Three in four Americans want major changes to healthcare system, survey finds

BMJ 2013; 347 doi: (Published 18 November 2013) Cite this as: BMJ 2013;347:f6919
  1. Michael McCarthy
  1. 1Seattle

Despite the fact that the United States spends $3000 (£1860; €2200) more per person on healthcare than Norway, the second highest spender, Americans are more likely to forgo care because of cost, a new survey has found. The results show that Americans face higher out-of-pocket expenses and are more likely than residents of 10 other developed nations to report trouble paying their medical bills.

The survey polled adults in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the US about their access to care, medical costs, and the complexity of their interactions with insurers.

The lead author of the study, published in Health Affairs,1 was Cathy Schoen, senior vice president for …

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