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Generally, I'm in agreement. However, I'm not sure medicine is a good place to have profit motive involved. The kind of abuse I'm willing to take from corporations on most other products, such as internet, cell phone service, Coinbase, Ebay....you name it...sounds horrifying in the medical context.

Isn't the profit motive what leads to falling prices, technological innovation and better quality? Certainly wouldn't want that in healthcare....

Sometimes. Surely you don't think today's corporations are "passing the savings on to the consumer?"

Saw IV (an unlikely citation) covers a little bit of what I mean with the insurance adjuster. My point is only, profit motive leads to prioritizing profit, not positive results. They aren't always the same thing.

I don't really need McNeedles Corp deciding it's in their shareholders best interest to simply disinfect and re-use needles, for example.

I would put corporations and free market in different baskets. I agree that corporations are a major part of today's business world, but that is why today's world is so messed up. Corporations exist to shield market participants from the consequences of their actions. That is their sole purpose. From a systems perspective, that equates to severing a feedback loop, which never ends well.

Totally in agreement. A free market without the stranglehold of corporations would result in a totally different look at the initial question in Caliber's post.

And you notice, corporations get that special perk through a partnership with government, who protects their right to keep profits but then dump the losses on the public. It's a symbiotic relationship -- corporations get a one way valve for profits, and government gets to point to the abuses (which they have allowed) as a reason for why their existence is necessary.

Can you give an example of how you imagine a free market solution to healthcare working? As far as I know any truly freemarket healthcare model would allow and permit refusal of service to, and therefore the death of, non-profitable patients who either couldn't pay or were too ill to insure with any reasonable expectation of profit.

But of course if you know of a freemarket model not like that, I would love to hear you pitch it.

The secret is in the use of AI/Robotics/Blockchain/Cryptocurrency. But I'm not giving away all my secrets....not yet at least. There is a better way though.

open up the medical schools, remove about half of the administrators and change tort law, really not that difficult if you ask me.

But the healthcare industy in the US is incredibly expensive top to bottom. Yes, out Doctors do get paid more than most other countries, but out supplies, procedures, equipment, medicine, it all costs more, a LOT more, than pretty much everywhere else. I agree doctor's inflating their own price is part of the pie, but not at all the biggest part, a relatively small piece really by my assessment. So if we increased the number of doctors, and that drove down the price the doctor's themselves are actually paid for their services by a national average of say, 15%, that would still come no where near making healthcare affordable and accessible for the average person.

Not to mention any such measures taken by government to force the medical industry to allow more doctors, to produce more product let's say, than the industry wants to....that would actually be an infringement on the free market would it not?

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not neccesarily, it would simply create competition, and in doing so the most well run ,capable, and reasonably priced offices would eventually settle the market, umira is an injectable medication used to treat multiple autoimmune diseases ranging from rheumatoid arthritis to psoriasis to ulcerative colitis — and it’s one of the best-selling drugs in American history. In 2014 alone, millions of Americans spent a combined $6.5 billion on Humira prescriptions.

But we probably didn’t have to. While Americans paid an average price of $2,669 for Humira, the Swiss were able to buy the exact same drug for $822 — and in the United Kingdom, patients got it for $1,362. If the United States paid what the Swiss paid for the arthritis drug, we would have spent $2 billion on Humira in 2014 rather than $6.5 billion.

There’s nothing different about the Humira that we bought in the United States and the drug the Swiss bought – except that in the United States, we’re terrible at negotiating a good deal on pretty much any medical service.

“It’s exactly the same product, but, in terms of the American patient, you’re just paying double or more the price for no more health gain,” says Tom Sackville, chief executive of the International Federation of Health Plans.

Every two years, his group publishes a report that compares health care prices in different countries. And it shows that Humira isn’t some weird anomaly; nearly every procedure or drug costs way more in the United States. See for yourself in these charts:

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