The Free Market; The Cure for What Ails You by Capitalist Hero
As mentioned in a previous article, the free market reaches equilibrium
(supply = demand) for every good and service including health care.
However, free market solutions will be a tough pill to swallow for the
vast majority of Americans. It forces us to confront the scarcity of
resources and compels us to make tough choices. Do I buy my kid his
asthma medicine or a pack of smokes? Do I spend my lunch hour at
McDonald's or the gym?
Capitalist Hero is not only an economist but also a humanitarian and
works as an emergency physician at 3 busy metropolitan emergency
departments. I can say, from personal experience, the biggest
distortion to the free market is the heavily subsidized and entrenched
third party payer system. Neither the physicians nor the patients
really know the charges of the various tests and treatments rendered.
Rarely will a patient ask about the price. If they do not have
insurance, they don't care because they are not planning on paying
anyway. Insured patients only care up to their deductible. Once a
patient deductible is met, everything else is essentially free. It
does not matter that the analgesic (Tylenol) costs $100 or the mucus
receptacle (box of tissue paper) costs $75. These outrageous charges
would never hold up if the patient actually had to dip into his own
pocket to pay them. In contrast, medical services that are paid out of
pocket have decreased in price and increased in quality.
When I had Lasik surgery, I shopped around. I got recommendations and
researched online. When I settled on an opthamologist, I was able to
negotiate a twenty percent discount and the doctor gave me his cell
phone number in case I had any concerns. The surgery was a resounding
success and I now my vision is 20/15. We are price sensitive to
everything from cell phone plans to fast food to automobiles. This
market force keeps suppliers lean and efficient. Price competition
forces suppliers to keep prices low while keeping quality high. If
they fail this, then they are out of business. If you don't believe
me, just ask the guys at GM.
If the immense subsidization of health care were eliminated and if
patients were not removed from their health care charges, then price
competition would reign. Patients would not stand for a $200 aspirin.
They would go to the hospital that advertised $150 aspirin and then the
hospital charging $75 per aspirin. Pretty soon hospitals would be
comping you aspirin just to get you in the door in the hopes that
you'll purchase some of their other services. Of course giving up tax
free employer sponsored health benefits and goverment provided
insurance is a bitter pill to swallow and wont be accepted by the
American people until the full brunt of these subsidies are borne by
American taxpayers and not our Asian and Middle Eastern benefactors.
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