Earlier quoted context omitted.
> The second you detach the consumer from the > price of something, even through an > intermediary such as health insurance, that > is when they stop caring about how much > something costs, and so the price jumps. In reality, this claim doesn't survive a cursory glance at the OECD's numbers for health expenditure per capita[1]. You'll find that (even ignoring the outlier that is the US health care system) that in so…
If consumers actually directly paid the whole cost for health services (as opposed to a fixed price, like a $20 copay, etc.), the prices charged would become far more regular. An easy way to examine this is to compare the price of over-the-counter versus pharmaceuticals. If a third party weren't paying for them, the price would have to either come down to something affordable to the average person, or else the market…
If you look at e.g. the per-dose price of insulin it's as low or lower in countries with single-payer universal systems, where someone requiring insulin is never going to have any idea what it even costs, because it's just something that's provided for them should they need it.
In that case it's usually some centralized state purchaser that has an incentive to bring prices down, or a government that has an overall incentive to keep the inflation of its budgetary items down, which ultimately comes down to public elections etc.
In any case, a much more indirect mechanism than someone who'd be directly affected paying the costs associated with the product, which directly contradicts this particular argument.