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re: The Good People of Switzerland have said no to government healthcare

Posted on 9/29/14 at 12:41 pm to
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69285 posts
Posted on 9/29/14 at 12:41 pm to
Except for cases where your life is literally hanging by a thread and you need to go the emergency room, I definitely think healthcare can be called a commodity. If we just had emergency health insurance, as it should be, people would be forced to compare prices for the little things they need help with, such as the common flu, rashes, sprains, broken bones, etc.

Some clinics inside places like walgreens and CVS post their prices on a menu, and I like that because it is vital for consumers to compare prices for a market to work.
Posted by Wishnitwas1998
where TN, MS, and AL meet
Member since Oct 2010
58203 posts
Posted on 9/29/14 at 1:13 pm to
Would've been nice if we would've been able to have a national referendum on Obamacare

Sadly it still would've passed at the time I believe, Mightve had a chance at it getting shot down after the disastrous rollout though
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 1:19 pm to
quote:

If we just had emergency health insurance, as it should be, people would be forced to compare prices for the little things they need help with, such as the common flu, rashes, sprains, broken bones, etc.
Yes, common medical needs with standard treatment options can definitely be called commodities. And I agree, we should just have insurance for emergency, high-priced treatments.

Markets work when customers choose the products they buy, not when the "product" chooses the customer.
quote:

Some clinics inside places like walgreens and CVS post their prices on a menu, and I like that because it is vital for consumers to compare prices for a market to work.
Exactly. And the disconnect between what we shop and pay for (insurance) and what we receive (health care) hides and distorts the cost of those services.
Posted by Antonio Moss
Baton Rouge
Member since Mar 2006
48305 posts
Posted on 9/29/14 at 2:29 pm to
quote:

The pinkos of Switzerland truly believe that the price of a commodity should be determined by income level.


I know a few people who think this. They're economically illiterate.
Posted by Taxing Authority
Houston
Member since Feb 2010
57200 posts
Posted on 9/29/14 at 2:54 pm to
quote:

Markets work when customers choose the products they buy, not when the "product" chooses the customer.
Who is forced to take healthcare?
Posted by Wishnitwas1998
where TN, MS, and AL meet
Member since Oct 2010
58203 posts
Posted on 9/29/14 at 4:26 pm to
Is that suppose to be a serious question?

How can one choose not to take healthcare?
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 4:33 pm to
quote:

Who is forced to take healthcare?
Oh, right, there is always the "just die" option.

Just keep acting like shopping for cancer treatment (or shopping for insurance that will even come close to helping you maintain your financial position) is the same as shopping for any other good or service. Who knows, maybe your fantasy land will exist some day.
Posted by Taxing Authority
Houston
Member since Feb 2010
57200 posts
Posted on 9/29/14 at 5:27 pm to
quote:

Oh, right, there is always the "just die" option.
Yes. Do you think that government (or anyone else) will supply everything you want?

quote:

Just keep acting like shopping for cancer treatment (or shopping for insurance that will even come close to helping you maintain your financial position) is the same as shopping for any other good or service.
not sure what you're trying to say here. Are you saying that something as valuable as life saving care should not change your "financial position"? Something that differentiates between life and death would seemingly be worth something. A lot in fact.
This post was edited on 9/29/14 at 5:28 pm
Posted by rcocke2
New Orleans
Member since Apr 2009
1690 posts
Posted on 9/29/14 at 5:41 pm to
quote:

let me just say that it is still a very positive thing that they rejected government control of the care. THAT is the subject of this thread.


This does not surprise me. Switzerland doesn't even really have a Central Government of any kind. Or rather, the Constitution they adopted is very similar to our own except that they have not abandoned decision making at the 'Canton'-level or in USA, 'state-level'.
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 5:46 pm to
quote:

Yes. Do you think that government (or anyone else) will supply everything you want?
No, I am saying that health care is not a commodity.
quote:

not sure what you're trying to say here.
I'm trying to say that health care is not a typical good or service.
quote:

Are you saying that something as valuable as life saving care should not change your "financial position"?
No, I said that finding insurance that will cover an adequate proportion of cancer treatment so that your financial position wouldn't be ruined anyway is difficult, much like if one had to shop for out of pocket cancer treatment. What I was really saying is, again, that health care is not a commodity.
quote:

Something that differentiates between life and death would seemingly be worth something. A lot in fact.
Exactly. It is worth a lot. It is worth "life", in fact, and is the reason health care is not a commodity.
Posted by Taxing Authority
Houston
Member since Feb 2010
57200 posts
Posted on 9/29/14 at 5:59 pm to
quote:

I'm trying to say that health care is not a typical good or service.
Hell no it's not! It's extremely valuable!

quote:

No, I said that finding insurance that will cover an adequate proportion of cancer treatment so that your financial position wouldn't be ruined anyway is difficult, much like if one had to shop for out of pocket cancer treatment.
Well ok. But I'm still not sure why one would expect to not have their financial position significantly altered.

quote:

Exactly. It is worth a lot. It is worth "life", in fact, and is the reason health care is not a commodity.
Not sure I understand. Just because something is valuable, doesn't imply it ceases to be a commodity.
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 9/29/14 at 7:11 pm to
quote:

Most of our healthcare is defacto govt controlled anyway. I don't like it but it's reality.

MediCare is where money is spent in truckloads.



This. One of the issues we are having right now is we kind of have this hybrid bullshite system going on where "Free market" insurance is heavily influenced be extra-market forces from the government.

Single payer would be "better" than what we have right now, but so would drastically cutting government influence on insurance- including allowing insurance companies to compete across state lines.

quote:

Exactly. It is worth a lot. It is worth "life", in fact, and is the reason health care is not a commodity.



Food is a commodity. So is water and shelter.
This post was edited on 9/29/14 at 7:13 pm
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 7:47 pm to
quote:

Food is a commodity. So is water and shelter.

Expensive foods, water, and shelter are luxuries. Expensive health care is life or death.

Health care is not a commodity, which should be evidenced by the fact that an entire industry (insurance) exists in an attempt to put a free market face on it.
Posted by the808bass
The Lou
Member since Oct 2012
111511 posts
Posted on 9/29/14 at 7:54 pm to
quote:

Health care is not a commodity, which should be evidenced by the fact that an entire industry (insurance) exists in an attempt to put a free market face on it.

Wut?
Posted by Tiguar
Montana
Member since Mar 2012
33131 posts
Posted on 9/29/14 at 8:00 pm to
Just because something is not a luxury doesn't mean it's not a commodity. A bag of beans is still a commodity.
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 8:11 pm to
quote:

Wut?

Sure, I'll explain it yet again.

Nobody says "I think I'll buy an appendectomy today". You can't resell an appendectomy. An appendectomy doesn't add value to anything that you can resell. If you need an appendectomy, you can't wait until next year to see if prices go down.

Health care is not like other necessities like food. With food, you can shop around. You can buy cheap food, or expensive food if you want to splurge and can afford it. Nobody has ever been faced with having to buy a six figure meal or die. The only part of health care that even resembles other commodities is health insurance. That's the free market face I mentioned.
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 8:17 pm to
quote:

Just because something is not a luxury doesn't mean it's not a commodity.
Huh? I meant that, while both food and health care are necessities, only food is a commodity. Expensive "luxury" foods are never necessary. Conversely, the most necessary, life-saving health care is the most expensive.
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 8:22 pm to
quote:

Not sure I understand. Just because something is valuable, doesn't imply it ceases to be a commodity.

It's not a commodity because you can't decide when to buy what type of health care, or how much to buy.

Insurance attempts to solve this problem.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123885 posts
Posted on 9/29/14 at 8:24 pm to
quote:

Sure, I'll explain it yet again.

Nobody says "I think I'll buy an appendectomy today". You can't resell an appendectomy. An appendectomy doesn't add value to anything that you can resell. If you need an appendectomy, you can't wait until next year to see if prices go down.
It is defined by nature of the US market.

The best surgeon in the US is basically relegated by payors to the same fee as the worst. Has to do with unintended impact of Stark Laws among other things.

But in the larger context, what are you arguing relative to compensation for provision of healthcare? You are correct, in that HC is a service rather than commodity. How does that difference influence value and compensation?
Posted by Korkstand
Member since Nov 2003
28707 posts
Posted on 9/29/14 at 11:56 pm to
quote:

But in the larger context, what are you arguing relative to compensation for provision of healthcare?
I haven't argued anything as far as compensation. I have simply argued against OP's assertion that health care is a commodity.
quote:

You are correct, in that HC is a service rather than commodity.
I wasn't arguing that health care isn't a commodity because it is a service, as many services can fit a loose definition of 'commodity'. My argument that health care is not a commodity revolves around a number of points that I have laid out all over this thread. The main point being that insurance exists in order to make the health care market somewhat resemble an actual free market. Because the customer has little choice over which underlying services to buy, and little or no opportunity to 'shop around' for these services.
quote:

How does that difference influence value and compensation?
Again, I haven't made any argument regarding value or compensation. I have only said that health care itself is not a commodity, that it only resembles such thanks to insurance putting a free market front on it, and that it is a very complex market that doesn't function very well when treated as a regular commodity in a free market. Hence the global discussion.
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