NHPR ran a long piece on health care yesterday. They decried the cost and number of un
insured. It sounded terrible. In this half hour (one hour?) piece they
never discussed some things we could do to make things better.
First off, we
could allow importation of drugs from any reasonable first world country, Canada
say, and Britain
and France and Germany
and some others. Somalia
and Bangladesh
need not apply. Drugs overseas, often of
American manufacture, are a lot cheaper than the same drugs in the US. Why you ask?
Overseas health authorities bargain over price with Big Pharma, or in
some cases have the authority to set prices.
Whereas here in freedom loving USA,
Medicare and Medicaid are forbidden by law to bargain for a good price on drug
purchases. For that matter, we could
rewrite those no-bargaining laws; all they do is increase Big Pharma’s
profits.
Secondly we could
allow health insurance companies to sell policies in all 50 states, no extra
paperwork required. Right now each state
requires all insurance companies, in state or out of state, to submit endless
paperwork to the state health authority.
The process is so bad that a lot of insurance companies just don’t
bother with smaller states like New Hampshire. This is why New Hampshire
only has TWO health insurers. Talk about
opportunity for price gouging.
Both of these ideas
require federal laws. And Congress
doesn’t pass federal laws any more, nowadays all Congress does is investigate
(harass) Trump. Which is amusing, but it does nothing to
reduce health care costs. Right now, the
US spends TWICE as much on health care as any other country in the world and US
health is no better than any other first world country.