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by sol_remmy2 2432 days ago
> you don't choose to get sick and fall into medical debt -- but capitalism underpins the health system that induces that medical debt (which is a major contributor to poverty [0].)

The medical system not a free market. It is a hybrid of a state-controlled system and a capitalistic system. Here are some ways of how the system is state-controlled:

1. Hospitals cannot be freely constructed. One must apply for a "certificate of need" to gain permission from the government to build a hospital. This is not a free market.

2. Credentialism is BAD in our medical system. There is only one group of people approved by the government to do prescribe most medications and perform most surgeries - doctors. This is not a free market and greatly increase costs. Doctors earn a median of 300k/year and are the highest paid profession in every state. This is not a free market.

3. Hospitals are legally forced to treat anyone who shows up at their door - even if they can't afford the treatment. This is not a free market.

4. Medicare/Medicaid are forced to nearly buy any drug, regardless of cost, if it could save a live. Even if a drug is 500k/year, the system is forced to buy it. This is not a free market and greatly increases costs.

2 comments

I think with points 3 and 4 there are very difficult decisions. Turning people away or not trying treatments sounds pretty bad, but there doesn't need to be an entire new system just to solve them.
I enjoyed your point about credentialism. If anyone is looking for a good primer on the issue read the "Occupational Licensure" chapter of Capitalism and Freedom by Milton Friedman.