The end goal must be to emulate US healthcare where nobody knows what things cost and you find out only months or years after buying.
The end goal must be to emulate US healthcare where nobody knows what things cost and you find out only months or years after buying.
And also to eliminate all competition who doesn't have enough money to compete
No, surveillance pricing is used to get the maximum out of the customer, not the opposite. This needs to be illegal. If anything surveillance pricing will make the retail business MORE like the health care system, because the latter already employs these tactics: the unhealthier you are, the more you pay. Same thing as surveillance pricing.
It's a fundamental shift from:
"I sell this product for the cheapest price possible and I make everything possible in my business to be cost effective and buy from more cost effective businesses."
TO
"I don't care about cost-effectiveness. I just try to find out how to get the most money out of my customers."
> the unhealthier you are, the more you pay.
I'd re-write that as "the more you consume the more you pay". Seems normal.
In most industries, especially in electronics and computers, the more you consume, the less you pay.
Companies like Google or Amazon pay for a server computer only a small fraction of the price I would have to pay to buy it.
Similarly for any electronics or computing device or component. The same is true for any food ingredient. I can buy some spice by the kilogram at a price an order of magnitude lower than when I buy 10 grams of it.
If the same were applied in healthcare, someone with a chronic disease should pay much less for the same drug, in comparison with someone with an acute disease.
Should there be any consumer surplus?
Regarding US healthcare costs, I cannot understand why people are not in the streets with pitchforks. Most of Europe has this problem solved.
What is the root cause w.r.t. the current situation? Are there any obvious ways out? Do any US politicians have any plans for a change? Are there any discussed proposals how to reform?
> Most of Europe has this problem solved.
With paracetamol :)
(Dutch people know what I am talking about)
For those of us who aren't Dutch, please enlighten
> What is the root cause w.r.t. the current situation?
The current US is built to accomodate the top 0.1%. Their profiteering is more important than the good health of the population.
> Are there any obvious ways out?
Not really. Get money out of politics? Aggressively tax the wealthy and nationalize the entire health apparatus? Easier said than done.
> Do any US politicians have any plans for a change?
The only ones serious about it are on the progressive left, fought harshly by both Republicans and Establishment Democrats, under the guise of their respective patrons.
the US has a bigger public healthcare system than, afaik, every European country. the reason why there aren't pitchforks is also because the US is a much richer country than Europe so people are happy to pay for more healthcare. if you are rich, the marginal value of money vs more time being alive is zero (an example is orthapedics for the elderly, the US spends a huge amount in this area relative to most European countries).
it is worth considering whether could a rational person could possibly disagree with the idea that the government is best placed to decide whether extending your life is a good investment (there are European systems that are not well run which resolve this unusual ways i.e. being unable to provide basic healthcare whilst giving hundreds of millions to PR agencies, sometimes run by people who happened to work for the government...total coincidence, to run media campaigns to "prevent" ill health).
it is not simple. there are largely private systems that run very well, funnily enough most of these are in Europe. there are public systems that run very badly, again many of these are in Europe. the discussion of public vs private is largely not relevant or particularly interesting (do people think that doctors just work for free in Europe? they do not, the incentives when you try to create a cheaper healthcare system by underpaying doctors, which exists in parts of Europe, creates some very bad situations i.e. an overreliance on doctors from Africa who have unknown training, Americans tend not to have imagined the scenario where healthcare is "free"/paid with taxes but they are being operated on by someone who can't speak English).
The US also pays relatvely more, not just absolute. Where could I see the US system delivering then? Not sure the data is so clear cut there.
> the US has a bigger public healthcare system than, afaik, every European country
In which metric(s)? Afaik, life expectancy is lower in the US than in most of western Europe. And Americans are known to pay much more than Europeans on healthcare, on average.
Life expectancy for a country of 300m compared with a subsection of Europe that is most wealthy...seems like a fairly disingenuous comparison.
Are you one of those people that believes most American schools are shooting ranges too?
All of the problems in the US are concentrated in subsections of the population (just as in Europe). America is a wealthy country that has a mix of south American and African problems attached to it. There is no healthcare system that is going to be able to fix this. Europe has the same problem, the difference is that share of the population was typically much smaller than the US.
I didn't say anything about the cost of healthcare on average. The US already has a public healthcare system, it doesn't work well expecting that to magically improve is not smart (again, particularly when you have evidence from other countries, even in magic Europe-land, that private healthcare can work effectively).
It's "bigger" in the sense it spends more money per capita. Something very American exceptionalist about the OP suggesting that this is somehow more relevant than it covering fewer people and treatments.
The point is that Europeans seem to believe that the US does not have a public healthcare system, it does.
I am not sure what your point is about covering fewer people either. The point of public healthcare systems is that there are redistributive, correct? The reason the US public healthcare system does not cover everyone is because there are people who can pay for their own healthcare...which is the same in Europe. I live in Europe, in a system with "free healthcare", I pay $100/month for private healthcare because queues for most things are multiple years long AND I pay $1-1.5k/month for other people to use the public healthcare system I can't use.
> life expectancy is lower in the US than in most of western Europe
Could be more tied to poor diet and lifestyle, and not the healthcare system itself.
Like if you sit on the chair all day on your remote job, then move to the couch for after-work Netflix and PS5, while you drink soda and eat processed food, then the only time you leave your house is you drive your Tesla/F-150 to Walmart and McDonald's, there's no magic healthcare system in the world that can undo decades of self inflicted damage.
Meanwhile people in some impoverished balkan town could end up living longer because they spend their entire lives moving outdoor all day in fresh air and only eat organic what they grow on their plot of land, even if their hospitals and healthcare systems are significantly worse than what americans have.
There's way more variables to life expectancy than just the healthcare system.
>the US has a bigger public healthcare system than, afaik, every European country.
Probably because Europeans commenting don't know how big Medicare and Medicaid are.