The Concentration of Health Care Expenditures
The rate of growth of Personal Health Expenditures in the United States has solicited a never-ending litany of causes supposed and solutions offered to stem the rise in incidence, procedures, technology utilization and unit price escalation. Some have focused on tort reform, others on variation in care, and still others on prevention and wellness. The underlying problem, however, is that a small but increasing number of people with high cost illness account for the vast majority of health expenditures.