• sugar_in_your_tea@sh.itjust.works
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    7 months ago

    Why not? Companies that make pharmaceuticals, prosthetics, imaging devices, etc are all on the stock market too, so if hospitals weren’t on there, you could build a portfolio to approximate it by buying producers of medical equipment.

    The real issue isn’t whether something is publicly traded, but collusion between groups to keep prices high. For example, it’s mutually beneficial for insurance, hospitals, and medical equipment providers to increase costs. Higher equipment costs means care providers can charge more (what’s another few hundred when the bill is in the thousands?), and higher total bills means insurance companies can charge higher premiums (they’re usually limited to a certain percent of cost as profit). Hospitals generally don’t have direct competitors since it’s prohibitively expensive to build one and there’s lots of bureaucracy based on “need,” so you can’t just go next door to an org that’s not involved in the collusion.

    Here’s some YouTube videos about it:

    There are lots of viable solutions here, but banning them from the stock market isn’t going to solve anything. The first order of business imo is making everything more transparent.

    • Shayeta@feddit.de
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      5 months ago

      Because demand and supply don’t self-regulate healthcare. How much do you value your health? How about your own life? Oh, you’re willing to pay ANYTHING to live? Even if it’s not life threatening as long as it leaves you crippled, unable to work, you may as well be dead.

      As a customer the only way to be an informed buyer is to be a physician yourself. Even if a treatment doesn’t work you still get charged, no refunds!

      For-profit healthcare is fundamentally inhumane and is incompatible with capitalism. The forces that would usually regulate the market are non-existant. Demand is infinite, undercutting is pointless, customers have no way to be informed.

      • sugar_in_your_tea@sh.itjust.works
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        5 months ago

        There’s a huge difference between emergency, life threatening care and relatively routine care. For example, if I need to get a tooth extracted, I can certainly wait to shop around a bit, and living with some pain for a few days could be worth finding a cheaper solution. I can also choose between hospitalization and self-care in many circumstances as well (e.g. normal baby delivery can happen at home or in the hospital).

        For those cases where informed decisions are possible, supply and demand can work efficiently. It doesn’t work as well when there’s a monopoly on care, like in an ER, ambulances, etc.

        And no, you don’t need to be a physician to be informed, you just need to consult one. I may not know the practical difference between operations, but I do understand chances of success and costs, and I know how to get multiple opinions and decide from there. That works for any field, I can convert a problem from needing an expertise to evaluating experts. Tell me what expected outcomes, the chances of various outcomes, and the costs, and I’ll get a second or third opinion if I’m not satisfied.

        This gets even better the more transparent things are, because other experts can do independent reviews. A newspaper, for example, can hire a physician to review posted prices for routine operations and give an idea of how realistic those costs are. Insurance companies so exactly that, so I don’t see why a private organization couldn’t. News organizations routinely consult experts on stories.

        But there are areas where there’s a monopoly, and those mess up the market’s ability to regulate prices. That’s why I’m in favor of universal coverage for emergency care, but against universal coverage for other forms of care.

      • sugar_in_your_tea@sh.itjust.works
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        7 months ago

        I disagree.

        I know it’s an anecdote, but I have a coworker that shared an experience moving from Canada to the US, and they said they much prefer the American healthcare system to the Canadian system. This is from the perspective of a relatively well off individual (not rich, just middle to upper middle class), so obviously someone at the bottom end of the income spectrum would have a different opinion.

        So my question for people who promote socialized medicine is this: if you could easily afford both, would you prefer socialized or privatized medicine? And why?

        I think we have a cost problem, not a structural problem, so we should look at ways of reducing cost before completely changing the structure of our healthcare system. My primary concern is getting insurance away from employers, publicly funding emergency services, and making hospital costs more transparent (e.g. publicly posted price ranges for common procedures). As in, reform the current system, not replace it.