Saturday, November 29, 2014

US health care is too damn expensive

The United States pays put 19% of GNP providing health care to its citizens.  That is a staggering sum of money.  All the rest of the world gets by pays 8% of GNP, less than half.  And, for paying all that money, US health is just fair, we rank about15th or so.  Which means 14 or so countries manage to give their citizens better health care for half the money.  Note that not one of our intrepid newsies has ever run a story explaining how that happens.  Here is my list of what we ought to do to get the price down.
1.  Competition.  Allow insurance companies to do business in every state of the union.  Right now to sell insurance in a state, the company has to do 100 tons of state paper work, and bribe a lot of officials.  It's so bad that a lot of companies just don't bother.  That's why we only have two health insurance companies up here.  Pass a federal law that says any licensed insurance company has the right to sell policies in all 50 states whether the state insurance commissions like the idea or not.  The Commerce Clause of the Constitution oughta cover this.  This will bring some choice, and perhaps some better pricing to the private insurance market.  Insurance companies will hate this idea, but companies don't have the vote.
2.  Curb the lawyers.  The lawyers should not be allowed to advertise for plaintiffs on TV.  We need a law to prevent mal practice suits for proscribing, manufacturing, selling, anything, of any FDA approved drug or device.  Even if the FDA later dis approves said drug or device.  Everyone knows that the FDA has been super cautious about approving anything, ever since the thalidomide disaster back in the '60s.  After they do approve something, it's reasonable for any man to assume it's safe.  We should not allow suits against those men just because they did something reasonable.  The lawyers will hate this, but there ain't that many lawyers in the electorate.
3.  More competition.  Allow import of drugs from any reasonable first world country, say Canada, Britain, Germany, France.  People should be able buy anything in Canada that the Canadian authorities allow on their market.  US companies often sell drugs for much lower prices overseas, mostly because the overseas authorities insist on more reasonable pricing.  Which is why drugs are often much cheaper from Canada.  People ought to be able to take advantage of this.  The drug companies hate this idea, but again, companies don't vote.  The FDA hates this idea, but that's just a turf battle.
4.  Drop the "electronic medical records" scam.  Insisting that every provider keep your medical records on his computer, just means your medical records are visible to every hacker, every employer, and every enemy.
And it costs money and is driving the smaller providers out of the business.  Large providers like this "feature", but again, companies don't vote.  

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