phgreek
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One of the problems with the health insurance system is that consumers are detached from the cost of their care. If you're going to buy a pair of jeans, it might be relevant to know that Levis charges $60 and Wrangler charges $30. Weighing price versus quality and convenience would affect your decision. If you walk into a hospital, you likely don't give a damn what they charge because the insurance company is going to pay for it so you don't bother shopping around. Without shopping around, competetion can't function properly to drive prices down and the supplier can basically charge whatever they want. Most of the time when insured people actually pay for healthcare, it's because they assumed it would be covered by insurance but it was not.
agreed...
just like allowing/forcing/clearing the way for insurance companies to compete nationally w/o artificial geo-barriers. These are potential economy of scale things which help drive cost down through unbridled competition. Don't need a huge ACA to get that done, and evaluate its impact.
I'm great with putting the burden of shopping on the consumer a little...I wish my insurance company would require me to provide 3 bids for any non-emergency procedure or service. I will say that the reluctance to do that...I also understand, since I have come to know intimately the impact of low bidder on quality of service...tricky. But it is a reasonable thing to think about...Put it this way...I'd rather that than ACA.