Category Archives: healthcare

2/11/20: U.S. Public Health Systems Are Going to Continue Failing After the COVID19

Pre-conditions: amidst ageing population and declining life expectancy, both political parties' platforms effectively represent extension of the status quo model of healthcare provision.

Question: can the U.S. actually sustain any semblance of or pretence at having a functioning healthcare system, given the expected trajectory of demand for healthcare services?

Answer: not a chance:


Source of the chart: McKinsey (not Communists who support nationalised health).


15/3/20: Acute beds and hospital beds capacity


With Covid-19 cases worldwide reaching almost 143,000 worldwide, it is worth examining some of the data on healthcare systems' capacity to absorb the influx of patients in weeks to come.

Here is an interesting set of data from OECD comparing the numbers of hospital beds per 1,000 population across the range of countries (I highlight some interesting comparatives):

These are not ICU beds with specialized equipment, of course, but it is hard to imagine that the relationship between ICU beds and general counts of beds is non-linear. Some people on Twitter claimed that the U.S. has higher number of acute care beds, than, say Italy or S. Korea. Which is simply, factually, false. Here's OECD data:


U.S. has 2.44 acute care beds per 1,000 population, Italy has 2.62, while S. Korea has 7.14. For those who are interested, Ireland has 2.77 and the OECD average is 3.59, with the median of 3.23.

The reality is simple: no country is fully ready for the onset of the Covid pandemic at the scale of what has happened in more impacted countries, like Italy, Korea or China. But of all countries we have data for, the U.S. system of healthcare is probably the least capable of handling any large scale public health events, not only due to mediocre capacity, but due primarily to the lack of access to healthcare.

Consider the following facts:



Roughly-speaking, between 159 and 162 million people living in the U.S. either have no access to insurance or cannot afford their deductibles. Does anyone expect these people to be pro-active in accessing testing and treatment for Covid early on?

6/4/19: Student Loans: The Bubble Is Still Inflating


A neat chart from Bloomberg summarizing the plight of student debt overhang in the U.S. economy:


In effect, education is the most leveraged, over the recent cycle, form of household investment out there. Second to it, is only investment in health. Via https://www.healthsystemtracker.org/chart-collection/u-s-spending-healthcare-changed-time/#item-total-health-expenditures-have-increased-substantially-over-the-past-several-decades_2017:


6/4/19: Student Loans: The Bubble Is Still Inflating


A neat chart from Bloomberg summarizing the plight of student debt overhang in the U.S. economy:


In effect, education is the most leveraged, over the recent cycle, form of household investment out there. Second to it, is only investment in health. Via https://www.healthsystemtracker.org/chart-collection/u-s-spending-healthcare-changed-time/#item-total-health-expenditures-have-increased-substantially-over-the-past-several-decades_2017: