Table 1.
Comparison of costs in the NHS and Kaiser
Category | NHS (2000/2001) | Kaiser, California (2000) |
---|---|---|
Gross expenditures/revenue | £58 500m | $14 200m |
Less capital depreciation | £1 000m | $557m |
Less profit | 0 | $668m |
Operating expenditures | £57 500m | $12 975m |
Adjustment for differences in benefits and special circumstances: | ||
Dental | £1 190m | $10m |
Long term psychiatric care | £3 250m | Not covered |
Special circumstances | £3 587m | $1 065m |
Supplementary private health insurance | £2 630m | 0 |
Net expenditure after adjustments | £52 103m | $11 900m |
Per capita expenditure (59.5 million people for NHS; 6.1 million people for Kaiser) | £876 | $1951 |
Conversion to dollars* | $1402 | $1951 |
Adjustment for PPP (1.52)† | $2130 | $1951 |
Adjustment for age (decreases NHS costs by 12.2%) and socioeconomic group (decreases NHS costs 5%) | $1764 | $1951 |
Final adjusted per capita expenditure | $1764 | $1951 |
Sources: Lakin,9 Department of Health,10 Laing & Buisson,11 OANDA,12 World Bank,13 and unpublished data from Kaiser.
Uses average exchange rate for the 1990s of 1.6.
Purchasing power parity: rate of currency conversion that equalises purchasing power in health sector of different currencies.