I have recently been researching the costs of certain drugs and procedures
and I have found a flaw in the idea that we can reduce costs through
competition, an additional flaw beyind the fact that people really aren't
shopping for price when they do shop, they are shopping for compatibility in
outlook, perceived quality, and sometimes closest services if it's an
emergency.

But beyond that --- providers don't publish their prices. Sometimes it is
possible, if you are diligent, to find out what Medicare thinks the service
is worth. But that is not what an individual would pay. Perhaps I am missing
something, but I don't think so.

Let's take for example Nexium. Can anyone find a link for what this costs at
your local pharmacy? The official web page talks about "average co-pay."
What about oh, a simple xray of an arm or a leg? A CAT scan of the chest?

If I missed something simple because it was late and I was frustrated, fine
-- I will be glad of the clarification. If not, I think that this theory is
dead in the water.


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