You may be surprised to know that 80% of hospitals in the US are non-profit. The evil profit motive isn't the reason their bills are so outrages.
In the 60's US healthcare expenditure was 5% of the economy and it is close to 20% right now.
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You may be surprised to know that 80% of hospitals in the US are non-profit. The evil profit motive isn't the reason their bills are so outrages.
In the 60's US healthcare expenditure was 5% of the economy and it is close to 20% right now.
Water is also a necessity as is food and you can have a free market for those.
The questions are: 1. Does the buyer have enough choices or alternatives to choose from when it comes to healthcare? 2. Do those who offer services have a monopoly on the service?
When you look at the US market you'll find that it doesn't meet those criterias. Market forces are prevented from acting and being able to reduce costs.
The fact that there is a captive audience, as you suggest, means that we cannot just shovel money into it. You end up exactly where you are. Costs go up because it is a necessity. Same reason food prices go up when there is a shortage. It is not a luxury.
You should look at historical healthcare expenditure by the US.
The problem isn't providing healthcare for all... it is the method and the cost. Universal payer is one way. It is not the best way and in fact Medicare is one reason costs are currently high. It is a bit like a car that used to get 30MPG and now gets 15MPG, and getting worse, and the solution being offered is for all of us to collectively chip in and buy gas for those who can't -- which is not tenable in the longterm because you're spending more and more of the GDP on transportation.
There are other ways of giving everyone coverage. One scheme, would be giving people money. Enough to cover average cost of healthcare plans and say education plans. The individual is then responsible for their own healthcare and has the funds to purchase health insurance. Then you have a healthy market and have mechanisms for the costs to come down.
GG can publish his article and the readers can be the judge.
The editors can run the story with a disclaimer outlining their concerns as Greenwald argues.
The cynic in me thinks that HN is not immune to astroturfing by foreign or domestic actors anymore than Reddit or Facebook are.
You take X% off the top of the economy and distribute it to everyone who needs it on a sliding scale basically below a certain income level Y.
The transfer payment is taken from the entire economy through a tax. A slice off the top.
If a business has higher profits it would also pay larger portion of that transfer to low income persons.
A key feature is indexing the maximum amount i.e. what a person with 0 income would receive to typical cost of living at state or country level. This way it auto adjusts. Then it is in the interest of everyone paying taxes to figure out ways to reduce costs of living.
Freidman and Hayek both emphasize this point in their works.
You take the benefit of efficiency and productivity from the entire economy and return it to the people at the bottom.
You don't have a right to a job, or a particular income. You have a right for society to not leave you dangling when in need. Your ability to get a job or have more income should be determined by market forces.
Put a negative income tax in place and ensure a minimum level of funds for every citizen and see how quickly Amazon's treatment of its warehouse workers improve. Far more than any union could provide.
Furthermore what you keep repeating is not true. You're retconning history and economics based on your own knowledge and absolutely ignoring books and written history.
Self-interest is an inherent human nature. Competition is the mechanism to keep self-interest in check. Everyone wants a monopoly. Our institutions and power structure have to be built to be anti-monopoly of all forms.
Rise of corporatism in America is highly correlated with concentration of power in the state. Corporations could not have achieved their scale and power w/o the state putting its foot on the scale to tilt it in favour of one particular outcome or the other. When you have a giant who can throw its weight around, all you need is a bit of smarts to use that your advantage.
Unfortunately in reality people believe that the only good monopoly is the one they (think) they control. This leads them to pile more and more power into that institution -- Government. This makes the government a prize to win, ripe for abuse and takeover by special interest. In turn the government doesn't do the one thing it is supposed to do, which is ensure competition and prevent monopolies.
The basic premise of anti-trust is that you can't use your power in one area (say search) to gain marketshare in another area (say shopping, or videos). Google should have been broken up a long time ago. This doesn't go against any foundation of capitalism.
U.S. Constitution, the Bill of Rights, and other similar fundamental laws were conceived as essentially a way to fix this problem; to keep the minority safe from the majority. You wouldn't be able to solve slavery with democracy. The majority would vote to maintain it.