It is one of the best health care papers in recent times, it is here, I cannot find an ungated version. Glied reminds us that only about 1/3 of American health care spending comes from private insurance. Moving to international comparisons, the more general point is that:
…there is no persistent and regular relationship between the structure of system financing and the rate of growth in per capita health expenditures in a health system…the efficiency of operation of the health care system itself appears to depend much more on how providers are paid and how the delivery of care is organized than on the method used to raise the funds.
In other words, as I’ve stressed before, the health care cost problem comes from immediate suppliers, namely doctors and hospitals, and not from health insurance companies.
More from economist Tyler Cowen. There are lively comments.
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