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AI and Healthcare#Utilization
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CLASS 2

U.S. Healthcare's Administrative Spending Crisis

In this class: How U.S. healthcare spending exploded from $500B to $5T, why 15-30% of healthcare dollars go to administration, and the exponential growth of healthcare managers vs physicians.

The Deets: National Healthcare Spending

Four Decades of Exponential Growth

U.S. healthcare spending has grown dramatically:

  • 1981: $500 billion
  • ~1990s: $1 trillion (doubled in one decade)
  • 2010: $2.5 trillion (ACA enacted to "bend the cost curve")
  • 2020: $4.5 trillion (pandemic year)
  • 2023: $5 trillion

The reality? We never bent the cost curve. The slope kept climbing.

Why So Much Administrative Spending?

Unlike socialized healthcare systems abroad that incentivize efficiency, the U.S. operates on a 50/50 public-private funding model. Multiple private stakeholders = multiple profit motives = administrative bloat.

Key Stat

Studies estimate 15-30% of healthcare dollars fund administrative tasks—revenue cycle management, prior authorization, billing, managerial positions.

Translation: Of every $100 spent on healthcare, $15-30 goes to paperwork, not care.

How Much Is Pure Waste?

Researchers went further: half of that administrative spending is wasteful.

That's 7.5-15% of $5 trillion—hundreds of billions annually—spent on tasks that add zero value.

Metric Value
Total U.S. Healthcare Spending (2023) $5 trillion
Administrative Spending 15-30% ($750B - $1.5T)
Pure Waste 7.5-15% ($375B - $750B)
U.S. Admin Cost Per Capita $1,000
Germany Admin Cost Per Capita $300

For context: U.S. spends ~$1,000 per capita on healthcare administration. Germany (second-highest): $300 per capita. We spend 3x more per person on paperwork than any other advanced nation.

Dashevsky's Dissection

The U.S. healthcare system's administrative bloat stems from misaligned incentives. Private stakeholders optimize for profit, not efficiency, leading to exponential manager growth while physician supply stagnates.

We're spending hundreds of billions on administrative tasks that add no clinical value. Half of that spending is pure waste—money that could fund care, reduce burnout, or lower costs.

The solution isn't more administrators. It's fixing broken processes first, then determining what resources we actually need.