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U.S. Sen. Sheldon Whitehouse, a Democrat from Rhode Island, was one of several speakers at a Sept. 21 health care forum in Washington on the future of health care in the United States. Not surprisingly, much of his speech focused on how much the nation spends on health care.
The forum was organized by the nonprofit Washington-based Partnership for Quality Care, whose members, according to its website, include physician groups, health plans, employers, hospitals, consumer groups and policymakers.
One point Whitehouse made caught our attention.
"The American health care system burns 18 percent of our national GDP. Nobody else is close," he said.
We knew our spending was high compared with other industrialized nations, but we wondered whether he got his facts right.
First, we contacted Whitehous'’s spokesman, Seth Larson, to find out where the information came from. He sent us links to two websites.
The first link took us to the site for the federal Department of Health and Human Services, Centers for Medicare and Medicaid Services.
There, we found this statement: "Total health expenditures reached $2.5 trillion (in 2009), which translates to $8,086 per person, or 17.6 percent of the nation’s gross domestic product." The most recent comparisons are for 2009.
(Gross Domestic Product, the market value of the nation’s production of goods and services, has since been revised for 2009, so the share of health care spending that year was actually 17.8 percent of the GDP, said Thomas Dail, a spokesman for the federal Bureau of Economic Analysis. Either way, it still rounds to 18 percent, as Whitehouse said.)
Next, we followed the second link to check how the United States’ health care spending compares with spending in other industrialized countries.
The international data came from the Organisation for Economic Co-operation and Development, a Paris-based organization with 34 member countries. The organization, which has an office in Washington, D.C., is funded by contributions from its member governments.
Under "Frequently Asked Questions," we found a link to a spread-chart that shows annual health expenditures by country as a share of GDP.
In 2009, the most recent year with complete data, the industrialized country with the next highest health expenditure per GDP is the Netherlands, at 12 percent, followed closely by France, Germany, Denmark, Canada and Sweden -- all above 11 percent.
(It should be noted that many countries that spend far less on health care than the United States get better results on such measures as life expectancy, access to care and treatment of heart attacks and other health problems.)
Whitehouse said that U.S. health care spending accounts for 18 percent of the national GDP, far outstripping other countries. He got his facts right, accurately summarizing two reports based on federal government data.
We rate his statement True.
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Partnership for Quality Care, speech by Sen. Sheldon Whitehouse at Sept. 21 healthcare forum, accessed Nov. 15, 16, 2011
U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, National Health Expenditure Data, accessed Nov. 15, 16, 2011
Organisation for Economic Co-operation and Development, OECD Data 2011 Frequently Asked Questions, accessed Nov. 15, 16,
E-mail, Seth Larson, spokesman, Sen. Sheldon Whitehouse, Nov. 15, 2011
E-mails, Interview, Thomas Dail, spokesman, U.S. Bureau of Economic Analysis, Nov. 16, 2011
E-mail, Interview, Meghan Finegan, spokeswoman, Partnership for Quality Care, Nov. 16, 2011
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