Competition among middlemen has nothing to do w competition among actual providers, in fact the former possibly stifles the latterhttps://twitter.com/iyad_elbaghdadi/status/845393609482551301 …
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Replying to @arthur_affect
Prices are most competitive when there's just 1 middleman that acts as a single buyer (monopsony), that's the great strength of single payer
1 reply 8 retweets 25 likes -
Replying to @arthur_affect
The great flaw of US healthcare is w multiple plans, companies, "networks", the uninsured who receive ER care, the prices now make no sense
1 reply 8 retweets 16 likes -
Replying to @arthur_affect
The "sticker price" of one procedure might be $10,000 in one place and $1,500 at another
4 replies 5 retweets 14 likes -
Replying to @arthur_affect
The price on the bill has only a loose relationship w the cost to the hospital, it's been juggled to play w diff insurers' rules
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Replying to @arthur_affect
They don't expect any individual to pay that price, they've priced in the assumption that anyone uninsured is prolly broke
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Replying to @arthur_affect
And expect to recover some % of that price through collections
1 reply 2 retweets 10 likes
It's a big tangled mess that doesn't resemble any kind of "rational" market even slightly
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