Skip to comments.Free Market Health Care Insurance?
Posted on 03/19/2017 6:40:24 AM PDT by Kaslin
In the Constitution, you will find liberty right up front in the Preamble. You will not, though, find any mention of a free market, regardless of how much you search.
Free Market emphasis is an aspect of a philosophy supported by Libertarians and nouveau Conservatives called Free Marketers."
Many talk show conservatives repeat the Free Market dictum ad nauseam, and rant against any government-involved system, always claiming that what the central government does, the Free Market can do better. They repeat this mantra in spite of the fact that we have had a state capitalism economic system for more than fifty years.
They point to the failures of the central government and to the successes of the Free Market. I support a Free Market economy. I'm not peddling Communist centralization, but I dont want America nailed to a Free Market cross for every endeavor done on behalf of the American people. At its extreme, Libertarians promote the privatization of the National Parks and Free Marketers promote open borders on trade.
They never count the failures in the Free Market or talk about the cutthroat competition. Competition yields a lot of carnage alongside success. The consumer may or may not always be the beneficiary of competition; sometimes competition actually stifles the market. It takes a lot of money to promote an idea today. There are only so many Apples starting out in garages concomitant with a brand new industry.
Many great innovations fail, either never getting to market or killed by the market itself - wary of competition for its success stories. Profitable ideas often die hard.
Buying clothing or auto insurance is not the same as buying health insurance, and health insurance is not the same as Health care. The new Republican plan is a health insurance plan - access to health insurance - not to doctors and the delivery of health care. There is little discussion about cutting out an entire level of costs in the delivery of health care by eliminating insurance where it is not necessary.
To conservatives, Free Market medicine is competition among insurance companies; lowering the cost of insurance - providing financial assistance for insurance through complicated tax credits - and ultimately, for those who don't have don't have VA care or insurance through work, or enough money to purchase insurance, providing Medicare or some other government single payer insurance.
Yes, I would like to see a Free Market system that would drive down the cost of medical care - not drive down the cost of insurance to pay for expensive medical care. Now, of course, you don't necessarily want the cheapest medical care, one that is only cost-oriented; you want decent health care, and, in fact, that can be obtained at reasonable rates. There are some independent doctor / medical groups doing just that. They have negotiated drug prices down to basement levels and they offer programs for doctor visits - and surgical procedures all at very affordable rates.
A similar system on a large scale can be designed.
As Americans we believe that the less government involvement there is in our lives the better off we are. But, sometimes government is able to help things along; and, yes - that requires careful attention to what it does.
That was actually the basis for a debate between Patrick Henry and James Madison over the proposed Constitution. Madison promoted a larger more powerful central system, declaring that it would better secure our Liberty. Henry didn't focus on the system - he focused on the goal - Liberty. These days, all we hear about is how the government shouldn't get involved with anything we do, and we wish there were a Madison to help us out - the very man who promoted the large government. Ironically, when it comes to health care, just like that scoundrel Madison, I want the government to help.
Maybe we have to take a deep breath and a long look at what we have, and what we want. I'm not for allowing government intrusion in my life, just putting aside the tall tales of what would produce that intrusion.
Like Henry, I judge things by their effect on individual liberty. And, there are ways that government can promote the general welfare and not infringe on our liberties. That's the plan I would like to see, one which stops yakking about Free Markets and instead discusses freedom from government intrusion while promoting the general welfare.
Intrusion is what is wrong with any single-payer system, or any program that directly involves the Federal government in the delivery of medical care, yielding intrusion in our lives. It should be obvious to Americans that providing benefits that are associated with the current personal income tax system is wrong. The current invasive tax system needs to be abolished, not used as a tool to make an insurance scheme work.
I'd like a plan that both Madison, the big government promoter, and Henry, the goal-oriented defender of Liberty, might like. I would like one that thought of the Free Market in terms of people being free to obtain affordable health care, without all kinds of tax devices and formulas and concern for the insurance companies. A plan that allowed for parallel methods of delivering health care, individuals paying for it directly, or purchasing private insurance or having the central and state governments reimbursing counties all across the country for the cost of delivering health care received from doctor's visits and hospital stays for surgery and prescription drugs.
Much of the funding would come from the general funds of the central government and the states. Insurance companies could still offer premium insurance. They might even benefit from the cost savings derived from county hospitals and local doctors participating in group buying power consisting of over 300,000,000 people.
I support a Free Market health care plan, not a Free Market insurance scheme.
Free Market Healthcare.. Fixed it. Insurance middlemen need to go. They aren’t providing any care at all. I am looking into dropping my ins and moving to catastrophic. I could use that 5k a year for more important things. It would also allow me to work as a contractor on my own. I am honestly just a bit timid about it. Need to find healthcare proveders with cash or monthly plans.
The fundamental flaw with “free market” insurance...
Until you have the patient involved in the purchase of the service, you will never have a “free market.”
When it is free and someone else is paying, the recipient of the said service will not care if a simple service that should cost $10 ends up costing $10,000.
The author understands little of free markets, liberty or the proper role of government.
Any similar groups in Texas?
The “independent doctor medical groups” in the article links to a group with a good idea. (Sadly, lots of states disallow these arrangements because it’s not “insurance”.)
For about the cost of a gym membership, one would have access to common and recurring medical care. Add that to an HSA and a catastrophic coverage plan, and some answers can be clear.
Almost NONE need Obamacare “insurance” with it’s mandates, bulk, waste and expense. Some folks need a helping hand, and that’s what States should do, under control of the voters of that state.
But, some things you should just pay for. Cash, write a check, use a debit credit card. As
this article makes abundantly clear, and is often purposefully obfuscated in the debates, Insurance is not Medical Care.
The best thing in this article is to NAME what everyone wants. It’s not insurance. It’s medical care. We don’t really want insurance except for catastrophic, which each insurance purchaser hopes he will pay for in vain. It’s a bet we make with an insurance company that we might need it and they are hoping their customers won’t need it.
And we do want actual medical care to be closer to its actual value. No “copays,” which remove logic from the value of seeing a doctor. Seeing a doctor should cost more than a plumber and less than a lawyer. So, $100-200 for a routine office visit. And you should be able to find clinics that drop that down to $50-80 in some parts of town or for poor people, maybe even a few free clinics operating on charity funds. And certain specialists charging more.
And boutique or concierge medical services SHOULD spring up like mushrooms. Doctors should get a few together, plus a lab and a physical therapist and maybe some other specialties or caregivers, and ask for a monthly fee for “free” use of their services.
Any system that works for doctors and their patients should be allowed and encouraged. We all, both health professionals and patients, should not be working for the government or insurance conglomerates. It’s all wrong.
To the original poster who wants more straight up fee for service, ability to use any doctor you choose in the country, definitely join a health share. I recommend mine, which is Liberty. Reasonable deductible and after it’s met they pay in full every other medical bill.
Yep, free market is good, but if government wants to help, tax credits for all medical expenses are a must.
Seeing a dr should cost less than a lawyer? You kiddin? A plumber has about 3 years training , a lawyer 7, and a physician 10-11. Drs. Are worth at least double what lawyers claim to be worth, and that is a stretch. Plumbers are on par with lawyers. Many physicians are in very high stress situations dealing with life and death. Half the lawyers are as crooked as their criminal clients. Look to the Clintons and Obamas for sterling examples of the peak of the profession and reassess your ranking.
We are doomed.
You are exactly right.
This author implies that a free market would destroy hospitals and other care facilities.
He doesn’t seem to remember that in Canada (for example) there are entire wings of hospitals that go empty while patients suffer and die while on treatment waiting lists.
In a free market system, there would be very few empty beds or untreated patients. The demand would drive supply, instead of being completely cut off from it, and the pricing would keep the system from being clogged with freeloaders.
> To conservatives, Free Market medicine is competition among insurance companies; lowering the cost of insurance - providing financial assistance for insurance through complicated tax credits - and ultimately, for those who don’t have don’t have VA care or insurance through work, or enough money to purchase insurance, providing Medicare or some other government single payer insurance.
Nah. That’s Republicans. Fake conservatives.
Sean Hannity had these doctors who already are practicing free market healthcare
The writer hits on a good point.
Recently expressed to me by a sensible person.
The purchasing power on the private market of a group medical plan consisting of 300 million people in the richest country on the planet would be incredible.
All the government would have to do is set up the group and negotiate the cost with the ultimate insurer: most insurers simply sell their contracts anyway as middlemen as the article notes.
That ultimate insurer would probably be Munich Re or Allianz AG, two of the largest reinsurers in the world. Or a consortium out of London.
It wouldn’t matter. The actual cost of having a policy would be ludicrously low. A bare bones policy subsidized by the States for the poorest 5% would most likely be a small fraction of the current idiot schemes.
The reality we all live under is that there are too many hands the money is crossing through to get to real cost savings.
No thank you. If anything, the govt should force states to relax the regulations that prevent competition and coddle the trial attorneys.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.