I favor market driven healthcare allowing competition and a reduction of govt regs to lower costs . I don’t think we have ever had a free market HC system unless it was back in the 50s.
If people were given a tax write off for their HC expenses and/or health insurance, more would buy their own policy, they could keep it when they leave said employer.
Everyone could be given tax free HSAs or HRAs so people would treat their healthcare expenses as they would other expenses. In Indiana, HSAs reduced healthcare costs by 11%. Add high-deductible low cost plans for catastrophic care and we have low cost insurance that protects people from bankruptcy caused by major expenses.
Competition could be introduced into the marketplace in various ways.
We could require pre-service price transparency from hospitals and doctors.
Competive bid systems could be developed across the board.
Of course policies should be sold across state lines.
Medicare Part D is a great example. It requires private insurance plans to submit bids giving the premium they will charge to provide covered drugs. The CBO estimated the cost would be 128B but actual cost came in at $55B and the actual costs have continued to be significantly less than the CBO prediction.
Now I realize that there are people who are very sick and/or can’t afford to buy any insurance even catastrophic. These people (maybe 10% of the people) should be put into a separate category and the govt would have responsibility for their care and leave insurance companies out. Everyone else would be in the private market system.
If people were given a tax write off for their HC expenses and/or health insurance, more would buy their own policy, they could keep it when they leave said employer.
Everyone could be given tax free HSAs or HRAs so people would treat their healthcare expenses as they would other expenses. In Indiana, HSAs reduced healthcare costs by 11%. Add high-deductible low cost plans for catastrophic care and we have low cost insurance that protects people from bankruptcy caused by major expenses.
Competition could be introduced into the marketplace in various ways.
We could require pre-service price transparency from hospitals and doctors.
Competive bid systems could be developed across the board.
Of course policies should be sold across state lines.
Medicare Part D is a great example. It requires private insurance plans to submit bids giving the premium they will charge to provide covered drugs. The CBO estimated the cost would be 128B but actual cost came in at $55B and the actual costs have continued to be significantly less than the CBO prediction.
Now I realize that there are people who are very sick and/or can’t afford to buy any insurance even catastrophic. These people (maybe 10% of the people) should be put into a separate category and the govt would have responsibility for their care and leave insurance companies out. Everyone else would be in the private market system.
Last edited:
