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Oct 17 2019 05:41pm
Quote (Thor123422 @ Oct 17 2019 04:37pm)
Having a larger group to negotiate the cost of services does reduce cost though


Most health insurance companies have more negotiating power than entire countries and due to Obamacare, administrative fees can't exceed 15%. The cost of medicine itself, is too damn high.
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Oct 17 2019 06:00pm
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Oct 17 2019 06:23pm
Quote (thundercock @ Oct 17 2019 07:07pm)
Right, but you at least have the flexibility to adjust your plan according to your needs. Regardless though, coverage isn't really an issue in the US, it's the cost. I honestly think we need price controls, starting with pharmaceuticals.


I had lunch with the chief of staff of the largest hospital system in my metro area few days ago. Before that i talked to the chief medical officer of a large insurance company. The two biggest drivers of cost right from the horses mouth are healthcare workers salaries and drugs. The answer is not price controls but deregulation for the latter. Pharma lobbyists make up the biggest portion of lobbying dollars in our country. They lobby for regulation that exclude cheaper drug competitors from places like Canada and Europe.

Price controls are market distorting, so from an economics perspective allowing free market competition would be much healthier for reducing costs.
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Oct 17 2019 06:31pm
Quote (ofthevoid @ 18 Oct 2019 02:23)
I had lunch with the chief of staff of the largest hospital system in my metro area few days ago. Before that i talked to the chief medical officer of a large insurance company. The two biggest drivers of cost right from the horses mouth are healthcare workers salaries and drugs. The answer is not price controls but deregulation for the latter. Pharma lobbyists make up the biggest portion of lobbying dollars in our country. They lobby for regulation that exclude cheaper drug competitors from places like Canada and Europe.

Price controls are market distorting, so from an economics perspective allowing free market competition would be much healthier for reducing costs.


While true, medical research is both necessary and fucking expensive at the same time, so there is a need for patenting and other market-distorting measures to incentivize investment into medical progress. The tldr is that healthcare is a field where free markets are not the ultimate solution to everything and will not lead to optimal outcomes. Neither is socialism btw.

This post was edited by Black XistenZ on Oct 17 2019 06:31pm
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Oct 17 2019 06:50pm
Quote (ofthevoid @ Oct 17 2019 05:23pm)
I had lunch with the chief of staff of the largest hospital system in my metro area few days ago. Before that i talked to the chief medical officer of a large insurance company. The two biggest drivers of cost right from the horses mouth are healthcare workers salaries and drugs. The answer is not price controls but deregulation for the latter. Pharma lobbyists make up the biggest portion of lobbying dollars in our country. They lobby for regulation that exclude cheaper drug competitors from places like Canada and Europe.

Price controls are market distorting
, so from an economics perspective allowing free market competition would be much healthier for reducing costs.


Yes, and so what? Every other country in the world has them. For instance, in Belgium, and hip joint has a MAXIMUM cost otherwise you're forbidden from selling it. Obviously the manufacturer will take some profit over zero profit. We need the same thing in this country as well. Start with drugs and go from there.
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Oct 17 2019 07:04pm
Just make generics legal like we did *shrugs*
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Oct 17 2019 07:37pm
Quote (thundercock @ Oct 17 2019 08:50pm)
Yes, and so what? Every other country in the world has them. For instance, in Belgium, and hip joint has a MAXIMUM cost otherwise you're forbidden from selling it. Obviously the manufacturer will take some profit over zero profit. We need the same thing in this country as well. Start with drugs and go from there.


The so what is you can use better mechanisms rather than market distorting ones. Opening the pharma market to international competition would be a net good for reduction of healthcare costs. Once you do that you won't need price ceilings because they would reduce their prices organically to compete with cheaper drugs to a market equilibrium. I think this should be a bipartisan effort and hopefully it happens. Maybe a combo plan happens, but this is definitely something they could come together and work on, i just hope they don't pussy out and go for very weak changes.

Quote (Black XistenZ @ Oct 17 2019 08:31pm)
While true, medical research is both necessary and fucking expensive at the same time, so there is a need for patenting and other market-distorting measures to incentivize investment into medical progress. The tldr is that healthcare is a field where free markets are not the ultimate solution to everything and will not lead to optimal outcomes. Neither is socialism btw.


I'm okay with sacrificing some small innovation to reign in costs. It's fucked up for Americans to pay 300 dollars for 2 generic epi-pens when in UK you can get one for like 40 dollars.

Why can't we import them from the UK? No matter how you cut this, it's a win for our country.

This post was edited by ofthevoid on Oct 17 2019 07:38pm
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Oct 17 2019 07:47pm
Quote (ofthevoid @ Oct 17 2019 06:37pm)
The so what is you can use better mechanisms rather than market distorting ones. Opening the pharma market to international competition would be a net good for reduction of healthcare costs. Once you do that you won't need price ceilings because they would reduce their prices organically to compete with cheaper drugs to a market equilibrium. I think this should be a bipartisan effort and hopefully it happens. Maybe a combo plan happens, but this is definitely something they could come together and work on, i just hope they don't pussy out and go for very weak changes.



I'm okay with sacrificing some small innovation to reign in costs. It's fucked up for Americans to pay 300 dollars for 2 generic epi-pens when in UK you can get one for like 40 dollars.

Why can't we import them from the UK? No matter how you cut this, it's a win for our country.



Pro capitalist right winger:

"Epipens are too expensive in free market capitalist America, why aren't we importing them from the socialist UK where they are cheaper?"

This post was edited by inkanddagger on Oct 17 2019 07:50pm
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Oct 17 2019 07:49pm
Quote (inkanddagger @ Oct 17 2019 09:47pm)
Pro capitalist right winger:

"Epipens are too expensive in free market capitalist America, why aren't we importing them from then socialist UK where they are cheaper?"


You can buy generic epipens from CVS

Quote (thundercock @ Oct 17 2019 08:50pm)
Yes, and so what? Every other country in the world has them. For instance, in Belgium, and hip joint has a MAXIMUM cost otherwise you're forbidden from selling it. Obviously the manufacturer will take some profit over zero profit. We need the same thing in this country as well. Start with drugs and go from there.


Id agree with this for some medications. For some its pointless because generics are on the way.

This post was edited by EndlessSky on Oct 17 2019 07:50pm
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Oct 17 2019 07:51pm
Quote (EndlessSky @ Oct 17 2019 06:49pm)
You can buy generic epipens from CVS


Capitalists captured the regulatory system. Because that's what capitalists do when they are free to compete their way into monopolistic power.

The "Free market" is fantasy just like fire-breathing dragons and unicorns. It has never existed, it will never exist.

Also,

NotTrueCapitalism™️

This post was edited by inkanddagger on Oct 17 2019 07:53pm
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