You know as well as I do that the free market, if allowed to exist unhindered by the law, will create a system that is mutually beneficial to the buyer and the seller.
Liberals don’t believe this. They feel the only way for some poorer Americans to get anything is for government to take from some and provide it for them.
This results is poorer results for everyone.
For example, health care.
Government meddles in almost every aspect of this. And to what end?
The left cries for more funding, further regulations, great government control.
But what happens if the doctors essentially go Galt from that system.
In Wichita, Kansas, 32-year old family physician Doug Nunamaker switched to a cash-only basis in 2010 after taking insurance for five years. (“Cash-only” is a loose description. Nunamaker accepts payment by debit or credit card too.)
Under the traditional health insurance system, a large staff was required just to navigate all the paperwork, he said. That resulted in high overhead, forcing doctors like Nunamaker to take on more patients to cover costs. Plus, the amount insurance companies were willing to pay for procedures was declining, leading to a vicious cycle.
“The paperwork, the hassles, it just got to be overwhelming,” Nunamaker said. “We knew that we had to find a better way to practice.”
So Nunamaker and his partner set up a membership-based practice called Atlas M.D. — a nod to free-market champion Ayn Rand’s book Atlas Shrugged. Under the membership plan — also known as “concierge” medicine — each patient pays a flat monthly fee to have unlimited access to the doctors and any service they can provide in the office, such as EKGs or stitches.
The fee varies depending on age. For kids, it’s $10 a month. For adults up to age 44, it’s $50 a month. Senior citizens pay $100.
The office has negotiated deals for services outside the office. By cutting out the middleman, Nunamaker said he can get a cholesterol test done for $3, versus the $90 the lab company he works with once billed to insurance carriers. An MRI can be had for $400, compared to a typical billed rate of $2,000 or more.
Nunamaker encourages his patients to carry some type of high-deductible health insurance plan in case of an emergency or serious illness. But for the everyday stuff, he said his plan works better for both doctor and patient.
“It would be like if car insurance paid for gas, oil and tires,” he said. “It would be very expensive, and you’d have to get pre-approval for a trip out of town.”
Most of his clients are self-employed, small business owners, or employed at small firms that have found the monthly fee, combined with a high-deductible plan, a cheaper option than traditional insurance.
Nunamaker now has a patient list totaling 400 to 600, compared to the 2,500 to 4,000 he said a typical family physician usually maintains. He’s quite happy with his annual salary of around $200,000.
Once again, the answers to America’s health care issued do not lie in further government meddling in the system, but a drawdown of regulations, both state and federal.
Let the free market work.
Featured Image Photo Credit: Ubi Desperare Nescio