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by jokoon 2611 days ago
Won't the healthcare market fail at some point if this keeps going on? I mean there might be some big loan somewhere that will default one day. No idea what will happen then.
3 comments

There is a whole lot of accounting magic, and forecasting that goes on. They know that they won't get a lot of it, but there are several things they do to "mitigate" their "loss". They get to write it off on their taxes. They'll often sell unpaid debts to 3rd party debt buyers. They'll get some money out of bankruptcy etc.
A lot of hospitals own debt collection agencies and if that doesn’t make you angry, I don’t know what to tell you.
vertical integration FTW
That depends on how much it actually costs to deliver their services, in aggregate.
What market? If you get problems from regulation and the solution is always more regulation you eventually get a Rube Goldberg state run health system. If the US wanted cheaper medical care they could disaggregate medical care and actually try to drive down costs. As it is the supply of people who want to be doctors just keeps going up and there are plenty of foreign doctors who would be delighted to work in the US who aren’t allowed to do so. The AMA doesn’t want nurse practitioners and it doesn’t want foreign doctors and they’re winning. Hell, look at India, they have something close to a free market in medical care and factory line hospitals where people get better at the procedures they do by doing one thing many times and list prices. Why can’t the US do that?

https://www.chrisstucchio.com/blog/2015/medical_tourism.html

> One of the things I like most about India is it's medical system. As an American, I've experienced both the Indian and US medical systems, and at this point I have a very strong preference for the Indian one. Somewhat surprisingly, the Indian medical system is based on free market capitalism, and as a result it tends to provide a much better experience than the US system.