4 ms·
I think you're missing the point. The reason why it would cost you $100k is twofold: right now out of pocket expenses are deliberately much, much higher to com
by bmmayer1 14y ago
I think you're missing the point. The reason why it would cost you $100k is twofold: right now out of pocket expenses are deliberately much, much higher to compensate doctors and medical professionals for nonpayments, and medical professionals have no problem gouging their prices for the insurance companies, or using more-expensive-than necessary procedures for the benefit of patients (because after all, we have a massive principal agent problem). Not to mention that insurance encourages wasteful consumption, decimates competition, and misaligns incentives. And the fact that most people get insurance through their place of work such that they are less mobile and less able to negotiate higher pay just makes the situation more bitter.
My solution is to let the price of medicine float with demand and supply, like any other commodity, where it would lower in price with competition and neuter the influence of health insurance lobbyists.
Also, health is always going to be the sort of profession where the best treatment is too expensive for more people to afford. That's just a natural result of innovation. Every new technology--even those we take for granted today--were too expensive for most people to afford when they were introduced. The way that prices come down for these things is through demand and competition, not through government mandates, which provide no incentive to lower prices (another principal agent problem).
- Cowen 14y agoIf medicine floated with the cost of supply and demand, then outbreaks and epidemics would be an ethical nightmare and a commercial blessing. Medical supplies during epidemics always fail to match the huge spike in demand, so the price would rise exponentially. Medication providers would make a fortune while only the rich would receive medication. Depending how much you want to bend toward conspiracy theories, it would almost be like incentivizing medication providers to cause huge outbreaks.
- unclenoriega 14y agoI've heard this argument before, and, while it seems logical enough, has anyone tried to estimate the cost of various procedures under this sort of system? I tend to believe that healthcare would still be too expensive for most people to afford, but I've never been able to find supporting estimates one way or the other.
- Spooky23 14y agoSupply and demand doesn't work out too well when the consumer has no bargaining power. If I'm buying a car, I can walk away if I don't agree with the terms. How does the guy with the broken back do that? If I am an unconscious or legally incompetent person in the ICU make a rational economic decision about their course of treatment?