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> When it comes to basic care, there's absolutely no reason why a capitalist approach wouldn't work, and work well.

I disagree completely. Providing basic care as early as possible to people is the best way to catch problems earlier and reduce overall cost of treatment. Anything that gets in the way of a person seeking basic care, such as payment or wrangling with insurance, means that some people will choose not to seek or will delay seeking basic care. Universal health care options that do not require individuals to pay at time of service are far better for removing barriers to accessing basic care.




This is the problem.

Preventative medicine is the most cost-effective, which from a profit perspective is the worst possible thing. If you want your for-profit hospital's revenues to go up, what you need is lots of critically ill patients.


Don't you have that the other way around? If you want profit, you'd want a bunch of healthy people paying you premiums. Critically ill patients are expensive, and if they die, they won't be paying premiums anymore.

Auto insurance companies want safe drivers who will never ding their car and continue paying a low but steady premium, not reckless drivers who wreck their car every month.


From an insurance company perspective, preventative care might make sense, but if premiums were lower as a result, it might be counter-productive.

I'm sure there's a Nash Equilibrium here where people need to be "optimally sick" and this is a point some distance from "perfectly healthy".




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