducted in September 2023.

Americans’ Trust in Mass Media, 1972-2023

Americans’ confidence in the mass media has sharply declined over the last few decades.

Trust in the mass media% Great deal/Fair amount% Not very much% None at all
197268246
197469218
197672224
1997533115
199855359
1999553411
2000513712
2001533314
2002543511
2003543511
2004443916
2005503712
2007473517
2008433521
2009453718
2010433621
2011443619
2012403921
2013443322
2014403624
2015403624
2016324127
2017412929
2018453024
2019413028
2020402733
2021362934
2022342838
2023322939

In 2016, the number of respondents trusting media outlets fell below the tally of those who didn’t trust the media at all. This is the first time that has happened in the poll’s history.

That year was marked by sharp criticism of the media from then-presidential candidate Donald Trump.

In 2017, the use of the term ‘fake news’ rose by 365% on social media, and the term was named the word of the year by dictionary publisher Collins.

The Lack of Faith in Institutions and Social Media

Although there’s no single reason to explain the decline of trust in the traditional media, some studies point to potential drivers.

According to Michael Schudson, a sociologist and historian of the news media and a professor at the Columbia Journalism School, in the 1970s, faith in institutions like the White House or Congress began to decline, consequently impacting confidence in the media.

“That may have been a necessary corrective to a sense of complacency that had been creeping in—among the public and the news media—that allowed perhaps too much trust: we accepted President Eisenhower’s lies about the U-2 spy plane, President Kennedy’s lies about the ‘missile gap,’ President Johnson’s lies about the war in Vietnam, President Nixon’s lies about Watergate,”
Michael Schudson – Columbia Journalism School

More recently, the internet and social media have significantly changed how people consume media. The rise of platforms such as X/Twitter and Facebook have also disrupted the traditional media status quo.

Partisans’ Trust in Mass Media

Historically, Democrats have expressed more confidence in the media than Republicans.

Democrats’ trust, however, has fallen 12 points over the past year to 58%, compared with 11% among Republicans and 29% among independents.

How-Much-Do-Americans-Trust-the-Media

According to Gallup, Republicans’ low confidence in the media has little room to worsen, but Democrat confidence could still deteriorate and bring the overall national reading down further.

The poll also shows that young Democrats have less confidence in the media than older Democrats, while Republicans are less varied in their views by age group.

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