Comments on: Health Care Fantasia

By: supplement reviews

supplement reviews — Fri, 13 Nov 2009 02:52:23 +0000

Nice article, this article was jam packed with some good health care information.

By: Learning from Milton Friedman’s Rhetoric

Learning from Milton Friedman’s Rhetoric — Thu, 17 Sep 2009 18:43:08 +0000

[...] via Mark Perry, here’s a delightful video of Milton Friedman arguing for the abolition of licensure for doctors at the Mayo Clinic. Busting the monopolies in health care provision is the first item in my fantasy of health-care reform. [...]

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By: Health Care Fantasia | Joint Pain Relief

Health Care Fantasia | Joint Pain Relief — Mon, 08 Jun 2009 18:21:18 +0000

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By: Animal Osteopathy

Animal Osteopathy — Thu, 28 May 2009 09:02:41 +0000

Fantasia Fair is a week-long transgender conference providing both educational … a comfortable and accepting environment in which to obtain health care. ..

By: Jag XJR

Jag XJR — Fri, 03 Apr 2009 09:01:13 +0000

Great article.When you work for a company, isn't part of the point of group insurance to reduce the risk by having a group policy? That way, if one of you happens to come down with an expensive ailment, the group will insure the costs. Seems like a sensible way to spread risk to me. From what you say above, it sounds like you'd like it to be all individually based.

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Health and sex advise for men — Fri, 03 Apr 2009 06:15:14 +0000

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By: goprivate

goprivate — Sun, 09 Nov 2008 23:29:30 +0000

How do you deal with a senior whose income is constant, but insurance premium will probably rise exponentially in the open market as he gets older and older? (“the premium for the burning house…”)

By: Supplement Reviewer

Supplement Reviewer — Sun, 02 Nov 2008 10:18:30 +0000

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By: Matthew Brown

Matthew Brown — Tue, 17 Jun 2008 06:27:18 +0000

An interesting point of view. Taken to its logical conclusion, of course, it could mean the dissolution of most professional standards sanctified by law, such as the practice of architecture (for which one must seek NCARB registration, administered and legally sanctioned by law in each state). Outside of being very good at what one does so that one may compete and win in a marketplace, implementing a regime of state approval and certification and then raising standards for approval and certification to extreme levels (so as to reduce the number of applicants who will be certified) is a good way to ensure that prices for services are kept higher—often much higher—than would otherwise be the case sans either certification or high standards. Certification is generally proposed to prevent competition in certain fields where it is felt that a certain minimum quality of service be maintained (and naturally, in light of a lack of incentive to do otherwise, be maintained ubiquitously without much positive deviation) instead of a distribution of quality of services as might occur within a market environment. The pegging of service quality in health care to some specific point along that natural distribution results in a disconnect between the people who are below that level in terms of what they could command in the marketplace based on their own positions within the socioeconomic distribution (arranged per income, say). Thus, it becomes incumbent upon the state, if it is to impose a minimum (and thus, generally, a maximum) standard of care, to acquire and redistribute productive surplus from those who create and collect more of it relative to the health care standard as correlated to the income distribution, such that those below such standard may gain access that would otherwise be denied them in such a state-controlled market.

However, we see above that the problem with provision of health care services to ‘all Americans’ say, lies firstly in the imposition of a minimum standard of care by the state. Thus, Mr. Wilkinson’s implication of a return to little or no certification is an alternative option to health care provision augmentation among the lower end of the socioeconomic spectrum, to the present proposals of federalized insurance for all. The most salient economic question, in my view, would be which alternative will render the largest growth in productive activity, which does not mean material productivity per se (and mind you), but simply more time and energy spent providing services by individuals for others (could be a mom having more time to spend with her children for example, on account of not being sick as often).

By: Don

Don — Fri, 21 Dec 2007 02:54:12 +0000

Is The Individual Medical Investment Account a step in the right direction?

By: James Morgan

James Morgan — Wed, 18 Jul 2007 13:15:18 +0000

Consider the parallel with the architecture cartel. The history is similar: Brunelleschi (a goldsmith) and Wren (a mathematician) had no restrictive licensing regulations to prevent their entry into the field, but toward the end of the nineteenth century associations like the AIA and the RIBA began to lobby for exclusive control of the practice of architecture. They were less successful than their counterparts in law and medicine and in many States and in the U.K. there are (somewhat)limited practice options available for totally unlicensed individuals. Liability insurance does not seem to be a problem: most unlicensed practitioners have none, their clients know it and therefore do not bother to sue – the “man of straw” defense. Furthermore the actual damage that they can cause is generally pretty limited. Here in North Carolina unlicensed practice is mostly limited to single-family residential and minor commercial projects (less than 80K construction value). There are some weird anomalies: projects outside of this limit can be designed by accountants, engineers, contractors or building owners – almost anyone except an unlicensed design professional. It’s as if Manny were not permitted to perform an appendectomy, but you could do your own, or your lawyer could do it for you.

Other than that, it’s caveat emptor.

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