←back to thread

201 points andsoitis | 1 comments | | HN request time: 0.223s | source
Show context
defrost ◴[] No.41854450[source]
For an interesting side piece:

    Curiously, however, for a system apparently stultified by the dead hand of government, Australia’s health system far outperforms the free market-based US healthcare system, which spends nearly twice as much per capita as Australia to deliver far worse outcomes — including Americans dying five years younger than us.
The shocking truth: Australia has a world-leading health system — because of governments

Source: https://www.crikey.com.au/2024/10/16/pubic-private-healthcar...

Bypass: https://clearthis.page/?u=https%3A%2F%2Fwww.crikey.com.au%2F...

    Overall, we now have the fourth-highest life expectancy in the world.

   This is contrary to the narrative that pervades the media about our health system — one in which our “frontline” health workers heroically battle to overcome government neglect and inadequate spending, while the population is beset by various “epidemics” — obesity, alcohol, illicit drugs.

    In fact, Australian longevity is so remarkable that in August The Economist published a piece simply titled “Why do Australians live so long?”
Other references:

The Economist: https://www.economist.com/graphic-detail/2024/08/23/why-do-a...

AU Gov Report: Advances in measuring healthcare productivity https://www.pc.gov.au/research/completed/measuring-healthcar...

replies(14): >>41854605 #>>41854613 #>>41854799 #>>41855053 #>>41855120 #>>41855218 #>>41855732 #>>41856242 #>>41856326 #>>41857738 #>>41857930 #>>41857960 #>>41858153 #>>41876405 #
alwayslikethis ◴[] No.41854605[source]
> the free market-based US healthcare system

market, maybe, "free" market? I doubt it.

It's not a very free market when there is such a large power differential between the buyer and the seller. You can't exactly shop around for the ambulance or the hospital when you need it, nor can you realistically circumvent the artificially constrained supply [1] of doctors to get cheaper healthcare (unless you live next to the border).

When the alternative is a one-sided market like this, government becomes rather more appealing.

1. https://en.wikipedia.org/wiki/American_Medical_Association#R...

replies(7): >>41856252 #>>41856671 #>>41856804 #>>41857003 #>>41857443 #>>41858041 #>>41859036 #
drdec ◴[] No.41857443[source]
>>the free market-based US healthcare system

>market, maybe, "free" market? I doubt it.

The consumer of healthcare is doubly removed from the price of healthcare. This is the opposite of a free market.

The patient did not pay the doctor, the insurance company does. In most cases the patient does not pay for insurance their employer does.

So the normal pricing forces of a free market are removed.

Then we need to talk about certificate of need laws which restrict the supply...

replies(3): >>41857769 #>>41860822 #>>41860950 #
SoftTalker ◴[] No.41860822[source]
> the patient does not pay for insurance their employer does

Not really true, as the employer could otherwise pay that money to the employee who would then shop for his own insurance. So the employee pays, but doesn't have a choice.

replies(1): >>41862442 #
red-iron-pine ◴[] No.41862442[source]
they could but they don't.

and salaries are stagnant. why would they pay extra? at least they're obligated to provide insurance, even if it's terrible and impenetrable

replies(1): >>41863527 #
1. SoftTalker ◴[] No.41863527[source]
Because they compete with other employers? If an employee costs X, it doesn't matter to the employer if X is all cash to the employee or split with the insurance provider.

The entire reason health insurance got so mixed up with employment was as a workaround to WW-II era wage freezes. Employers couldn't pay more salary, so they offered other benefits including insurance to attract and retain employees. Now we're stuck with that.