There are 3 areas of medical care where prices have come down and service
improved even as the rest of the industry has gone the other direction:
Cosmetic surgery, Vision correction surgery, and dentistry/orthodontia.These 3 areas all provide transparent, up front pricing. They are also paid
largely out of pocket rather than via insurance. So, consumers are cost
sensitive and they can make informed decisions.These areas are also
largely elective.Well, it turns out that a lot of the rest of
medical is also elective, or least elective enough that market forces would
work.Opponents of free market medicine bring up non-elective,
emergency cases. But these are the rarity. They are not bankrupting us, nor
driving costs.Cost drivers are what we experience routinely. Hip
and knee replacements could be shopped around. In urban areas, consumers might
choose between several different ERs or InstaCares for urgent, but not
immediately life threatening situations. We have months to pick a birthing
location. Even cancer patients generally have days to make treatment
decisions.Transparent pricing is a crucial element to bringing down
medical costs without harming care or choice.
To "marxist' ironically, now that teh government is heavily involved in
health care, fewer people can afford the doctor now than in 1950.There are more options than ICH and U of U hospitals. Blue Cross has
hospitals, there are largish businesses like the Ogden Clinic or Tanner clinics,
not to mention the countless individual doctors that own their own practice.The truth is, if you wanted to shop around, you can and there are many
@KDave "Reality is, we can shop around for our doctor."This
isn't the 1950's. Doctors today are employees of large hospital
chains and HMO's. In Utah we can "shop around" at IHC and U of U.
Reality is, we can shop around for our doctor. After that we are relying in
his/her expertise in what is best for us.
Competition is the engine of innovation and efficiency of everything! The
alternative to healthcare provider competition is Obamacare (no competition)=out
of control costs, massive inefficiencies and poor quality! Goodbye Obamacare and
If you're unconscious and need an angioplasty in the next fifteen minutes
to live, how are you going to shop for it? If the pharma bro is the only
one that makes the medication you need, how do you negotiate pricing with him?
Health care is not a service like carpet cleaning or roof replacement. It
is a service, a noble cause we owe one another. Profit should have nothing
to do with it. Nor should it be able to exploit those who need it.
Market driven healthcare will never happen until the government forces providers
to openly share pricing and adhere to that upfront pricing.That will
never happen republicans and democrats protect the healthcare cartel.
I recall well the 1950's when we had a market only health care system.
Most of the time our family could not afford to see the doctor. So I am
There are some area's in medicine that this would be helpful, as pointed
out surgical centers vs hospital based surgeries. One of the biggest drivers
pharmaceuticals not so much at least for branded products. Also labs, MRI costs
etc would be really hard to figure out etc. Do you really want your labs or
scans done where your doctor doesn't have ready access to them? Price, transparency, and modern medicine are as clear as mud. If you are in
pain or break an ankle, how much shopping around will you do? How can you know
all the labs and scans a doctor will want to run before you see your doctor?