Have you ever wondered why hospitals dont compete on quality? Say there is a hospital in your area that has lower mortality rates, lower infections rates and lower readmissions rates than any of its competitors. In any other market, the business would be scrambling hand over foot to make sure every potential customer knows about its superiority.
But not in health care. What is true of hospitals is also true of doctors. You could be living next door to one of the best specialists in the country. But odds are the doctor will never tell you about it.
Why is that? The short answer is one I gave at the Health Affairs blog not long ago. (See here and here.) Providers who dont compete on price typically dont compete on quality either. And the reason we dont see price or quality competition in health care is that normal market forces have been systematically suppressed for well over a hundred years.
But hold on. Things are about to change and I predict that they will change rapidly. Turns out, there is more to Grand Cayman Island than white sand, blue waters and the opportunity to feed squid to sting rays.
|John C. Goodman is a Senior Fellow at the Independent Institute, President of the Goodman Institute for Public Policy Research, and author of the widely acclaimed Independent books, A Better Choice: Healthcare Solutions for America, and the award-winning, Priceless: Curing the Healthcare Crisis. The Wall Street Journal and the National Journal, among other media, have called him the Father of Health Savings Accounts.|
Obamacare remains highly controversial and faces ongoing legal and political challenges. Polls show that by a large margin Americans remain opposed to the healthcare law and seek to repeal and replace it. However, the question is: Replace it with what?