Friday, June 29, 2012

The Healthcare Myths We Must Confront

As debate about whether ObamaCare is a good idea continues, rejecting four major misconceptions about healthcare is crucial to any chance of our eventually emerging with a better system.
In the wake of the Supreme Court’s ObamaCare decision, we must refocus. The Court’s decision was never about whether ObamaCare was a good idea, only about whether it was constitutional. The Court found a convoluted way to uphold the law.
That’s done, but the debate on whether ObamaCare’s provisions are good ideas will continue. To date, this debate has been unable to shake off a lot of mythology—things believed about healthcare and our healthcare system in general, or ObamaCare specifically—that simply are not so.
The goals of healthcare reform—covering more Americans, improving outcomes, and doing so more cost effectively—are all laudable, but are all hampered by the continued belief in these myths. Rejecting these misconceptions is crucial to any chance of our eventually emerging with a better system.
Myth #1:  Healthcare prices have soared in the recent past
If we choose to subsidize a portion of the population we should do so openly, using taxation and government spending, which at least shines sunlight on the cost, not through tricky regulation that hides it.
Everyone knows that healthcare prices have soared, but everyone may well be wrong. The statistics we see are always about the amount we spend on healthcare, not the price of healthcare. Consider a comparison of healthcare in the 1950s versus today. In the 1950s, you had none of the subsequent developments in pharmaceuticals, surgery, diagnosis, etc. How much would you pay for that versus today’s healthcare? Not so much, I’m guessing. In fact, if you look around the world, in impoverished countries you can probably find a reasonable facsimile of this 1950s healthcare at a low cost. While this example is intentionally extreme, the measurement problem it illustrates is important. The quality of the best healthcare has soared over time. This measurement problem is not unique to healthcare. Measuring the price inflation in computers is incredibly difficult. If the price of a laptop today is the same as 20 years ago, but the laptop is ridiculously better now, hasn’t the price really fallen dramatically?

Read more: http://www.american.com/archive/2012/june/the-healthcare-myths-we-must-confront

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