Our health care system is plagued by bureaucracy, both in the
government and the private sector. Having for years been accustomed
to the third-party payer system, much the private sector has
created structures designed to hold down costs and wring more
dollars out of the federal and state governments.
Hospitals are one example of this. As we turn to a more
consumer-oriented system with the adoption of health savings
accounts, hospitals are struggling to adapt. Holman Jenkins has a
great article on this in today's WSJ (subscription
required). Here are a few snippets:
[Hospitals] don't publish price lists. They don't
advertise promotions and discounts when facilities are idle. Though
hospital CEOs are still prone to believe it's government's job to
bail them out, plenty of lessons from other industries are
available as they adapt to the end of third-party payer socialism.
Movie theaters, grocery stores and car dealers all make sure you
pay for their goods and services whether they charge you before or
after the fact. Yet hospitals are just discovering such ploys as
getting the customer's credit-card data before he lies down on the
gurney. One hospital, looking at procedures that exacerbated its
bad debt problem, found that nobody was stopping emergency room
patients from walking out the back door without passing the
cashier.
And,
Hospitals like to blame a mild flu season for an
unlikely softening in admissions the last year or so, but they're
whistling past the operating room. The Los Angeles Times noted on
Sunday that insurers and employers are just starting to look at
sending surgery patients to India or Thailand, where a
state-of-the-art procedure can cost 10% of the U.S.
price.
topics:
Health Care, Socialism
