Report of the National Commission on Physician Payment Reform

RWJF: March 4, 2013

The United States health care system is plagued by the twin ills of high cost and uneven quality. Health care spending in the U.S. represents 18 percent of gross domestic product or $8,000 per person annually. As a proportion of the federal budget, the cost of Medicare has risen from 3.5 percent in 1975 to 15.1 percent in 2010. In 2020, it is projected to consume 17 percent of the federal budget. This enormous investment has not produced a commensurate improvement in the nation’s health. In fact, the health status of Americans pales in comparison to other nations, with the U.S. ranking 37th in health status. Read more