First, let's get a little historical perspective on American healthcare. To do that, let us turn to the American civil war age. In that war, outdated approaches and the carnage inflicted by modern weapons of the age united to cause horrible consequences. Most of the deaths on both sides of that war were not the result of real fight but to what happened after a battleground wound was inflicted. To begin with, evacuation of the wounded went at a snail's speed in most cases causing severe delays in treatment of the wounded. Second, most wounds were subjected to wound associated operations and amputations, and this frequently resulted in enormous disease. So you might survive a battle wound only to die at the hands of medical care Christopher Boone Avalere suppliers whose great intention-ed interventions were frequently fairly deadly. High death tolls can also be ascribed in a time when no antibiotics existed to everyday illnesses and ailments. In total, something like 600,000 deaths occurred from all causes, over 2% of the U.S. residents at the time!
Let us jump to the first half of the 20th century for some additional perspective and to bring us up to more modern times. After the civil war, there were steady developments in physician education and in American medicine in the understanding and treatment of particular diseases, new surgical techniques and training. But for the most part, the best that doctors could offer their patients was a "wait and see" strategy.
Medication could handle bone fractures and perform dangerous operations and the like (now increasingly practiced in sterile surgical environments), but medicines weren't yet accessible to manage serious sicknesses. Most departures remained the result of untreatable illnesses like scarlet fever, pneumonia, tuberculosis and measles and related complications. Doctors were increasingly conscious of vascular and heart conditions, and cancer but they had almost nothing with which to treat these conditions. This really fundamental understanding of American medical history helps us to understand that until quite recently (around the 1950's) we'd almost no technologies with which to treat serious or even mild ailments. Nothing to treat you with means that visits to the physician if at all were relegated to emergencies thus in that scenario prices were clearly minuscule.
A second variable that has become a key driver of today's health care costs is that clinical treatments that were supplied were paid for out of pocket. There was no health insurance and definitely not health insurance paid by another person like an employer. Costs were the duty of the individual and perhaps a few charities that among other things supported charity hospitals Christopher Boone Avalere for the poor and destitute. Its impact on health care costs is tremendous. When health insurance for people and families appeared as a means for corporations to escape wage freezes and to attract and retain workers after the Second World War, practically immediately there was a great pool of money available for health care. Cash, as an effect of the availability of billions of dollars from health insurance pools, supported an America that was innovative to increase medical research attempts. As more and more Americans became insured not only through private, company-sponsored health insurance but through increased government funding that created Medicaid, Medicare and expanded veteran health care benefits, finding a cure for practically anything has become quite successful. This is also the principal reason behind the vast collection of treatments we have available now.
I don't wish to convey this is a bad thing. Consider the tens of millions of lives which have been saved, expanded and made more productive as a consequence. But with a funding source grown to its current magnitude (hundreds of billions of dollars per annum) up pressure on health care costs are inevitable. Doctor's offer and most folks demand and get access to the latest available health Christopher Boone Avalere, pharmaceuticals and surgical interventions. So there's more health care to spend our cash on and until quite recently most of us were insured and the costs were largely covered by a third-party (government, companies). This is the "perfect storm" for higher and higher health care costs and by and large, the storm is intensifying.