Wednesday, June 14, 2017

Free market principle doesn't work for healthcare

U.S is the country truly believe in free market. In order for market to work, we need buyers sensitive to price and quality. In healthcare patients have limited ability to differentiate quality, and price shopping when a patient has life threatening disease, is, if not fantasy, very very difficult to do. Yes, you can price shop on small things, but for the big ticket surgeries and cancer treatments, how sensitive are you to price difference?

Free market does not work in healthcare. Not in a meaningful way. Add on to the complexity is the insurance market. For profit insurers are avoiding the sick and try very hard to sign up the healthy. Given the high cost of coverage, the young and healthy, if not working for large employer, try to avoid buying health insurance altogether. These behaviors make the US healthcare the most expensive in the world, while the results, judging from premature death rate and life expectancy, lagging OECD countries. What's the point of having a first rate medical research if you don't have access to healthcare?

Sunday, February 05, 2017

Reflection of 2017

T. Rex as chief diplomat
Pit bull in charge of education
ruled by billionaires who
complain about unfair term of trade
building a wall
to keep the newcomers out
oh yes
the thundering roar goes
a nation for the natives only
while the real natives die
on the trail of tears
their numbers dwindle
to almost a disappear
can't even keep their own
drinking water clean
from the pollution of oil
the richest smell of foul

This is the right nation
not always correct, just right
in the sense of self-righteousness
by way of alternative facts
and enhanced interrogation
no longer willing to lead
it's now all about me