The pandemic revealed years of capital underinvestment in many of European health-care systems. Many Americans used to admire the UK’s National Health Service, but right now the whole system is ailing. There has been a labor and capital shortage, and a collapse of emergency health care services, which may be costing up to 500 excess (non-Covid) deaths a week. Similar problems exist throughout Europe, though they seem to be worst in the UK.
The American hospital and health care system long has been good — too good — at making expensive, long-term investments in care and technology. Often this meant excess prices and not much of an improvement in basic care. But in the pandemic and post-pandemic environment, that feature of the system has kept US health care up and running. All that capital investment turns out to have been pretty useful in a major crisis.
The longstanding charge that the US does not have universal health care now is less relevant. Obamacare is highly imperfect along a variety of dimensions, but US health care coverage has never been higher — the percentage of the uninsured population is now 8%. Keep in mind that many of those uninsured may have decided not to purchase health insurance, instead preferring to spend their money in other ways. That might be a personal mistake, but that is not the same thing as a systemic failure of the entire US health care regime.
America actually has something pretty close to universal coverage, at least as an option. And remember that some of the European systems, most notably in Switzerland, also require significant out-of-pocket expenditures. Other parts of those systems are paid through relatively regressive systems of a value-added tax, so they are not as “free” as they might seem.
As the world emerges from its current chaos, it will be increasingly obvious that the US has pulled away from the pack.
Tyler Cowen is a Bloomberg Opinion columnist. He is a professor of economics at George Mason University and writes for the blog Marginal Revolution. His books include “The Complacent Class: The Self-Defeating Quest for the American Dream.”