Well now that own money is ruled out why do you think vouchers will reduce costs? And you might want to explain who pays for the vouchers, the new gov't agencies you are going to establish to handle them, etc, etc.
The OP is so simple as to be nonsense. The only place published prices could possibly work is elective surgery or standardized testing assuming there was no urgency.
So we already have insurance companies operating across state lines. On to the next silly idea for reducing the cost of insurance.
That's the cost of health insurance, and that's only employer sponsored plans if I remember correctly.
Have you ever been admitted to a hospital with a serious problem. The doctors order the tests, the nurses order supplies and the length of your stay is out of your control. You don't get to bid on anything and other specialists are called on without consulting you and they may order even more testing or infusions or drugs . Pretending you have any control when admitted on an emergency basis is nonsense. And even if you have time before admission to make cost comparisons once the surgeries start and things go wrong you have zero control and would not be competant to make decisions even if you wanted to. As a very simple example I had a simple hernia surgery in a highly rated hospital with in theory the areas best surgeon and ended up with an infection that required two more surgeries, two weeks of home nursing and twice daily intervenous antibiotic injections as an outpatient for two weeks. Want to guess how much bigger the final cost was than the original estimate?
Another interesting point in your link. Notice the drastic drop in research and development dollars spent.
You are correct on emergency care. Everyone talking about shopping for services is talking about routine care. When it comes to emergencies, your choices are ALWAYS smaller. It doesn't matter what the industry or incident is.
And I won't even mention my colon surgery that ended up at about three times the original estimate. Fortunatly I had it all done in India or I would be now living in the poor house or debtors prison.
if you don't remember what you learned you will be a liberal for the rest of your life. How would you like that? Insurance companies don't operate across state lines because each state has its own requirements by law. Crest Toothpaste sells the same product in each state.Economies of scale lead to national competition and national lower prices. Makes sense now?
so you do understand the value of international competition and national competition? Imagine the cost of toothpaste if liberals required each state in America to have its own toothpaste.
We used to have a joke about economies of scale in the hospital industry.. It went: "Do you want fries with your pap smear?"
we're not talking about jokes but rather about how competition reduces prices and makes consumers richer.
Why is that even a question. I am not a isolationist. That said it does require a bit of guts to go to a foreign country for major surgery. But in line with the rest of the discussion this wasn't a bidding process. And there was another American I met who went without the aid of a Medical tourist agency and ended up in a hospital that was totally unacceptable. The hospital I was in would put most American hospitals to shame.
govt should encourage competition so that hospitals with high re admission rates and failed surgeries are eliminated by competition. Even Obamacare attempted to do this with financial incentives. The only realiable way to do it though is with daily competition. Make sense now?
Anyone who thinks toothpaste and healthcare are comperable should probably refrain from posting and leave the discussion to those who have a clue.
of course if true you would not be so afraid to explain the essential difference between the market for toothpaste and health care.