Comment by csa

Comment by csa 20 hours ago

2 replies

> You could zero out every dollar American insurers make and not materially alter consumer health care economics; their share of the health care pie is almost literally a rounding error.

What are you implying with this comment?

I generally enjoy reading your comments, as they provide some interesting and often unique insight.

But this one…

Either it’s something I don’t understand, or it has the potential to be incredibly misleading in its implications.

The impact of American insurers on direct costs, indirect costs, and opportunity costs of healthcare is much more than a rounding error. The incentives amongst various actors, with insurers in the middle, are massively misaligned. I’m sure you know this.

Ask patio11 about insurance in Japan. It’s incredibly affordable, it’s quite good, and there are both public and private options. It’s not perfect by any means, but I miss the healthcare options in terms of both cost and quality that I had in Japan.

tptacek 20 hours ago

I think people mistake me for saying that the American status quo is acceptable. It isn't. We overpay (and overprescribe) wildly above peer countries. It's very bad. The only point I'm making here is that the two most common villains in these narratives --- insurers and pharma companies --- mathematically account for only a small portion of spending. Insurers in particular act as sin-eaters for the providers, who dwarf them in size.

Aloisius 18 hours ago

The primary reason Japan's healthcare is affordable is because the government institutes strict price controls on healthcare providers. Every procedure, every service, every medical device and every drug has a price fixed nationally and those prices are below even what Medicaid pays.

Normally, price controls would lead to shortages, but with healthcare, there's always shortages with or without price controls and every country has to, in some way or another, ration care anyway.

If you tried to implement that here, doctors would riot (read: use their ridiculously powerful lobby to kill it or get the fee schedule increased - which they did every year for a decade when medicare dared to institute cost controls. see: medicare doc fix).