[anoncoward111]

And it is entirely because the powers that be have rigged the market so that they can charge whatever they want.

How have they accomplished this? First, they set strict quotas on who can be a doctor. Then, they set strict quotas on who can offer what medical goods and products. Then, they strap everyone up with student and business debt.

I'm not saying it is the correct way or not, but there's a reason that in other countries you can buy over the counter things that you can't in the USA.

[scarface74]

There is something more direct. When Bush signed the prescription drug add on for Medicare, it was made illegal for Medicare to negotiate rates - even though the VA can.

[bryan11]

Not only can they charge what they want, it's also almost impossible to compare prices or find out what something costs in advance. With no competition, medical providers may charge what they wish.

[bluedino]

A doctor can charge you $300 for your yearly visit. If you’re healthy he comes in the room for about 5 minutes, asks you a question or two and looks in your ears and says “see you next year”.

They still charge you if you don’t show up and will even asses a fee if you don’t cancel with enough notice.

[Pharmakon]

Every functional society regulates who can be a doctor and who can produce medical goods and services, that really isn’t a problem. It can probably be helpful to try and look for differences between countries as opposed to just going for a libertarian end-run. Problems with the US system are an out-of-control pricing structure due to fragmentation of bargaining power, insane patenting laws which allow evergreening strategies, ideological opposition to functional and prove reforms, and good old fashioned cronyism.

The need to regulate the healthcare space is unavoidable, but simply bending over in the name of a free market that isn’t free is quite avoidable. The nature of for example, pharmaceuticals as a natural monopoly is acknowledged and confronted in those countries which offer OTC or generic options where the US doesn’t. The need for a strong bargaining position to negotiate pricing has been consistently undermined in the US.

[rayiner]

> It can probably be helpful to try and look for differences between countries as opposed to just going for a libertarian end-run. Problems with the US system are an out-of-control pricing structure due to fragmentation of bargaining power, insane patenting laws which allow evergreening strategies, ideological opposition to functional and prove reforms, and good old fashioned cronyism.

It’s funny what “differences” people choose to fixate on. For example, patent systems are very similar between the US and Europe. And I doubt you can quantify any difference in “cronyism.” Supply of medical professionals, and doctor salaries, are quite different. So to are limits on what the state will pay for end-of-life and terminal care. (For example, when you see stories about people reaching their lifetime limit on insurance in the US, go check if the UK NHS’s death panels would have allowed anywhere near those expenses under their QALY calculations.)

I’d also love to hear your theory for how pharmaceuticals are a “natural monopoly.” EU countries lower drug prices through good old monopsony (single buyer), which has similar detrimental effects to a monopoly (single seller). They just get away with it because the US continues to resist such efforts.