Good Diagnosis, Wrong Prescription
In response to this editorial in the Chronicle, I sent the following letter:
re: "Throwing more dollars at a broken health care system"
In describing the work Congress is doing to "reform" the US health care system, Dr. Ho makes a good diagnosis: the current health care system is "broken" — riddled with inefficiencies, and rapidly rising in cost. Unfortunately, her prescription is based on an incorrect starting premise.
Rather than depending on policymakers "create a health care system" that would "take the politically unpopular action of telling the public" which medical processes to which they should have access — putting medical decisions in the hands of politicians and bureaucrats, and paid for by taxpayers — a better approach would be to put medical decisions in the hands of patients who have a financial stake in acquiring all the information and making an informed decision.
Because a third party (either the insurance company or, in nearly half of all cases now, the government) ends up paying for medical services, individual patients have no incentive not to " want access to every treatment prescribed by their physician". A person eating dinner on an expense account rarely worries about frugality.
Rather than creating a complex government-imposed health care system, a better approach would be to empower individuals and remove barriers to a free, competitive market, in which consumers have a direct incentive to be better stewards of health care expenditures (while maintaining insurance coverage that fits their respective needs) and insurance companies have a direct incentive to offer better, more innovative options at better prices.
Let's return the power to consumers, not politicians, bureaucrats, and corporations.
Sincerely,
Dave Smith
Houston, TX




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