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Old 11-30-2016, 09:02 PM
 
79,907 posts, read 44,191,640 times
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Quote:
Originally Posted by njquestions View Post
No, the problem is the healthcare system is not at all free market. I don't think, no offense, you even know what a free market system would look like.
It is not free market. It's not even close. If it was a free market system the costs would be listed and you could shop where you wanted to get a procedure done and you would know the costs going in.
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Old 11-30-2016, 09:05 PM
 
1,850 posts, read 820,477 times
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Quote:
Originally Posted by pknopp View Post
It is not free market. It's not even close. If it was a free market system the costs would be listed and you could shop where you wanted to get a procedure done and you would know the costs going in.
Right, also you'd pay for a service up front. Like, when your house is flooding and the plumber shows up and you scream "do something!!' they just sit there until cash hits the hand. Which is as it should be.
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Old 11-30-2016, 09:07 PM
 
1,985 posts, read 1,456,026 times
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Quote:
Originally Posted by njquestions View Post
No, the problem is the healthcare system is not at all free market. I don't think, no offense, you even know what a free market system would look like.
Ours is a weird system but it is the most freemarket of any healthsystem in the world.
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Old 11-30-2016, 09:11 PM
 
Location: Eugene, Oregon
11,122 posts, read 5,589,229 times
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None of these attacks on Medicare and Social Security can take place, if just two Republicans in the Senate are worried enough about their own careers, to refuse to go along. The last time they tried to re-write these programs, in 2005, a lot more of them than that, backed away from it. It's likely that any measure connected to them, would need to have provisions that would benefit recipients, not take away anything, to get through the Senate. In other words, a measure that would be acceptable to the Democrats.

Last edited by Steve McDonald; 11-30-2016 at 09:26 PM..
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Old 11-30-2016, 09:16 PM
 
1,985 posts, read 1,456,026 times
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Quote:
Originally Posted by pknopp View Post
It is not free market. It's not even close. If it was a free market system the costs would be listed and you could shop where you wanted to get a procedure done and you would know the costs going in.
There's nothing in free market theory that requires pricing transparency. It likely increases efficiency in a free market but plenty of freemarket systems have opaque pricing.
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Old 11-30-2016, 09:18 PM
 
Location: Chesapeake Bay
6,046 posts, read 4,816,860 times
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Quote:
Originally Posted by pknopp View Post
It's in the law. It has nothing to do with "counting on it". In rare cases you can lose your house. They can take very little of what is in it unless it's not paid for.
Nope. It happens quite a bit. The only loophole is homestead exemptions and in many states that isn't very much. Oddly enough, Florida is one state where the market value of your house is the exemption and so can not be touched in bankruptcy. Other states are not so generous in that aspect. And you absolutely can lose your house for failure to pay medical bills.

It doesn't seem fair but that's the law and it happens. Frequently.
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Old 11-30-2016, 09:18 PM
 
1,985 posts, read 1,456,026 times
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Quote:
Originally Posted by njquestions View Post
Right, also you'd pay for a service up front. Like, when your house is flooding and the plumber shows up and you scream "do something!!' they just sit there until cash hits the hand. Which is as it should be.
Again prepayment is not a function of free market nor is it always common. Time and material contracts with payment due at the end are still very common.
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Old 11-30-2016, 09:29 PM
 
1,850 posts, read 820,477 times
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Quote:
Originally Posted by East of the River View Post
There's nothing in free market theory that requires pricing transparency. It likely increases efficiency in a free market but plenty of freemarket systems have opaque pricing.
Quote:
Originally Posted by East of the River View Post
Again prepayment is not a function of free market nor is it always common. Time and material contracts with payment due at the end are still very common.
It's interesting how incorrect you are about free market theory. That's probably why you incorrectly say that healthcare is free market currently. Note: you may then say "that's just you saying I'm wrong." You're right, I'm not even bothering in explaining what I mean because you're essentially so incorrect that it would be a complete waste of my time. Just take my word for it.
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Old 11-30-2016, 10:34 PM
 
1,985 posts, read 1,456,026 times
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Quote:
Originally Posted by njquestions View Post
It's interesting how incorrect you are about free market theory. That's probably why you incorrectly say that healthcare is free market currently. Note: you may then say "that's just you saying I'm wrong." You're right, I'm not even bothering in explaining what I mean because you're essentially so incorrect that it would be a complete waste of my time. Just take my word for it.
I'll admit I'm not an expert but I have read a few books. While transparent pricing is seen as ideal it's not usually used in identifying a free market at least in any definition or study on free markets I have read.
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Old 11-30-2016, 11:16 PM
 
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Here would be my semi free market solution.
Require all pricing be published by every healthcare provider for every service.
Require that you can choose your own doctor (no networks) many states do this with car insurance why not medical?
Health insurers and doctors would resolve claims thru negotiation. (again how other types of insurance works)
Simplify insurance plans. One deductible for primary care and another for everything else. Other then that you covered for anything medically necessary.
Keep the exchanges but remove minimum requirements see what happens. Keep subsidies at current levels.
Add more business insurance exchanges (maybe with some subsidies) to get more small employers to add health coverage.

I'd be willing to try this.
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