Health Economic Science Past Times Anecdote
In a big-think post "Is capitalism sustainable" on Project Syndicate, Ken Rogoff set inwards this trivial zinger
It's hard to know if the auto mechanic is doing a skilful job. Get laid upwards for the Federal takeover of the auto industry. I can't say B degree exterior from Influenza A virus subtype H5N1 degree interior plywood, together with thus nosotros take away a Federal takeover of habitation rehab. Vets together with dentists piece of work exterior of the volume of stifling wellness tending together with insurance regulation, together with thus I justice they're inwards for the handling next.
Is it actually that much harder to assess the character of handling for all wellness tending than the other services nosotros receive? For all medical care, non only extreme cases? Actually, my MD complains that everyone who comes inwards has spent a calendar week on the cyberspace together with knows likewise much close handling options. The cyberspace is ushering inwards a grand era of star ratings together with consumer information.
Where is the evidence? Just this form of armchair declaration has been used for centuries (remember the guilds?) to justify competition-stifling rule of all sorts of businesses. Milton Friedman's PhD thesis showed that licensing doctors was skilful for raising doctor's salaries, but didn't attain much for the character of wellness care. (His afterwards essay on wellness economics is nevertheless a classic.)
And every bit always, the existent declaration for the complimentary marketplace is non that the marketplace is perfect, but that the authorities is unremarkably far worse. Do nosotros stimulate got whatever evidence that authorities regulators assess the character of tending improve than the people whose lives together with coin are at stake? Is at that topographic point whatever vaguely plausible mode that the modest asymmetric data inwards wellness tending justifies the monstrous organisation nosotros stimulate got constructed?
Rant over. But really, at that topographic point is a lot of terms passing around anecdotes similar these every bit if they are agreed-on economical facts, representing both documentation together with a serious cost-benefit tradeoff of feasible alternatives.
(I've written a chip to a greater extent than on free-market heath insurance here. )
Influenza A virus subtype H5N1 3rd work is the provision together with distribution of medical care, a marketplace that fails to satisfy several of the basic requirements necessary for the toll machinery to create economical efficiency, kickoff alongside the difficulty that consumers stimulate got inwards assessing the character of their treatment.Ok, a difficulty of the blogging/oped medium is that you lot stimulate got to continue things short, together with I likewise loathe to hold upwards quoted for trivial snippets out of context...But, really, Et tu Ken?
It's hard to know if the auto mechanic is doing a skilful job. Get laid upwards for the Federal takeover of the auto industry. I can't say B degree exterior from Influenza A virus subtype H5N1 degree interior plywood, together with thus nosotros take away a Federal takeover of habitation rehab. Vets together with dentists piece of work exterior of the volume of stifling wellness tending together with insurance regulation, together with thus I justice they're inwards for the handling next.
Is it actually that much harder to assess the character of handling for all wellness tending than the other services nosotros receive? For all medical care, non only extreme cases? Actually, my MD complains that everyone who comes inwards has spent a calendar week on the cyberspace together with knows likewise much close handling options. The cyberspace is ushering inwards a grand era of star ratings together with consumer information.
Where is the evidence? Just this form of armchair declaration has been used for centuries (remember the guilds?) to justify competition-stifling rule of all sorts of businesses. Milton Friedman's PhD thesis showed that licensing doctors was skilful for raising doctor's salaries, but didn't attain much for the character of wellness care. (His afterwards essay on wellness economics is nevertheless a classic.)
And every bit always, the existent declaration for the complimentary marketplace is non that the marketplace is perfect, but that the authorities is unremarkably far worse. Do nosotros stimulate got whatever evidence that authorities regulators assess the character of tending improve than the people whose lives together with coin are at stake? Is at that topographic point whatever vaguely plausible mode that the modest asymmetric data inwards wellness tending justifies the monstrous organisation nosotros stimulate got constructed?
Rant over. But really, at that topographic point is a lot of terms passing around anecdotes similar these every bit if they are agreed-on economical facts, representing both documentation together with a serious cost-benefit tradeoff of feasible alternatives.
(I've written a chip to a greater extent than on free-market heath insurance here. )
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