Hospitals are local monopolies.
When you’re having a heart attack, you’re not going to read weekly hospital flyers.
What insurance companies do (and what the lady does) is to try to bring market force in by threatening to place a hospital out of network. That doesn’t work very well.
What I have suggested:
For health care, bring on market force:
1. Break most hospitals into two highly competitive entities
2. Convert other hospitals into real estate leasing entities with competing surgical suites and nursing wings
3. Separate out drug coverage so hospital systems can run care coverage systems and cut out insurance company overhead and meddlers.
4. Create interstate drug plans that don’t have to cover every drug....Group and exchange plans to offer vouchers at plan set amounts for out-of-formulary drugs.
For health care, bring on market force:
1. Break most hospitals into two highly competitive entities
2. Convert other hospitals into real estate leasing entities with competing surgical suites and nursing wings
3. Separate out drug coverage so hospital systems can run care coverage systems and cut out insurance company overhead and meddlers.
4. Create interstate drug plans that don’t have to cover every drug....Group and exchange plans to offer vouchers at plan set amounts for out-of-formulary drugs.
and....
Provide a National Formulary of American manufactured drugs for standard problems (hypertension, antibiotics, cholesterol, diabetes, anticoagulation, ect.) that are they get with a standard deductible monthly, that is small.