"In this Tuesday night's FRONTLINE broadcast, "Sick Around the World," veteran Washington Post foreign correspondent T.R. Reid asks: What can we learn from some of the thirty-six countries listed above us? With health care reform at the top of the agenda this election year, the answers couldn't be more timely.
In Japan, for example, Reid finds that people go to the doctor three times as often as Americans, have more than twice as many MRIs, use more prescription drugs, and spend more days in the hospital, yet Japan spends about half as much per capita as the United States thanks to strict price controls -- a ten-dollar a night hospital stay, a ninety-eight dollar MRI.
In Taiwan, every citizen is issued a "smart card" containing a person's entire medical history and a code to get bills paid automatically, cutting administrative costs to less than 2% -- a fraction of the 12-30% of American health care dollars that are estimated to be eaten up by all of the paperwork burdening doctors and hospitals.
To be sure, many of the countries Reid visits still have their problems: doctors protesting low pay in Germany, hospitals struggling to stay in business in Japan and Taiwan, patients complaining about long lines and limited choices in the United Kingdom. But, in these countries, Reid also finds a few bottom-line rules of successfully providing universal health care that none of the U.S. presidential candidates has yet dared to suggest: Doctors and hospitals have to accept a set of fixed prices for all services, and private insurance companies can't make a profit when delivering basic care. Not a dime.
Is this our way out of our health care mess? Could an American politician ever propose such reforms or pass them? We hope you'll tune in Tuesday night and after, visit our Web site to watch the program again online, find out more about the five capitalist democracies examined in this report, or read a q&a with correspondent T.R. Reid. And we invite you to join in the discussion, at
http://www.pbs.org/frontline/sickaroundtheworld/"