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355 points pavel_lishin | 2 comments | | HN request time: 0s | source
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RobKohr ◴[] No.45389953[source]
"Federal funding typically covers 80% of bus purchases, with agencies responsible for the remainder."

Well, there is your answer. The one making the purchase isn't the one primarily paying for the purchase. This makes them less sensitive to pricing.

Kinda like how expensive healthcare is since it is paid for by insurance.

Or how you don't care how much you put on your plate or what you choose to eat at an all you can eat buffet.

The second you detach the consumer from the price of something, even through an intermediary such as health insurance, that is when they stop caring about how much something costs, and so the price jumps.

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avar ◴[] No.45391504[source]

    > The second you detach the consumer from the
    > price of something, even through an
    > intermediary such as health insurance, that
    > is when they stop caring about how much
    > something costs, and so the price jumps.
In reality, this claim doesn't survive a cursory glance at the OECD's numbers for health expenditure per capita[1].

You'll find that (even ignoring the outlier that is the US health care system) that in some countries where consumers bear at least some of the cost directly via mandatory insurance and deductibles, the spending per capita (and which survives a comparison with overall life expectancy etc.) is higher than in some countries where the consumer is even further detached from spending, via single-payer universal healthcare systems.

Or, the other way around, it's almost like it's a very complex issue that resists reducing the problem to an Econ 101 parable.

1. https://www.oecd.org/en/publications/2023/11/health-at-a-gla...

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1. reliabilityguy ◴[] No.45397035[source]
These reports tend to ignore how fast you can get a specific service or test done. There is plenty of anecdotal data out there that in US you can get CT or MeI the next day, while in many countries in the EU you have to wait months.

I think looking only on the spending per capita tells us nothing about accessibility of service, and its quality. Once you start to consider those things, imo, the whole thing is not as a clear cut as it looks.

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2. cowpig ◴[] No.45398103[source]
Wouldn't that be a latent variable in health outcome data?