awesome guy wrote:Cpt Jagdish wrote:Is it fair for someone to believe that the only solutions to healthcare in this country is one of two:
A) Universal health care. We all pay for it, there's no way around it. As far as support, you have to believe in the concept of everyone having basic universal healthcare regardless of socioeconomic status or how they take care of themselves.
or
B) Open free market, with enough competition this should in theory drive down costs for what YOU are willing to pay for. And as far as supporting this, you have to be okay with that not everyone should or even deserves healthcare at the cost of others.
Is that way too simplistic of a view? Because that's how I see it and all the options that this government has tried (Obamacare, Republicare or Trumpcare or whatever we end up calling this option) has tried to appease both camps and it's just no way possible.
See Obamacare. That's why an tweener solution doesn't work. It can't control costs like a free market and is too burdensome like single payer.
Cost controls are difficult under the structure of health insurance and health care in this country. Part of it is because health care insurance covers everything and part of it is because health care, the product, is very expensive.
The expense of the product is due to:
- Reliable, high demand for health care. Everyone gets old or sick.
- Everyone wants the highest quality of health care (obviously). Different from wanting the best car or best food, as without the best health care available, oftentimes the alternative is suffering or worse.
- Barrier to entry for service providers is very high, so the supply of providers is low. 4 years of med school + 4 years of residency (+4 more for specialists), not to mention the inherent difficulty of the subject matter.
- Consistent investment in research/development for drug companies and hospital technology.
- Consistent investment in capital expenditures for hospitals and doctors.
So before we even get to the insurance question, we have a very expensive product. The insurance question has its own issues, but it won't undercut the fact that insurance companies themselves are charged a lot for the services provided to their clients.