and then strangle the parasitic insurance companies that are paid handsomely by the consumer to build pointless bureaucracy and safeguard their market position
Considering the patients have no idea what is going on and therefore no way to tell if what they are being sold by medical care providers is appropriate or not, insurance (who also have doctors reviewing the cases) is actually the only entity that is auditing the work of the medical providers to make sure they’re following the proper procedure and prevent overcharging.
Is this right though? Surely buying 20k knee joint replacements should earn a discount? Just setting it such that it wasn’t taking the piss would seem a vast improvement.
How does prepaying for treatment help with costs at all? Either you _can_ forecast accurately how many knee replacements you are going to do in which case prepaying won’t help you plan better — or you “prebill” for knee replacements and then incentivize doctors to push people into knee replacements to maximize their payouts ...
Economies of scale - if you don’t pass on the saving the money is going to someone. I guess you’re picking the providers (hospital and medical companies) and I’m picking the patient.
