On Wed, Feb 11, 2009 at 2:44 PM, Chris Gehlker <[email protected]> wrote:
> I understand Jared's arguments as to why there is no nation where
> people are actually willing to leave healthcare to the market but I
> wish some country would actually try it

Why ?

...when it patently cannot provide any broad advantage ?...

...at least as long as it is insurance-based.

>From the customer point of view it can only possibly significantly
financially favour the extremely healthy (from an actuary's viewpoint
lets take the top 20%) and it will almost never be advantageous for
any kind of "family". It could, of course, also (like everything in
this world) be financially acceptable for the super-wealthy who are
not super-healthy. However everyone else has to pay either as much as
in the social system, or over the odds in comparison to the
non-private system. Its either that, and/or you keep the dividends and
salaries so tight that there is no incentive for employees, or
investors.

Having said that, I could accept an actuarial component to
national/public healthcare premiums for lifestyle risks. You want to
smoke ? pay extra. You have alcohol linduced liver damage ? pay extra.
You like extreme sports ? pay extra. Your bloodstream is full of
narcotics ? pay extra. etc. Some other aspects are niggly since they
can be associated with poverty where additional financial stress will
produce a spiral of increasing healthcare costs.
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