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I think people in the US that still believe the US medical System is private are delusional I want a private health system, one with actual market economics n

by syshum 5y ago

I think people in the US that still believe the US medical System is private are delusional I want a private health system, one with actual market economics not with the hand of government poking and prodding at every turn making things worse. Sadly the free market shipped sailed away decades ago. What we have today is terrible system of heavy government regulation, poor subsidies, "insurance" that is not really insurance, combined with the US health system bearing most of the RnD costs for the world. Those that are opposing complete government take over already lost they just do not know it yet and are just prolonging the pain. Personally I say let it happen, and watch as it collapses because a US Federal run health system will be atrocious, the US Federal government is incompetent and corrupt, but it seems many citizens want a health system run by corrupt incompetence. So lets to it. then we can get way back to a free market once the people learn the lesson the hard way.

sharemywin 5y ago
I think the best systems in the world right now are hybrid. public options with private companies to fill in the gaps. When you say free market do you mean with insurance? or without? The problem with health care and free market is the incentive don't line up. Most of health care costs are accumulated at the end. so you can't really do loans. your left with some kind of upfront payment plan(aka insurance) and their incentive to maximize premium and minimize expenses(aka paying for your healthcare) Then you run into the problem that you need private watchdogs to keep an eye on the insurance companies and rate them. Problem is the smaller they are the more easily corruptible they are.
- syshum 5y ago
  >>When you say free market do you mean with insurance? or without? Either I would like to so innovation in that space where today the government is stiffing that. For example there was a Doctor in Kansas I believe that attempted to open a Medical Coop where families would pay a monthly fee and then get access to the facility for their general medical needs.This was deemed to violate medical billing regulations so he was forced to shut it down. Then there is walmart, even a massive company like that could not navigate the regulatory burden to offer small clinics where a person could see an RN for minor medical conditions. They could not figure out how to comply with the regulations and make is profitable. There is a reason ALOT of the medical services (Doctors offices, Networks, and Hospitals) are actually NON-profits. People believe that the "profit motive" is the reason for high costs, when in reality the delivery of medical services outside of Pharmaceuticals and devices, is already non-profit As to insurance would also like to see a return of actual insurance. We we call "health insurance" is not really insurance. Insurance is about risk pooling to absorb known but unlikely events. Insurance that covers all medical expenses (i.e comprehensive coverage) is not insurance. My Auto Insurance does not cover oil changes, and my Home owners insurance does not cover replacing my HVAC system so why does my health insurance cover my annual checkup, and when I have a cold???? >>Most of health care costs are accumulated at the end. That is not an example of the incentives not lining up, and we have a solution for that, a solution I would like see expanded but HSA are designed for that.

by syshum 5y ago

sharemywin 5y ago

I think the best systems in the world right now are hybrid. public options with private companies to fill in the gaps. When you say free market do you mean with insurance? or without? The problem with health care and free market is the incentive don't line up. Most of health care costs are accumulated at the end. so you can't really do loans. your left with some kind of upfront payment plan(aka insurance) and their incentive to maximize premium and minimize expenses(aka paying for your healthcare) Then you run into the problem that you need private watchdogs to keep an eye on the insurance companies and rate them. Problem is the smaller they are the more easily corruptible they are.

syshum 5y ago
>>When you say free market do you mean with insurance? or without? Either I would like to so innovation in that space where today the government is stiffing that. For example there was a Doctor in Kansas I believe that attempted to open a Medical Coop where families would pay a monthly fee and then get access to the facility for their general medical needs.This was deemed to violate medical billing regulations so he was forced to shut it down. Then there is walmart, even a massive company like that could not navigate the regulatory burden to offer small clinics where a person could see an RN for minor medical conditions. They could not figure out how to comply with the regulations and make is profitable. There is a reason ALOT of the medical services (Doctors offices, Networks, and Hospitals) are actually NON-profits. People believe that the "profit motive" is the reason for high costs, when in reality the delivery of medical services outside of Pharmaceuticals and devices, is already non-profit As to insurance would also like to see a return of actual insurance. We we call "health insurance" is not really insurance. Insurance is about risk pooling to absorb known but unlikely events. Insurance that covers all medical expenses (i.e comprehensive coverage) is not insurance. My Auto Insurance does not cover oil changes, and my Home owners insurance does not cover replacing my HVAC system so why does my health insurance cover my annual checkup, and when I have a cold???? >>Most of health care costs are accumulated at the end. That is not an example of the incentives not lining up, and we have a solution for that, a solution I would like see expanded but HSA are designed for that.