Significant Drops in Small Businesses in 2009 (US down 24%)
economist.com
economist.com
What this is really indicative of is just how bad the credit situation was in early 2009. I know that restaurants and other capital intensive 'start-ups' really suffered.
Startups can be viewed from what I call an "MBA perspective" or from an "independent founder" perspective, and these views are fundamentally different. The Economist sees the world from the MBA perspective and is not at all focused on what might be called the street level where independent launch and grow their ventures.
This is now actually a very promising time for early-stage ventures that do not have immediate capital-intensive needs.
Healthcare is also a huge contributing factor to people not starting businesses today.
IMHO the health care problem has a huge impact on this. I'm a Canadian expat in the US right now, and I unfortunately had to pay a visit to an American ER last night. I'm insured, so my out of pocket costs are manageable, but imagine a startup founder struggling to get to ramen profitability doing the same.
Oh, unrelated note: the whole "private health care works better" thing is total hogwash. ER wait times here are as bad as they are in Canada, main difference is that in one place you're not paying through the nose for it.
And ... hmmm, if you're in a country with nationalized health care and resultant higher price levels, aren't your expenses and therefore ramen profitability just that much higher? I.e. you pay one way or another ... and if you're young, you're subsidizing the older (and in the US, the elderly in Medicare as well).
Firstly, there's the commonly known factoid that the US spends more per capita for health care than any other industrialized nation - in fact you guys pay more than 2x what Canada pays for each of its citizens. So health care, on an aggregate basis anyhow, is actually much more expensive in the USA than Canada.
Secondly is the burden on the individual - I did the taxes for what I would have to pay in taxes in Canada (if I had earned the income there), and the total comes out to about $2K more than my tax burden in the USA. Considering my insurance (employer-subsidized) is still some $100 a month, the difference becomes even less pronounced. Not to mention there's no such thing as a co-pay in Canada (my US insurance plan has mediocre co-pays). Put it all together and suddenly you wonder why America just can't take the money it's already paying and just create a public system where everyone gets care.
When you ignore easily gamed statistics like life expectancy and look at things like cancer survival rates, you see that we seem to be getting something for the extra money we're spending. And we're a rich nation, it would hardly be odd for us to choose to spend a lot there.
And for now, there are choices. At times I've had minimal health insurance, e.g. catastrophic illness or injury was covered but not my occasional sinus infection.
http://www.commonwealthfund.org/Content/Publications/Fund-Re...
Now, that doesn't address your point about access, but I can't put too much weight in the study.
The relevant information is there - and from my experiences and wait time in the ER yesterday I cannot say I'm terribly impressed by the availability of your medical system. It wasn't a particularly busy night, but wait times were about equal to what I'd expect in Canada.
I've met many other expats from nationalized-healthcare countries who have lived in the US (some for well over a decade), and I've yet to meet a single one that doesn't regard America's health care system as some kind of barbarism.
I agree. The American health care system is barbaric, and is just about the only reason my wife and I occasionally think about moving back to Europe.