Sunday, October 31, 2010

Free Market and Healthcare. Mutually exclusive?

We, Americans, love free market. But is there an example of cost differences making it worthwhile to shop for health services?

Medical tourism!

As medical costs in the US continue growing at double digit rates, we start to look elsewhere to get quality services at cost-efficient prices.

The typical reaction for the uninitiated is "Who's really going to trust a hospital in Hungary or Thailand to do their heart transplant? Most Americans won't gamble with their lives".

But they are! 250,000 to 650,00 of them, each year! It's true that many Americans are still apprehensive about using medical tourism. Either they don't trust hospitals in other countries, or can't travel abroad. Or they still miraculously have a great insurance coverage. However, elective surgeries like knee replacements and plastic surgeries are so expensive that medical tourism becomes a viable alternative, because travel costs will be generously offset by savings in medical procedures. That's our beloved free market successfully delivering healthcare!

What about basic healthcare and preventative medicine? Can the free market succeed there?

Imagine having virtual medical examinations where doctors in Belarus, India, or Poland provide basic health services to American patients here, in America, at a fraction of the current costs. These patients would go to a US office where a technician, not a doctor, would examine the patient and run all the basic health tests while simultaneously being supervised by an MD abroad via a high speed internet connection. Telemedicine already exists and will expand if we see changes in mindset, regulations, and technology.

With all the savings virtual basic healthcare could provide, wouldn't the AMA and other American medical interests try to block that from happening? Of course!

America picks and chooses when it wants free market capitalism and when it wants domestic protectionism. Right now the US free market is failing to provide affordable basic healthcare at home. If the international community is allowed to compete in a level playing field, then basic healthcare in the United States would probably become more cost effective.

Sunday, October 3, 2010

Dental tourism recommended on "Real Time with Bill Maher"

Well, maybe "recommended" is a slight exaggeration. David Cross, highly intelligent, brutally honest, and often confrontational actor/comedian was a guest on Bill Maher's October 1st show. He shared his experience in a dental clinic in Europe. Having never been treated anywhere but in the US before, he was truly shocked how easy the whole process turned out to be. "No $1200 panoramic x-rays, no special cleaning, no unnecessary prophylactic treatments, they just took care of a serious emergency I came there for". Cross, of course, used some language we try to stay away from on this blog, so we give you our rendition of his remarks. The whole experience apparently took only 40 minutes, no wait. Total cost was about 80 British pounds. That would be about $126. People wouldn't have to cash out what is still left of their IRA or 401K, would they?
Of, course we have plenty of those who wouldn't want any socialist dentistry like that here, in the US. Until they actually have a chance to experience it first hand. Didn't Mark Twain once say "Travel is fatal to prejudice"?