On what market the cost of services to be rendered would be held secret, or at least obscure? Try shopping for a particular kind of surgery across hospitals. How many plans does your employer offer? Would you rather buy a plan independently? Why?
The whole "insurance" system is not insurance mostly, but a payment scheme, of a quite bizarre, complicated, and opaque kind. The regulatory forces that gave birth to it are at least as strong as any market forces remaining in the space, and likely stronger.
OTOH direct markets are a poor way to distribute goods that have a very inelastic and time-sensitive demand, like firefighting, urgent healthcare, or law enforcement. Real insurance is a better way, and a permanent force sustained by tax money usually demonstrates the best outcomes. The less urgent healthcare is, the better a market works, all the way to fitness clubs which are 100% market-based.
On what market the cost of services to be rendered would be held secret, or at least obscure? Try shopping for a particular kind of surgery across hospitals. How many plans does your employer offer? Would you rather buy a plan independently? Why?
The whole "insurance" system is not insurance mostly, but a payment scheme, of a quite bizarre, complicated, and opaque kind. The regulatory forces that gave birth to it are at least as strong as any market forces remaining in the space, and likely stronger.
OTOH direct markets are a poor way to distribute goods that have a very inelastic and time-sensitive demand, like firefighting, urgent healthcare, or law enforcement. Real insurance is a better way, and a permanent force sustained by tax money usually demonstrates the best outcomes. The less urgent healthcare is, the better a market works, all the way to fitness clubs which are 100% market-based.