The people hurt most by Obamacare

"Because, Friedman saw, most payments for medical care are made not by the patients who receive the care but by third parties, typically employers."

The reason for this wasteful third-party system? The tax code. Money spent on health care is exempt from the income tax only if the health care is provided through an employer. "We have become so accustomed to employer-provided medical care," Friedman wrote, "that we regard it as part of the natural order. Yet it is thoroughly illogical."

"Two simple observations are key to explaining both the high level of spending on medical care and the dissatisfaction with that spending.*

The first is that most payments to physicians or hospitals or other caregivers for medical care are made not by the patient but by a third party—an insurance company or employer or governmental body.*

The second is that nobody spends somebody else’s money as wisely or as frugally as he spends his own."

"In addition, once the whole population is covered, there is little political incentive to increase spending on medical care. Once the bulk of costs have been taken over by government, as they have in most of the other OECD countries, the politician does not have the carrot of increased services with which to attract new voters, so attention turns to holding down costs."

How to Cure Health Care | Hoover Institution
 

Forum List

Back
Top