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Other studies of cost sharing examining acutely ill individuals have also failed to observe any negative health effect from cost sharing.[24] [Click on the footnote for some limitations of the study.] * Among developed nations, greater household disposable income is generally associated with higher healthcare spending.The graph below shows healthcare spending (as a portion of GDP) versus disposable income per household in nations that are members of the Organization for Economic Cooperation and Development (OECD).At the time, Arizona and Hawaii were planning to limit the number of days to 25 and 10 respectively.

In such cases, an ounce of prevention improves health and reduces spending—for that individual.Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures.[67] The aim of prevention is to spare people from avoidable misery and death not to save money on the healthcare system.In countries with low mortality, elimination of fatal diseases by successful prevention increases healthcare spending because of the medical expenses during added life years.[68] The process of educating and training new physicians can be lengthy, reflecting the complexity of medical care.This is mandated under a federal law called the Emergency Medical Treatment and Active Labor Act (EMTALA).[105] [106] [107] * In 2000, emergency room physicians incurred an average of 8,300 in bad debt by providing treatment mandated under EMTALA.Bad debt does not include charity care or care for which charges were reduced through negotiations.

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