Discussion about this post

User's avatar
Nakayama's avatar

Private clinics and hospitals tend to be for-profit but more efficient, while governmental clinics and hospitals tend to be for-service but less efficient. If we have a mix of both types, then people with different needs can pursue different solutions.

The core issue of the medical cost crisis (there are multiple crises within the medical field) has to address the two basic issues: (1) for-profit medicine will pursue profits; and (2) the more middlemen in the chain between medical service and the patients, the higher the cost. Who is the most important middleman? Medical insurance, including government-run medical insurance.

How to get there? (1) Single pricing to all medical services, whether a patient comes in from a certain medical insurance network or just walks in. Let insurance companies stick to their risk-sharing principle but not dabble in volume pricing. (2) Remove the tax exemption status of company-paid medical insurance or force companies to give out vouchers. Therefore, spread the decisions made by the company CEO/CFO to individual employers. It is easy to buy out the CEO and CFO with kickbacks. But the only way to buy out general medical customers is good service.

Paulette's avatar

Another side of this issue is that many people are sicker after Covid vaccination. Which means many more doctor visits and specialists as well. So health insurance is being used much much more.

No posts

Ready for more?