People complain a lot about health care costs. I don't really blame them, costs are high. If Marissa and I didn't have good medical insurance we wouldn't be living in a house right now. But there seems to be some sort of idea that health care costs are "broken," and that they can somehow be "fixed." For some reason, people think that having the government (through taxpayers) pay for health care, that costs will go down. I don't understand that. A trip to the doctor is going to cost the same no matter who pays it. That is, unless you want the government to act like a gigantic HMO and negotiate lower costs with doctors, hospitals, and drug makers.
One problem with lowering health care costs is that so much of health care requires personal attention.
For example, common drugs in hospitals can be expensive. A single Aspirin from a bottle in your home costs maybe a few cents. But in a hospital, that same Aspirin might cost $10. That is because the costs of the hospital's service are built into the price. A doctor had to prescribe the medicine and record the prescription. A nurse had to monitor the patients schedule, get the medicine at the appropriate time and bring it to the patient. It it takes a nurse 10 minutes to complete those tasks, and her internal hospital bill rate is $60 and hour, it actually costs $10 in labor alone just to deliver an Aspirin. (Nurses probably don't get paid that much, but that might be how much it costs the hospital to have a nurse on staff.)
In other industries, companies must cut costs to stay competitive. Often, this is done by automating tasks and getting rid of people. For example, ExxonMobil has a refinery in Beaumont. Twenty years ago, they had close to 10,000 employees working at the refinery. Today, they refine 4 times as much gas. How many people does it take to work the refinery with the increased production? About 2,500. ExxonMobil was able to use technology to improve operations and reduce the need for people to be part of the process. Imagine what energy costs would be like if 40,000 people were needed for instead of the 2,500.
The moral: people are expensive. Remove people, and costs go down (or at least rise less quickly).
The problem: people can't be separated from health care.
The solution: ???. I don't know what the solution is, really. I just wonder how it is that some people think that health care costs can be "fixed."