re: Zeke Emanuel and Rand Paul should talk subscription based health care

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They'd have to hire staff to do it or pay consultants. That's exactly what insurance companies do except for in your scenario, each hospital would have to have an underwriting department. Sounds less efficient.

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You do not think their cost are mostly fix so you really don't have any idea.

I remember when they priced care by the day. My first policy paid $100 a day for hospitalization. That all changed when medicare went fee for service thinking it efficient. Boy was they wrong. That simply opened the door to government mandated pricing like we have today. No provider that takes medicare can charge LESS to any other buyer of care than they charge medicare. So what do providers do? they beg, lobby, bribe, to get their reimbursements higher raising all our cost as the government pays more.

There is no market reason that healthcare cost have exceeded the rate of inflation now for twenty years.

Removing the government from direct purchasing of healthcare will stop that increase.

It wouldn't bother me if all the health care was delivered by subscription making it very easy to shop.