People with some money will pay through expensive insurance, and everybody else can't pay at all.
This way, pharma and hospitals have near 0 incentive to focus on people with anything less than mid to high tier insurance plans.
And everything else results from that, like regulatory capture by insurance companies and everybody teaming up with them.
Even without draconian restrictions on generic drugs, labour mobility in medical professions, and needlessly elevated standards of care in hospitals for many conditions, medical treatment in US will still be out of reach of majority, and the market will still be skewed towards high tier insurance plan holders.
A more radical, slash and burn reforms will be required by US to reach countries with private, but affordable to masses healthcare.
I can draw a parallel with restaurant or affordable clothing markets in my home country - Russia.
In the centre of Moscow, you have countless fancy restaurants that are nearly always empty. Those ones have $30 average price for a basic meal.
At around 10 km away from the Kremlin, you begin to see rare soup kitchens serving <$1 meals with 100+ people line ups during lunch hours accommodating everybody with less than $2k USD of monthly income.
See, if a fancy restaurant will serve even two customers per hour, it will get more money than a soup kitchen.
The same situation, if not worse goes for affordable apparel. Most people can't afford anything more than an "Abibas" tracksuit for $2, yet you genuinely can't find anything that cheap in Moscow's urban core. Putin ordered the only public market in Moscow serving the masses to be crushed, and its owner prosecuted in a show trial, just out of resent for its existence showing the extend of poverty in the country.
People with some money will pay through expensive insurance, and everybody else can't pay at all.
This way, pharma and hospitals have near 0 incentive to focus on people with anything less than mid to high tier insurance plans.
And everything else results from that, like regulatory capture by insurance companies and everybody teaming up with them.
Even without draconian restrictions on generic drugs, labour mobility in medical professions, and needlessly elevated standards of care in hospitals for many conditions, medical treatment in US will still be out of reach of majority, and the market will still be skewed towards high tier insurance plan holders.
A more radical, slash and burn reforms will be required by US to reach countries with private, but affordable to masses healthcare.
I can draw a parallel with restaurant or affordable clothing markets in my home country - Russia.
In the centre of Moscow, you have countless fancy restaurants that are nearly always empty. Those ones have $30 average price for a basic meal.
At around 10 km away from the Kremlin, you begin to see rare soup kitchens serving <$1 meals with 100+ people line ups during lunch hours accommodating everybody with less than $2k USD of monthly income.
See, if a fancy restaurant will serve even two customers per hour, it will get more money than a soup kitchen.
The same situation, if not worse goes for affordable apparel. Most people can't afford anything more than an "Abibas" tracksuit for $2, yet you genuinely can't find anything that cheap in Moscow's urban core. Putin ordered the only public market in Moscow serving the masses to be crushed, and its owner prosecuted in a show trial, just out of resent for its existence showing the extend of poverty in the country.