I think you’d be surprised how little price competition there would be if everyone paid out of pocket. It won’t change insurance premiums; it won’t change the amount of investment (training and certification) needed to become a health care provider; it won’t change the price of advanced medical equipment; and it won’t change the price of patented drugs.
Before you conclude that the free market can solve everything, consider too that health care isn’t a typical service that follows ia supply/demand curve. The demand curve is practically vertical, especially when your life is on the line. You’re not going to shop around when your appendix is about to burst. Plus there are still high base costs, and scarcity (artificial or otherwise) of healthcare resources. And the monopolies granted to medical device and drug makers through the patent system keep prices high so the patentees can recoup their investments.
There is no easy way to solve this problem, despite breathless claims to the contrary that have been plaguing our airwaves since the 1980s.
Before you conclude that the free market can solve everything, consider too that health care isn’t a typical service that follows ia supply/demand curve. The demand curve is practically vertical, especially when your life is on the line. You’re not going to shop around when your appendix is about to burst. Plus there are still high base costs, and scarcity (artificial or otherwise) of healthcare resources. And the monopolies granted to medical device and drug makers through the patent system keep prices high so the patentees can recoup their investments.
There is no easy way to solve this problem, despite breathless claims to the contrary that have been plaguing our airwaves since the 1980s.