How U.S. health care is already similar to Europe’s

Shikha Dalmia of the Reason Foundation has written about this in a recent Forbes column, The Myth Of Free Market Health Care In America.  Some excerpts:

But apart from England, most European countries have a public-private blend, not unlike what we have in the U.S.

The major difference between America and Europe of course is that America does not guarantee universal health insurance whereas Europe does. But this is not as big a deal as it might seem. Uncle Sam, along with state governments, still picks up nearly half of the country’s $2.5 trillion annual health care tab.

More importantly, contrary to popular mythology, America does offer public care of sorts. It directly covers about a third of all Americans through Medicare (the public program for the elderly) and Medicaid (the public program for the poor). But it also indirectly covers the uninsured by—at least in part—paying for their emergency care. In effect, anyone in America who does not have private insurance is on the government dole in one way or another. …

The most striking similarity between America, France and Germany, however, is the model of “insurance” upon which their health care systems are based. In other insurance markets, the more coverage you want, the more you have to pay for it. Consider auto insurance, for instance. If you want everything—from oil changes to collision protection—you’d have to pay more than someone who wants just basic collision protection. That’s not how it works in health care.

For the same flat fee—regardless of whether it is paid for primarily through taxes as in France and Germany or through lost wages as in America—patients in all three countries effectively get an ATM card on which they can expense everything (barring co-pays) regardless of what the final tab adds up to. (Catastrophic coverage plans are available in America, but the market is extremely limited for a number of reasons, including the fact that most states have issued Patients Bill of Rights mandating all kinds of fancy benefits even in basic plans.)

Thus, in neither country do patients have much incentive to restrain consumption or shop for cheaper providers. In America and Germany, patients don’t even know how much most medical services cost. In France, patients know the prices because they have to pay up front and get reimbursed by their insurer later—a lame attempt to ensure some price consciousness. But since there is no cap on the reimbursed amount, the French sometimes shop for doctors based on such things as office decor rather than prices, according to a study by David Green and Benedict Irvine, researchers at Civitas, a London-based think tank.

Read the whole article, The Myth Of Free Market Health Care In America.

(via Ari Armstrong)

Similar Posts:

This entry was posted in myths & fallacies and tagged , . Bookmark the permalink.
  • Norris Hall

    I just thought I’d mention what my wife and I have done to cut the cost of health care.
    We are in our 60′s and self employed…one of the most unfortunate groups of all. Our Blue Shield premiums are $920 per month. Our deductible is $4000 for me and $4000 for my wife.
    (I understand that is pretty standard for folks at our age and with our health conditions)
    So before I can get a dime of help from my insurance policy I have to spend $15,000 per year out of pocket on medical bills and premiums.
    Needless to say we try not to use the medical system in the US unless we have to.
    Over the last 5 years we’ve started going to Thailand for our medical checkups, dental care and medical needs.
    Almost every November we hop on a plane and head to Bangkok where we check in a private hospital called Vejthani. Airfare can vary from $800-$1200 round trip depending on what class you fly. But even taking that into consideration…we really save a lot
    There are a lot of hospitals in Bangkok that cater to Americans..the best known is called Bumrungrad Hospital which was featured in the “60 minutes” episode. (more expensive but still cheap by us standards)
    Many Private hospitals in Thailand put my local US hospital to shame.
    The care is excellent, equipment brand new and the cost…just a fraction of what I would have to pay out of pocket in the US. For example, last November I had an Endoscopic balloon dilation for a condition known as dysphagia. The specialist in the US said the operation would cost me $2500. (His bill for the 15 minute consultation was $250.) I decided to wait until I got to Thailand
    This time I had it done at a public hospital in Bangkok called Chulalongkorn Hospital…cost $100 including biopsy, (all I needed for ID was my US passport. No questions asked!!)

    I have to keep my US insurance in case I have a heart attack or get hit by a bus. Otherwise I would like to drop my health insurance here and just rely on the Thai medical system.

    Anyway, that’s my solution to the health care problem.


    Hi Norris. Thank you for sharing. It’s too bad health care policy in the US has driven up prices so much. But at least there’s some global competition such that people like you take the initiative to practice medical tourism. You can read more about that here.

  • kmw

    I think trying to compare health insurance with auto insurance is more like trying to compare apples and oranges. Not everyone needs a car, and people can choose what type of car they own. Being careful and responsible when driving will greatly reduce the liklihood that you’ll be involved in an accident where you’ll need to use that auto insurance.

    Not necessarily so with our bodies. You can do everything right and still end up with health problems. I didn’t choose to be born with a hole in my heart. My mom didn’t do or not do something that caused it, it just happened. Even though I bent over backwards to take care of myself while pregnant, my son still ended up with an autism spectrum disorder. Neither my closest friend or her daughter did anything to cause the girl’s type 1 diabetes. Maybe I was just raised differently, but I don’t mind helping out my fellow citizens who end up in these types of health situations that are just results of bad luck so that they can have a better quality of life.

    As for your statement that people in the US pay one flat rate for insurance, that’s just not true. Every employer based plan both my husband and I have seen has always had multiple pricing and benefits options. Most of the time in our case, if we want to have any coverage for access to specialists when necessary, we’ve had to go with the most expensive plan. Since we can do everything right and still end up with health problems at any time, it’s seemed foolish to us to make a gamble and leave ourselves with no affordable access to specialists.

    I disagree that Americans with health insurance don’t have any incentives to restrain consumption. Sure we do, it’s called co-pays, and out of pocket expenses. It’s called having your premiums raised. Maybe this last part doesn’t occur much to people who’ve never been on the employer end. In a small business (maybe even medium and larger businesses too), a way to keep health insurance costs down is to find legal ways to get rid of the people that are heavy insurance users. I’m not condoning this by any means and I’ve never done it myself, but regardless of whether people want to talk about it or not – it happens. People who understand this would never misuse their employer based health insurance.

    I think these accusations about insurance misuse are widely overstated. It takes time to find doctors, set up appointments, transfer your records, attend appointments, tell your whole story to someone new, etc. I hated taking time off to go to doctor appointments because then I had to work harder to catch up when I got back. The vast majority of people I’ve ever worked with have thought the same way. Do you really think there are that many hypochondriacs and attention starved people out there?