If that is what he thinks drives healthcare costs in America he is probably not worth having a discussion with. And even in the case of " elective " surgeries I doubt you can really compare costs or quality of outcomes.
Major insurance companies operate in multiple states. Funny how conservative always claim local governments are more efficient that the national government and yet argue the opposite for heath insurance.
Believe you are confusing cost increases on the health insurance exchanges with increases in healthcare costs in general.
By golly I think you just expained why America needs a single payer system! Just kidding of course. Most Americans don't budget well enough to even be able to pay minor healthcare bills with cash. And the current system is such that if you actually pay cash for medical care it will be three to four times what the insurance companies would pay for the same procedures. Insurance companies get much better rates than individuals because they have the bargaining power.
If you go to this link it will give some interesting data on healthcare costs. Pay particular attention to the data on percentage increase from previous year section. Note that in general cost increase came way down since Obamacare. https://www.cdc.gov/nchs/data/hus/2016/094.pdf
they claim local govt corruption will be better contained not that a tiny local govt is more efficient except at containing corruption in the local area. No one would argue that each locality should have it own toothpaste company or health insurance company etc. that would be very very inefficient. Make sense now?
why would they learn when the govt is doing it for them? the more govt does the less people do. It a simple lesson.
comparing all industries since all industries get better when they are forced to compete on basis of price and quality.
problem solved by forcing all providers to publish prices like they do for cars or toothpaste. the more soviet govt interferes with the free market that higher the price and the lower the quality because all the incentives for low cost and high quality are destroyed. In the end 60 million slowly starve to death.
Healthcare is NOT a commodity... https://extranewsfeed.com/5-reasons-healthcare-is-different-from-every-other-commodity-82c58a21a92e
govt and private sources rate outcomes all the time. Death for example is a bad outcome easily measured. Make sense?
most stuff is not a commodity. A commodity is typically sold without a brand and priced by weight or volume. Wheat is a commodity for example. Sloan Kettering is not a commodity, it is the best brand in cancer. Make sense?
if so it would be just coincidence anyway. Putting 15 million on Medicaid does not reduce cost increases. Competition is what would drive a cost decrease.
HSA does what you want without resorting to having a beuracracy price tag everything. Vouchers could be used for some things that can be easily diagnosed and have cost that can be nailed down. A lot of stuff is not easy to diagnose and can come with a lot of unexpected or hidden costs. With an HSA there is no copay and you pay a percentage out of your account so if your doctor visits cost a lot you can find a new doxtor or find cheaper prescriptions.
who said anything about a bureaucracy price tagging anything? Each provider would have to publish his prices thus you would have price competition.
No I didn't. I explained why America needs to get off the curreb t health insurance model, no matter who pays for it.