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Private healthcare makes industries less innovative. It's time for change

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Re: Private healthcare makes industries less innovative. It's time for change

#11

Good article in general but such a misleading headline and framing. The problem, as described in the article's body, is employer-provided health insurance, not private healthcare.

it's connected via vicious cycle

private healthcare is getting more and more expensive due to private prices available to bulk insurers but not for private person

even if this is not completely deliberate, effect is that you are "serf of whomever pays your insurance" or go bankrupt the moment you have any kind of emergency

in europe some private healthcare providers are showing their colors from different perspective, they outright refuse or cancel private contracts when you are above certain age

Re: Private healthcare makes industries less innovative. It's time for change

#13
post #6

Why is this news? As a European this seems totally obvious.

I'm not sure which country you're from, but many EU countries do have private health insurance. The Netherlands, for example, has a system of subsidized private insurance, and a mandate that everyone buy a policy.

(If Americans are thinking, "huh, that sounds like Obamacare / the ACA marketplace!" then you're right.)

Re: Private healthcare makes industries less innovative. It's time for change

#15
post #6

Why is this news? As a European this seems totally obvious.

The European/"Socialist" solutions are never obvious to Americans.

It is like parliamentarianism, campaign financing regulations, gun control, multiple political parties, etc. Americans call these things "Socialism" and then freak out about them and refuse to see any good on them.

Re: Private healthcare makes industries less innovative. It's time for change

#16
Yeah, so long as you can mooch off US healthcare innovation like COVID vaccines and weight loss drugs. There is a difference between going to doctor and getting effective treatment, as anyone who dealt with cancer in Soviet Union can testify.

Re: Private healthcare makes industries less innovative. It's time for change

#17
I think the article is looking at the wrong abstraction.

private healthcare - e.g if there's a lot of private clinics - people paid cash, then yeah healthcare costs would go down & most of the care was preventive not treatment. competition naturally will force prices down & since individuals payers won't be able to afford massive amounts, the market will adjust it's prices vs having one large payer (gvt) i.e public healthcare or many private large payers(current insurance industry).

right now - the issue isn't private healthcare - but the wrong incentives to bill insurance companies massive amounts of money. then insurance companies countering back - by having large bureaucratic processes to avoid paying those large bills. typical complex systems.

Re: Private healthcare makes industries less innovative. It's time for change

#18
post #11

Good article in general but such a misleading headline and framing. The problem, as described in the article's body, is employer-provided health insurance, not private healthcare.

it's connected via vicious cycle private healthcare is getting more and more expensive due to private prices available to bulk insurers but not for private person even if this is not completely deliberate, effect is that you are "serf of whomever pays your insurance" or go bankrupt the moment you have any kind of emergency in europe some private healthcare providers are showing their colors from different perspective…

It’s not connected at all in the US since 2011. The only thing employer provided health insurance gets you is the ability to pay for it with pre-tax income (which is a significant saving). Otherwise, you can go to healthcare.gov and buy it without an employer.

Re: Private healthcare makes industries less innovative. It's time for change

#19

Good article in general but such a misleading headline and framing. The problem, as described in the article's body, is employer-provided health insurance, not private healthcare.

Yeah, the article sort of conflates the two. It's funny that he (accurately) quotes the Cato Institute as being opposed to employer-provided health insurance... and then implies that the sole alternative is the NHS. Um, I'm pretty sure that's not what the libertarian Cato Institute was suggesting!

With all respect: what exactly is the alternative you're imagining? The market emphatically did not provide accessible private health care to individuals, largely because of the wellness trap (no one buys insurance until they need it). It existed only as extremely expensive boutique products until the government put its regulatory thumb on the scale and passed the ACA.

Employer health care may have bad externalities, but it has the extremely important (but... maybe invisible to the median libertarian) property that it constitutes collective bargaining. You can force insurers to cover folks they wouldn't want to otherwise by bringing more customers (employees) to the table.

It's so weird that even now, with the ACA having been proved out over decades, that we have to have these weird free market arguments. It didn't work, guys. It's not a good that works well in an efficient market sense.

Re: Private healthcare makes industries less innovative. It's time for change

#20
One thing that's never been clear to me is how either system plans on scaling healthcare. You have X doctors who can see (just a guess) 30X patients. Unless the number of doctors increase, some patients are going to be left out. In the current system it's those without employment. I'm other countries there's a waitlist. How can we make sure there's enough staff to provide adequate healthcare for everyone?
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