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True, although I expect that the US healthcare system is more than competitive if we consider its bad outcomes and overall inefficiency per dollar spent. Syste
by hibikir 3y ago
True, although I expect that the US healthcare system is more than competitive if we consider its bad outcomes and overall inefficiency per dollar spent.
Systems where there is competition, but where efforts are made to make the service providers not really have big advantages for cutting costs, will get you bad outcomes. It's just unfortunate that avoiding needing healthcare, or going into many careers without paying for the very expensive college degree, is such a big gamble.
A fully public system would be very different. An unsubsidized market system would also be very different. Either one would be dramatically cheaper than what we have, which gives us the worst incentives of both worlds.
- samtho 3y agoI’m very pro-free market but I would be happy to see this structure replaced with almost anything else. We chose the worst possible combination/bastardization of systems: colleges are given a massive amount of funding by the federal government and the same government guarentees student loans via a debt shackle, lenders are incentivized to lend to students, colleges are incentivized charge exactly what the market will “tolerate” which is horribly skewed due to the abundance of money available to be loaned. This is a losing system for students, even for those who don’t take on debt are spending an absolute insane amount tuition, books, housing, and other living expenses.