Recently Darwin responded to a post of mine on health care.
I don’t want drug companies to make less money off of their inventions. I want this country to spend the same amount on universal healthcare as it does on the current system. We can spend the same amount of money, give the corporations the same amont of profit for their innovations, and still provide better care to more people, for several reasons:
You suggest that the state pays the pharmaceutical companies the amount that they would of made had the state not monopolized the market. The problem: how does one determine the profit for future drugs. With out a market system in play your bureaucrats and experts will no longer have any actual data available to them to determine the price of new drugs. As the years go by under universal healthcare, the less information experts and bureaucrats will have about actual prices and have to ‘determine’ price. Given the nature of politics it would be VIRTUALLY impossible for price determination to not become political.
Before I would even consider universal health care you would have to convince me how price determination would never become political. I would argue it’s impossible. As one drifts farther away from the markets the more difficult it becomes to not rely on politics to determine price and once you reach a certain threshold, all pricing becomes political. Seriously you should examine the hundreds of failed attempts of the last century of price control. It never works.
The drug companies could produce ten times the amount of pills they are making now for only a very small increase in their overhead costs, because most of the costs are in development, not production. The only reason for them to produce less is so they can cahrge more, followingthe classic supply and demand formula. If the government just pays them a lump sum (the same amoutn they’d make under the current system) to produce as many pills as are actually needed, they’d still have just as much incentive to invent new products, but everyone could benefit from them much more quickly.
This proposal still has the problem of delineating how price is determined once the information of the free markets is no longer available.
Pharmaceutical companies that enjoy the rights to exclusively sell a drug do not have to under produce to increase revenue. They simply charge more money because the state has granted them a monopoly on production. To this end they probably produce as much of the drug as necessary to supply those willing to pay the price. The exorbitant price reflects the high cost of research and development of the drug. As someone that does research you should know first hand how much highly educated people, equipment, and resource cost to do research. This cost must be rolled into the cost of the drug otherwise the company goes out of business. Plus the company needs to turn a profit, yes so that dividends can be paid to the stockholders, but also to reinvest a large portion into the development of future drugs.
2. A huge amount of the money currently going into the healtchare system pays for HMO’s, which are for-profit middlemen who are completely unneccesary to the actual healthcare process. If take them out of the picture, we can give that money to researchers and doctors, and provide even more incentive than we have now.
I have no idea what percent of health care goes towards HMO. I have no problem eliminating middle man to bring down the cost of health care. You know what won’t eliminate the middle man from health care? State sponsored health care. How can you be so blind as to fail to see how universal health care will create an entire army of bureaucrats whose job will not essential to health care but necessary to make the system work. What’s worse is that by monopolizing health care, the state will feel no competitive force to reduce this bureaucratic staff. Like many social program it will become a ever aggrandizing bureaucratic beast consuming more and more of the GDP. If you honestly want to reduce the cost of middle men in health care you would not aver the state as the solution.
On a personal note, Ana is currently not going to a doctor to get her joint problems looked at, because if tehy find any type of condition, no matter how treatable it is, she can never get health insurance again. More generally, doctors routinely discourage people from getting tested for AIDS, because insurance companies will decline them or raise their rates just for getting tested (even if teh test is negative).
You sound like an idiot stating that no matter what the condition the insurance companies will refuse to treat Ana for the rest of her entire life. It could turn out that she has no condition and in that instance it’s seems very likely she would find health care rather easily. The larger point you are trying to make is that a certain segment of the population will be afflicted with a condition that will preclude them from health insurance.
This is no doubt a tragic outcome. Fortunately people like you are free to set up a charitable foundation in which you and other like minded people can pool your resources together to pay for the medical treatment of those unable to find insurance companies willing to distribute the treatment cost to other policy holders. In fact because I trust you, I would be willing to donate some of my money towards your charity. Let me know when you have it set up.
It seems wise that insurance companies raise rates when one gets themselves checked for HIV. Willingly being checked for HIV implies a riskier lifestyle increasing the probability of increased medical expenses down the road as compared to those that live a more tamer lifestyle. It makes sense that insurance companies hedge their bets by increasing your rates to offset the increase cost you pose to the other policy holders and the company in general.
Why should people that explicitly chose safer lifestyles to avoid expensive health care be forced to pay for those that have selected a riskier lifestyle? Why should risk taking people be allowed to throw off the mantle of responsibility for their choices just because they don’t want to assume the cost of that risk today? You advocate that companies that externalize costs by dumping pollution into the river should be forced to pay for that cost. Why do you give a free pass to those that wish to externalize their healthcare costs to others?
Otherwise, I’m in favor of aan intelligently-design government solution; something has to change, fast.
Never thought I would see the day you would embrace intelligent design. People can change after all.