Listen Up

Monday, December 30, 2024

PRICE TRANSPARENCY VS PRICE OPACITY

 The "emergency" argument against healthcare price transparency is a perfect example of using an emotionally vivid edge case to defend an inefficient status quo.


The vast majority of healthcare services are predictable and schedulable:

- Annual checkups
- Laboratory services
- Diagnostic tests
- Elective procedures
- Ongoing treatment plans
- Physical therapy
- Dental work
- Vision Care

Price opacity serves primarily to:


1. Maintain artificially high prices through information asymmetry.

2. Justify insurance companies as "necessary" intermediaries.

3. Prevent direct physician-patient price competition.

Think of other complex services we manage to price transparently:

- Legal services (hourly rates)
- Construction (detailed estimates)
- Auto repair (parts and labor)
- Higher education (published tuition)

The "but emergencies!" The argument is like saying we shouldn't have restaurant menus because someone might need emergency catering.



Price transparency would likely drive:


- More direct-pay arrangements
- Subscription/membership medical practices
- Cash price competition
- Insurance becoming truly insurance (catastrophic coverage) rather than a payment intermediary

Let’s make healthcare affordable and accessible for everyone, everywhere…

hashtaghealthcare

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