4 ms·

"It's the graveyard of empires, where giant or well capitalized companies go in thinking they can solve and conquer it," A lot of companies and individuals mak

"It's the graveyard of empires, where giant or well capitalized companies go in thinking they can solve and conquer it," A lot of companies and individuals make a lot of money in the current system. They have no interest in changes. What does "solving" mean? Usually companies want to make money so the problem actually has been "solved". A lot.

motohagiography 7y ago
Arms dealers do fantastically well in Afghanistan too. The unicorn technology solution would mean real improvements in service levels, costs, and outcomes for patients. A platform disintermediates (or reintermediates) a business. There is still no Walmart, Costco, Amazon, AirBnB, or Uber for healthcare. The players are protected and in effect collecting political rents. The U.S. healthcare system does not resemble any other system in the world because it's an anomaly of perverse incentives and protectionism. It's unreasonable to ask any serious person to provide a moral defence of it, but in terms of investments, there are no sustainable multi-billion dollar startups that support the status quo because the status quo is an artifact of legislative market distortions. There is no growth in the current system. Unless you fundamentally break it, the upside isn't interesting.
- adolph 7y ago
  In this recent EconTalk episode [0] the guest describes an ongoing experiment (a business) in breaking it. 0. http://www.econtalk.org/keith-smith-on-free-market-health-care/ http://www.econtalk.org/keith-smith-on-free-market-health-ca...
  - barry-cotter 7y ago
    > Keith Smith on Free Market Health Care Nov 18 2019 Entrepreneur and Anesthesiologist Keith Smith of the Surgery Center of Oklahoma talks with host Russ Roberts about what it's like to run a surgery center that posts prices on the internet and that does not take insurance. Along the way, he discusses the distortions in the market for health care and how a real market for health care might function if government took a smaller role.
- novok 7y ago
  I see some startups trying to poke at it, but they are doing it from a premium service or tele-medicine providers. Such as forward, one medical, lyra, collective health, etc.

motohagiography 7y ago

Arms dealers do fantastically well in Afghanistan too. The unicorn technology solution would mean real improvements in service levels, costs, and outcomes for patients. A platform disintermediates (or reintermediates) a business. There is still no Walmart, Costco, Amazon, AirBnB, or Uber for healthcare. The players are protected and in effect collecting political rents. The U.S. healthcare system does not resemble any other system in the world because it's an anomaly of perverse incentives and protectionism. It's unreasonable to ask any serious person to provide a moral defence of it, but in terms of investments, there are no sustainable multi-billion dollar startups that support the status quo because the status quo is an artifact of legislative market distortions. There is no growth in the current system. Unless you fundamentally break it, the upside isn't interesting.

adolph 7y ago
In this recent EconTalk episode [0] the guest describes an ongoing experiment (a business) in breaking it. 0. http://www.econtalk.org/keith-smith-on-free-market-health-care/ http://www.econtalk.org/keith-smith-on-free-market-health-ca...
- barry-cotter 7y ago
  > Keith Smith on Free Market Health Care Nov 18 2019 Entrepreneur and Anesthesiologist Keith Smith of the Surgery Center of Oklahoma talks with host Russ Roberts about what it's like to run a surgery center that posts prices on the internet and that does not take insurance. Along the way, he discusses the distortions in the market for health care and how a real market for health care might function if government took a smaller role.
novok 7y ago
I see some startups trying to poke at it, but they are doing it from a premium service or tele-medicine providers. Such as forward, one medical, lyra, collective health, etc.