The Many Crises of Health Care

PRINCETON – L’administration du président Barack Obama a passé le plus clair de l’année 2009 à tenter de gérer la bataille politique née de sa volonté d’étendre l’assurance santé aux dizaines de millions d’Américains qui n’en possèdent pas. C’est une situation assez difficile à comprendre pour les citoyens des autres pays industrialisés qui eux ont droit à cette assurance santé ; même les gouvernements conservateurs n’envisagent pas de la supprimer.

Les difficultés de certains Américains avec la réforme de santé nous en disent plus sur l’hostilité américaine envers son propre gouvernement que sur l’assurance santé en général. Mais aux Etats-Unis, ce débat met en lumière un problème sous-jacent qui est amené à devenir un sujet de préoccupation dans presque tous les pays en 2010 et au-delà et qui n’est autre que la difficulté de contrôler les dépenses de santé.

Sur six dollars dépensés aux Etats-Unis que se soit dans le public ou le privé, un dollar est consacré à la santé et ce rapport, tout en étant déjà le plus élevé au monde, devrait doubler d’ici à 2035. Mais l’augmentation des dépenses de santé est un problème y compris pour les pays qui dépensent moins.

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