(HealthDay News) – U.S. Medicare spending on the elderly has grown nearly three times faster than its Canadian counterpart, according to a study published online Oct 29 in the Archives of Internal Medicine.
David U Himmelstein, MD, and Steffie Woolhandler, MD, MPH, from the City University of New York in New York City, analyzed Medicare spending for persons >64 years in Canada and the United States for 1971–2009, with particular emphasis on changes since 1980. Medicare part D (implemented in 2006) was excluded from the analysis.
The researchers found that the U.S. Medicare spending per elderly enrollee increased from $1,215 in 1980 to $9,446 in 2009 (an inflation-adjusted increase of 198.7%). For Canada, the comparable increase was 73% (from $2,141 to $9,292). Canada offers more comprehensive benefits covering about 80% of seniors’ total health costs vs. about 50% in U.S. Medicare, as seen in the higher base-year spending. Had U.S. costs risen at the lower Canadian rate, the projected savings would have totaled $154.2 billion in 2009 and $2.156 trillion for the period 1980–2009. U.S. costs increased 374.1% compared with 126.3% for Canada in the 1971–2009 period, with estimated foregone savings of $2.9024 trillion.
“Medicare spending has grown nearly three times faster in the United States than in Canada since 1980,” the authors write. “To some, U.S. Medicare’s grim financial health suggests an even grimmer conclusion: it can no longer keep its promise of all needed care for the elderly population.”