[NPInfo] Medicine is a business UNlike any other

[David Mittman]

Wake up and smell the coffee. The attempt to control NPs and PAs by  
medicine, insurance, other professions all relates to the below article.



Health care spending surge seen in next decade
By Will Dunham
Tue Feb 26, 1:00 AM ET

U.S. health-care spending will devour an expanding share of the U.S.  
economy during the next decade, almost doubling to about $4.3  
trillion in 2017, government officials forecast on Tuesday.

Economists at the government's Centers for Medicare and Medicaid  
Services, known as CMS, forecast that health-care spending will  
account for 19.5 percent of the U.S. gross domestic product by 2017,  
up from 16.3 percent in 2007.

A key factor in the next decade will be the entry in 2011 of the  
leading edge of the post-World War baby boom generation into  
Medicare, the federal health insurance program for people 65 and up,  
CMS economist Sean Keehan said.

The projections come as runaway health-care spending and lack of  
medical coverage for millions of Americans have emerged as central  
issues in this year's presidential campaign. An estimated 47 million  
people in a country of 300 million have no health insurance, either  
private or through the government.

The report pegged U.S. health-care spending in 2007 at $2.2 trillion,  
and forecast that this spending would grow annually by about 6.7  
percent through 2017.

That would far outpace GDP growth, expected to rise by 4.7 percent  
annually, and inflation, expected to rise 2.4 percent annually, the  
report said. Gross domestic product is the sum of all goods and  
services produced within U.S. borders.

MEDICARE TO SOAR

Medicare spending by 2017 is expected to reach $884 billion -- more  
than a fifth of all national health-care spending. This compares to  
$427 billion in 2007, according to the report.

Medicaid, another large entitlement program, also is seen expanding  
at a higher rate than overall health spending.

The report, published in the journal Health Affairs, sees Medicaid, a  
federal-state program that helps pay health expenses for the poor and  
others, growing at an average of 7.9 percent annually, reaching $717  
billion by 2017. That would account for about 17 percent of U.S.  
health-care spending.

"The cost of health care continues to be a real and pressing  
concern," CMS Acting Administrator Kerry Weems said in a statement.  
"Making sure we are paying for high quality health-care services, not  
just the number of services provided, is just one of the most  
critical issues facing the American public and the federal government  
now and in the future."

After cresting in 2009 at 6.6 percent, private health-care spending  
growth is projected to diminish a bit to 5.9 percent more per year  
through 2017, the economists forecast.

Spending on prescription drugs will more than double to about $516  
billion by 2017, while hospital spending will almost double to about  
$1.3 trillion in 2017, they projected.

A slowdown in the growth in private health-care spending in the next  
decade is projected to be offset by accelerating growth in public  
spending in part because of the baby boomers enrolling in Medicare,  
according to the report.

(Editing by Julie Steenhuysen and Bill Trott)





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