The Other 1 Percent: Sick People (Chart)

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Here’s a 1 percent no one wants to be part of: According to a recent analysis by Christopher Conover, a Duke University researcher on health policies and inequalities, barely 1 percent of the population accounts for nearly 20 percent of the nation’s already inflated health care spending. These few people each account for, on average, $115,000 in health care spending every year, which is almost three times the annual salary of the average American worker. Only 5 percent of the population accounts for fully 50 percent of all the nation’s health care spending. Everybody else generates, on average, about $360 a year in health care costs, or about 3 percent.

So it’s not hard to  see where some of the problems lie in the health care system, which is the biggest driver of the country’s long-term deficit problems. Conover helpfully provides a chart from his forthcoming book, American Health Economy Illustrated:

Health Care's 1 Percent: Christopher J. ConoverHealth Care’s 1 Percent: Christopher J. ConoverGiven the small number of people driving the rapidly escalating health care costs in this country, it seems like solving the problem ought to be a snap, right? Clearly some people need to be spending a little more to make sure they don’t get sick down the road, and perhaps others ought to be getting a little less of the expensive and not necessarily useful stuff. Of course, if the problem were that simple, it would have been fixed by now. As GOP presidential contender Newt Gingrich said in 2005, “‘Health is about 30 times more difficult than national security.”

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WHO DOESN’T LOVE A POSITIVE STORY—OR TWO?

“Great journalism really does make a difference in this world: it can even save kids.”

That’s what a civil rights lawyer wrote to Julia Lurie, the day after her major investigation into a psychiatric hospital chain that uses foster children as “cash cows” published, letting her know he was using her findings that same day in a hearing to keep a child out of one of the facilities we investigated.

That’s awesome. As is the fact that Julia, who spent a full year reporting this challenging story, promptly heard from a Senate committee that will use her work in their own investigation of Universal Health Services. There’s no doubt her revelations will continue to have a big impact in the months and years to come.

Like another story about Mother Jones’ real-world impact.

This one, a multiyear investigation, published in 2021, exposed conditions in sugar work camps in the Dominican Republic owned by Central Romana—the conglomerate behind brands like C&H and Domino, whose product ends up in our Hershey bars and other sweets. A year ago, the Biden administration banned sugar imports from Central Romana. And just recently, we learned of a previously undisclosed investigation from the Department of Homeland Security, looking into working conditions at Central Romana. How big of a deal is this?

“This could be the first time a corporation would be held criminally liable for forced labor in their own supply chains,” according to a retired special agent we talked to.

Wow.

And it is only because Mother Jones is funded primarily by donations from readers that we can mount ambitious, yearlong—or more—investigations like these two stories that are making waves.

About that: It’s unfathomably hard in the news business right now, and we came up about $28,000 short during our recent fall fundraising campaign. We simply have to make that up soon to avoid falling further behind than can be made up for, or needing to somehow trim $1 million from our budget, like happened last year.

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