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The real reason American health care is so expensive

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Hint: single-payer won’t fix America’s health care spending. Subscribe to our channel! http://goo.gl/0bsAjO Americans don't drive up the price by consuming more health care. They don't visit the doctor more than other developed countries: http://international.commonwealthfund.org/stats/annual_physician_visits/ But the price we pay for that visit - for a procedure - it costs way more: http://static1.squarespace.com/static/518a3cfee4b0a77d03a62c98/t/57d3ca9529687f1a257e9e26/1473497751062/2015+Comparative+Price+Report+09.09.16.pdf The price you pay for the same procedure, at the same hospital, may vary enormously depending on what kind of health insurance you have in the US. That's because of bargaining power. Government programs, like Medicare and Medicaid, can ask for a lower price from health service providers because they have the numbers: the hospital has to comply or else risk losing the business of millions of Americans. There are dozens of private health insurance providers in the United States and they each need to bargain for prices with hospitals and doctors. The numbers of people private insurances represent are much less than the government programs. That means a higher price when you go to the doctor or fill a prescription. Uninsured individuals have the least bargaining power. Without any insurance, you will pay the highest price. For more health care policy content, check out The Impact, a podcast about the human consequences of policy-making. https://itunes.apple.com/us/podcast/the-impact/id1294325824?mt=2 Vox.com is a news website that helps you cut through the noise and understand what's really driving the events in the headlines. Check out http://www.vox.com to get up to speed on everything from Kurdistan to the Kim Kardashian app. Check out our full video catalog: http://goo.gl/IZONyE Follow Vox on Twitter: http://goo.gl/XFrZ5H Or on Facebook: http://goo.gl/U2g06o
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Текстовые комментарии (13303)
Hugo Duarte (8 часов назад)
Protugal? Really? Fix your graphics!
Onshki (14 часов назад)
This video is highly misleading. "Private" healthcare is typically provided by employers through healthcare companies. Your employer foots the bill. It goes a bit like this: Your employer makes a deal with a healthcare company on your behalf. You select the package you would like (typically between a basic coverage and slightly better coverage plan). Then the healthcare provider services your healthcare plan while your employer foots the bill. This system is utterly ridiculous. If we could cut employers out then you wouldn't hear stories about people losing their insurance when they lose their job. Plus healthcare providers would have to offer better prices because individual people can't afford the prices their employers can.
Grundle Munch (1 день назад)
pleasantly uninformed
James Soult (1 день назад)
I'm an American living in the UK for the past 18 months. I love the NHS. I never plan to go back to the USA. The USA is an uncaring country full of selfish people.
Steve Wihl (1 день назад)
It doesn’t help that there are regulations that block hospitals from branching out beyond the state border that they’re in. If you were to allow any hospital to go wherever they want and build as many as they want on their dime healthcare cost would come way down. The regulations are keeping hospitals and a lot of insurance companies from competing for business. Think of it like cell providers. If Verizon was only in Colorado and not the rest of the U.S. I’m pretty sure the monthly bill would be 2-4 times more than it is on a national level.
IRL Server (1 день назад)
The government is the solution to all of your social problems. Bigger government = better society. Amirite?
Edilson Silva (1 день назад)
In Brazil we have a similar problem involving the car industry.
Intel Acer (1 день назад)
You would have to be an idiot to believe this stuff, probably why you support medicare.
Frank Chase (1 день назад)
"Political Power", also known as lobbying, is one of the 3 or 4 major problems in the United States.  The public should form a union called Patients Anonymous and do their own negotiating, rather than waiting for our bought-and-sold electorate to do something for us.
Michael Martinez (2 дня назад)
vote blue !
Elliot Smith (2 дня назад)
The problem with the chart of private and public sector that is blatantly ignored and brushed off is the fact that the public sector costs for USA is just for medicaid & medicare while the private sector is for the rest of America. In essence, the public spending is for a much smaller portion of the population while the public sector is for most people, yet they have nearly identical spending; please explain to me the "government efficiency".
Gohary936 (2 дня назад)
cheaper , maybe. Better though? I lived in London for a year and I tell you from experience. If you get sick and you can't afford private healthcare outside NHS you're screwed. NHS is slow, inefficient, and generally does not care about the well-being of the patient as long as they don't pose a public risk (i.e. std or infectious disease). They will always avoid giving you a prescription, or even medical scans that you clearly need because they have long queues and/or cost considerations that regulate when can a patient get tested or treated. It took them 6 painful months to finally give me an MRI scan that revealed I had serious back injury condition. The reason being is that their protocol only allows such an expensive procedure, such as an MRI only in case the patient has been experiencing pain for at least 6 months. 6 damn long painful months. The government certainly can regulate healthcare, but it has no business administering it...
lifu zhou (2 дня назад)
For those who praise capitalism and privitizing. Why nobody dare to compare US health system to east Asia... Life expectancy Taiwan 79, Japan 85, Singapore 85,south korea 80b and all those countries have much lower cost.
Isaac Chapman (2 дня назад)
"Why is the free market system so bad for healthcare?" Because it's not really a free market. This video is a giant strawman.
Jad (2 дня назад)
so happy i was born in canada
It cost so much because Obama wrecked the system. If you don’t think so why was health care so cheap pre Obama compared to now.
Pedro Castro (2 дня назад)
"PROTUGAL"? Damn... I wasn't expecting that
Stnl N2 (2 дня назад)
FREE MARKET? .... What is he talking about?... We don't have Free Market Competition in American healthcare. ..not at all. You can not shop for competitive prices when you don't know what the price is !!!!!!.... What about accountability?.... Do you have readily accessible data for the performance of an individual surgeon for example? .... No.... there's no competition and no accountability..... Add to the mix Big Government and Big company bureaucrats.... Basically. .. "A and B get together to decide what C shall do for D".... the results people who make the decisions are not effected by it in any substantial way. No wonder US Congress is not subject of Obama care. ..
Eric p (2 дня назад)
Why don’t they make getting medicine approved by the fda less expensive than the massive 100,000,000 you have to pay
Eric p (2 дня назад)
Why don’t you talk about how the United States pays 2 x 3 times more for the same medicine than in Egypt or India. US citizens pick up the tab for the entire world.
koyettsu (3 дня назад)
It is so expensive because legislation was designed to make it so expensive so over time government could take control of your healthcare. Every selfish thing that someone does to get something for themselves, always screws over everyone else. Medicare, Medicaid, cheaper drugs for 3rd world countries, obamacare, insurance mandates, HIPAA, etc. All of these things add significant cost on the healthcare industry that gets passed along to you the healthcare consumer. HIPAA requires a ridiculous amount of paperwork, software, IT staff, compliance officers, etc. This all requires employees to process, maintain, oversee and those additional employees are coming right out of you pocket. Medicare pays hospitals less than their costs, so either they refuse to be a part of it, or they charge everyone else the difference to make up the loss. Drug companies give free or cheap drugs to other countries, you get to pay the difference. You want insurance companies to cover primary care doctor visits, now your primary care doctor has to hire people to process the paperwork, insurance companies costs go up, you get to pay all the extra cost. Bottom line, you want the cost increases fixed and maintain incredible healthcare, you get the government the hell out of your healthcare. Look at any healthcare that is on the fringe, like lasik, allowing people to shop for the best doctor has driven the pricing down since its inception. Right now Lasik is affordable for just about anyone and you have your choice of the best doctors in the world offering this solution. Another example is Chiropractic care, you pay $40 to see a Chiropractor, add in insurance you will see your prices rise, add in government you will see your prices skyrocket. Given enough time and enough legislation you could easily see Chiropractic care to $300 just like seeing a primary doctor for a few minutes. Sorry but demanding "free" healthcare is selfish, what you are really saying is that you want to sacrifice everyone else's financial and healthcare freedom so that you don't have to be responsible for yourself. Grow up, become an adult, learn to think things through, consider the unintended consequences of things and become a bit reliant on yourself.
Katie W (3 дня назад)
VOX REBUTTAL: The REAL Reason American Healthcare is So Expensive | Louder With Crowder https://www.youtube.com/watch?v=q2jijuj1ysw
Banjoman523 (3 дня назад)
Because the government regulates the bejesus out of the entire healthcare market and thus there is no free market system? A.k.a. Econ 101? LOLZ.... Go back to school, Ezra.
MAGA2020 (3 дня назад)
This is communist propaganda made by a libtard biased company
Owen Bunny (3 дня назад)
I don’t understand why haven’t we replace all doctors with robots yet. All they do is to analyze a symptom and give you meds and advice
Jonathan Silva (3 дня назад)
Will C. (3 дня назад)
I've been saying this for years. The problem with American Healthcare isn't that the government isn't paying enough, it's that it's more expensive here than anywhere else. Like when it comes to prescriptions, there is a reason so many people go to Mexico or Canada to get their prescription filled. The same medication is cheaper there.
Aubrey Crowe (3 дня назад)
This is a great and factual video. I am a Texan who has lived in Canada and France. My eyes have been opened. It's often the Americans who are most hurt by our current health care system who scream about not wanting socialized medecine. Wake up people!
Donut's Mustache (4 дня назад)
healthcare is a priveledge, not a right. you don't have a right to my money
B L (2 дня назад)
How about people who have no insurance, go to the ER and get helped. The hospital then raises the price on everything to cover that cost, so when you go in you pay for the person who didn't pay
Stupid Plumbing (4 дня назад)
The problem with healthcare in America is that it is a for profit business. Someone in America has to make money off of everything. Whenever the government gets involved, someone is going to lose money, and we have been brainwashed into believing that that just can't happen. But as soon as we need help we can't afford, we all think the same thing. Where's my help?
markuop (4 дня назад)
I think that what USA getting a state-ran affordable healthcare could do besides helping americans get better care is helping other countries like here in France because free healthcare is being more and more criticized and attacked by liberals and pharmaceutical lobbying. USA getting healthcare could show that even in the "most liberal" society, getting treated must remain a human right handled by public services.
Rita Caetano (5 дней назад)
It's spelled "Portugal". Thank you
P R (5 дней назад)
You can't shop for something that has a hidden price list. A person has no clue to how much it costs before seeing a doctor or buy a medication. Also calling for a price does not work when they refuse to tell you the price over the phone.
luis lee (5 дней назад)
You put only biased chart, why don't figure out facts in details on usa in healthcare regulations? You democrats legislated socializing healthcare with obama care and make it's worst and you come to tell me that the private health insurance is the problem?
David Wassenaar (5 дней назад)
Greed is Good has been the big lie for over half a century.  One other clip you might want to check on medical care cost is the Adam ruins everything clip goes over a lot of the same thing makes a claim that hospitals and insurance companies are in on it charging us 300-1000% over the actual cost which the Insurance company makes a big deal of cutting that in half which means the hospital is only charging you 150-500% over the actual cost.  Here is fun experiment for you try calling you insurance company and get them to tell you how much they negotiated for you medical procedure. That is a no go for most of them. Pretty much we have set up a market, based on price gouging that is protected by lobbyist money and the fact that everyone is doing it. If we want to fix healthcare two laws have to be passed one we can change health whether it is employer paid or when ever we want not just once a year or when "life events happen" and 2 hospitals and insurance companies have to provide a true break done of the cost going all the way back to how much it actually cost the hospital to buy an IV bag or pay their doctors. We put those two laws into effect the US "consumer" Patients get to have a modicum of control over their own healthcare cost.
William Straughan (5 дней назад)
ask them how much government tax they pay these countries pay a lot more gov taxes than the u s
JaxintoG (2 дня назад)
Altought i am not a pro at this kind of "debates", but It really is better european way
JaxintoG (2 дня назад)
Well we still get free school, and text books, and meals, and so on, I can't imagine im my country paying around 100.000 for scholarship, It would take my whole life to pay for it
Paul Bouchard (5 дней назад)
Sorry, health care is a criminal enterprise in America,
Clime Life (5 дней назад)
This is why I don't believe in health care. Eat right, drink GOOD water, work out regularly, & just take care of yourself THROUGHOUT your life not just after you get sick. I refuse to get health care & make up for the majority of the populations ignorant choices that result in these ridiculous prices. This year they are removing the tax penalty for not having healthcare. I've never had health care in my 20 years of living along with my 38 yr old mother & my 52 yr old father. My dad used to suffer really bad from hemorrhoids & high cholesterol but after he purchased a kangen machine, a Japanese preventative health care medical-grade water device that is prescribed to patients with colon cancer in Japan (research Dr. Hiromi Shinya), he no longer suffers from it. After my family disintegrated my mom started eating very badly with her new family & got diagnosed as pre-diabetic during a check up (the doctor recommended she begin the keto diet which I discouraged her from because it revolves around meat, poultry, eggs, and dairy which are detrimental to not only our health but also the planet) & instead told her to start eating more whole plant-based foods like fruits, veggies, legumes, & seeds, while also drink at least 97oz of kangen water daily. There is so much corruption in healthcare & medicine, y'all need to stop believing everything that you are told by doctors. I don't even blame doctors at this point because it's not their fault that they're not taught these things. They're only taught what the industry wants them to know; without sick people there is no profit. They don't know much about preventing diseases, only how to prescribe drugs & perform surgeries. I suggest to whoever is reading this and wants to know more, or is probably ridiculing me, to do their own research & find books on doctors that confess these things themselves like, "The Alkaline Cure: Lose Weight, Gain Energy and Feel Young" & so many more. My husbands parents have health care & make almost 5x as much income as mine but they're currently drowning in debt for surgeries that they can't even afford to buy a kangen machine for prevention...or at least don't want to because they'd rather believe American doctors rather than foreign ones.
Source Code Deleted (6 дней назад)
The problem is that Americans don't see or choose the prices from the hospital's chargemaster. Socialized healthcare wont resolve this problem this is why it will cost 40 trillion to implement.
Piopincilo (6 дней назад)
USA is just profit simple as that!!
Shivam Prasad (6 дней назад)
A kidney transplant in USA will cost you around $400,000. While the same thing in India (in private hospitals) will cost you only about $9,000.
chris Favorite (6 дней назад)
Usa is greed beyond profits. moving to ecuador.
Grello Grey (6 дней назад)
Good thing you ran this trwough a checker before posting or else youd miss the Protugal -.-
jesbsnrn (6 дней назад)
thank you
Paul Thompson (6 дней назад)
Those against single payer love to say...if the govt dictates what they pay doctors then less people will want to be doctors and ultimately there will be less really smart doctors because they cant make enough money.
Chandler Mcmahan (6 дней назад)
If the master charge lists of each hospital were available to the public. Not the gov and not strictly insurance companies. But the customers. Itd force the prices lower without single payer.
Geoffrey McCorbin (6 дней назад)
The cost of healthcare couldnt possibly have to do with people being forced to pay for services they dont need/want.. nope... definitely not that. Cause ya know, "mUh SoCiAlIsM"
Arené Lomax (6 дней назад)
(By your data) If America eliminated government subsidies, then health care would be less expensive than all those other countries.
Codex Humanus (7 дней назад)
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Raymond Strunk (7 дней назад)
Don't pretend ours is a free market system. We pay so much because our government mandates large employers provide insurance, AND regulates limited numbers of insurance companies in each state FOR that state, without possibility of new startups or competition across state lines. Your premise is flawed. While you rightly identify insurance expense as the majority cost in our system, you fail to identify the obvious response: stop government interference in the medical insurance industry. Instead, you draw the inaccurate conclusion that healthcare is an exceptional industry that will perform MORE efficiently under government control. Recind legislation mandating healthcare insurance and limiting competition between insurers to bring down insurance rates (the problem rightly identified at the beginning of the video).
Charles Bickel (7 дней назад)
Insurance is the problem.
Christian Henrriquez (7 дней назад)
I just want to say something. My aunt lived in the USA (she died a few months ago), and she would always come back here (El Salvador) to take care of her teeth, her knees, her eyes, etc. etc. even if that meant having to wait 1 year or more which is when she came to visit, instead of going through her savings for a knee pain treatment. We may not have the best health system, but at least it's free. :)
Grinning Guise (7 дней назад)
We need MOAR BOMBZ!! Who can afford healthcare??
Allen Smith (7 дней назад)
Simply greed.
__TidePods__ (7 дней назад)
taijiangah (7 дней назад)
You forgot to mention another reason Healthcare is so expensive in the States is due to the fact that malpractice insurance is equally expensive. We live in a country where people order hot coffee and then sue when the coffee is too hot.
Reid Brinkley (7 дней назад)
Carl Swanson (7 дней назад)
Because it's not a Free Market moron, the government has their fingers in everything. Notice you didn't mention the cost of Medicare/Medicaid compliance... because you can't defend it. You're either an idiot or deliberately dishonest.
Grinning Guise (7 дней назад)
Can you point to a FREE MARKET system in the world with better outcomes?
Jordan Wood (7 дней назад)
Cause Murica that’s why.
homeofthegooddeal (7 дней назад)
Years ago South Carolina implemented the lottery Program to help pay for college. Next semester the school doubled their price. So Basically the school was getting money from both the government and the people. I feel this is what the health care system Does in general. I feel as if the government's role should not be of a provider but of a protector. I feel as if the government should be more on regulating health care cost than supplying endless amounts of money.
Neffariousnyc (7 дней назад)
If medicare is so great, why do so many old people also have to buy gap insurance from private companies to cover long term care or surgeries that medicare won't cover? Healthcare isn't expensive because of a lack of bargaining power by insurance companies against government programs, its expensive because the consumer has next to no bargaining power at the point of service. Doctors and Hospitals control the services and can set the prices they charge for healthcare. Thats why some doctors perform surgeries at no cost to the patient. It is misleading to suggest that "the open market" is to blame for the cost of healthcare simply because insurance companies can't compete with government insurance programs.
Cookie mon (7 дней назад)
Wow so much stupidity in this video. Government is better than private sector at providing health care? Such stupidity. Government is full of waste and corruption they would make things worse. You covered only the surface of the problem just to show your biased opinion. The problem with health care in the USA is that there's too much government. Do your research well and educate yourself. Also you dumbass if you think government is best for putting prices use your brain and think what that would do to quality of services. Imagine what would happen to the iPhone if 10 years ago the government stepped in to say phone too expensive you have to charge half....the lack of economic literacy is the real problem. Also people need to take better care of of their health
BIGDAVE5352 (7 дней назад)
From my experience I have paid a whole lot less than if I had insurance. The patients with insurance pay more because of the extra red tap associated with billing the insurance company. In fact my doctor quit accepting insurance and let go 6 staff members so he can be more efficient. He told me that he had to pay those 6 people to transcribe the billing to the insurance company and then wait 90 days to get paid. Then if one thing was coded wrong the insurance company would reject the claim. Now he bills the patient directly and the rates are much lower and the quality of care is much better.
WAKANDA FOREVER (8 дней назад)
I grew up in America and I currently live in West Africa. Just had a tumor removed and it cost me around $500. The same procedure would have cost me at least $15,000 or more in America. Being poor in America is a death sentence.
Kyle Fraga (8 дней назад)
You do not know what you are talking about
KLJF (8 дней назад)
the moment money was invented our desent into hell was inevitable .
Jesse Alexander (8 дней назад)
How much do people who work in healthcare get paid in other countries where it is free
franzb69 (8 дней назад)
conventional medicine is even more corrupt that the government. that's why.
Theo G (8 дней назад)
How about the fact that without the us medical economy, the rest of the world would suffer. I'm Canadian, the only reason we have new resources and cheaper medication is because we leverage the us as a single consumer to get cheaper equipment and prescriptions since they've already been made for the American consumer. Wake up people, if the Americans go single payer it will have a long-term detrimental effective to global healthcare.
T. M. N. (8 дней назад)
How the hell does this video just have 65k likes and nearly 8k dislikes?! Do people who dislikes this even watched it (or exists)?
Alexander Wang (9 дней назад)
Look where privatization got us.
MiniatureMasterClass (9 дней назад)
Ryan Toomey (9 дней назад)
America has one of the best healthcare systems. I hear about so many Canadians coming into the U.S. to receive healthcare because they can't get it in Canada.
MrBati122 (9 дней назад)
The US sucks
AndyDog67 (9 дней назад)
Greed, plain and simple.
1angrykoala (9 дней назад)
This video is so incorrect it baffles the mind. Never in the history of the US has government EVER ran, managed, or created anything as effectively and efficiently as the private sector. Ever.
1angrykoala (7 дней назад)
+Grinning Guise No faith is required. Facts don't lie.
Grinning Guise (7 дней назад)
your faith is commendable, but misguided
Anna Barata (9 дней назад)
Am I the only one seeing "Portugal" spelled like "Protugal"...
imtyaz ahammad (9 дней назад)
compare it with india 🇮🇳
Joe B (9 дней назад)
The real reason is greed. Period.
David Urry (10 дней назад)
Why do the uninsured get screwed on price? It's because the doctors negotiate with insurance companies for the "average price". So your bill at 4X helps the doctor get more out of the insurance company. The insurance company also encourages this behavior by doctors because it incentivizes the uninsured to get insurance.
Benson Fang (10 дней назад)
isn't that effectively price controls 2:34
The Red Look Podcast (10 дней назад)
You failed to mention the reason the public resources is so cheap is because other people foot the bill. The more money you make - the more you have to pay into it. You also failed to mention that people don't have to rely on the governmetn to say yes or no about a procedure and the wait time is the lowest. Last, innovation is overall and degree of specialists are highest here.
Jon Greenbaum (10 дней назад)
Why have that sub headline "Single Payer Won't fix America's Health Care Spending"? The conclusion about a Medicare opt in isn't something that single payer advocates oppose. And free college education usually accompanies Medicare for All platforms espoused by progressive candidates. That mediates the problem of comparatively overpriced American doctors with huge debt (actually its the specialists that are outlyers in our system). This headline and subhead just feels really disingenuous. What was going on there?
Brajesh Singh (10 дней назад)
The US system is not that bad as it is made out to be...you just have be "smart" or responsible enough to buy insurance or if you are poor enroll in medicaid ....I think instead of making a big fuss or a debate as it is termed in politically correct terms and eventually do nothing the policymakers can easily make health insurance provisions more consumer friendly, educate people about the various insurance options they have and improve things substantially....complicated and expensive procedures will always be a contentious issue and maybe out of the reach of poor or low income individuals...that is where more deliberations maybe required ...
Tom Bosma (10 дней назад)
Your introductory argument would only be true if we chose to not give health care to those currently on private programs. If a minority of citizens (~35%) are insured on public programs and the cost is approximately the same as private spending (which covers ~72% of citizens) and that of other countries per GDP, then logically extension of the public systems to the general public would result in an increase in cost per GDP.
colten tackett (10 дней назад)
The problem isn't how the private sector spends the problem is that the government is involved at all, if there was no mandatory insurance the health care cost would plummet. This also goes for car insurance but in a slightly different way if the government didn't mandate it the it would be cheaper for everyone to get that wanted it.
MandoMonge (10 дней назад)
#1 reason I love my third world country and wouldn't want to go to the US
Yo Now (10 дней назад)
Jack Lan (11 дней назад)
Everytime I hear someone say "free" healthcare and "free" college, I cringe.
Kevin Tideson (11 дней назад)
Nope! It’s not totally right.. In U.K. example, if your hospital signs up with NHS or Medicare as in USA, only then government can dictate price to your services to ALL of your costumes.. But if you do run your own private health care centre and chose to do not make a business with NHS or Medicare as in USA, you do have a right to market your services at any price you wish
Iu Iulitza (11 дней назад)
From my personal experience with universal healthcare , when i was 17 , i waited one month in hospital because we didn't knew we have to bribe the surgeon to rush the procedure . Second day after we paid him , i was on the table. So you understand why people are kind of skeptics. It sounds good on paper but in reality the demand for free healthcare it;s so high that medics become corrupt and prioritize the rich clients while the poor ones have to wait in line.
jasonlajoie (11 дней назад)
I lived the first 30 years of my life in America being told how it is the greatest country on Earth. It didn't take long traveling abroad to see through this lie. I've spent the past 15 years living in Switzerland and have not even gone back to the U.S. for a visit. Best decision of my life, as I've been watching things only get worse over there.
jasonlajoie (11 дней назад)
But the average American is just too ignorant to know how the system is flawed and will never try to do anything to change it. Some will shout "We want Universal Healthcare" but this can never work until the prices are regulated down to a reasonable level.
dmonarre dmonarre (11 дней назад)
This rebuttal is general, but still directly applies: https://www.youtube.com/watch?v=gPJWwiKnYGs&t=1s
dmonarre dmonarre (11 дней назад)
dmonarre dmonarre (11 дней назад)
Uhh, https://www.amazon.com/Basic-Economics-Thomas-Sowell/dp/0465060730
dmonarre dmonarre (11 дней назад)
dmonarre dmonarre (11 дней назад)
Daniel Kariuki (11 дней назад)
Unless you want to pay more taxes leave health care in private hands
MrPiercegarnettallen (11 дней назад)
Vox is a complete embarrassment of a company. I dare anyone to explain to me how this guy doesn’t recognize that private insurance companies don’t negotiate on our behalf because THEY ARE HEAVILY REGULATED AND SUBSIDIZED BY THE GOVERNMENT ALREADY. Private spending is so high because doctors don’t have an incentive to lower prices and “private” insurance companies don’t have an incentive to negotiate because of government involvement. The free market built our healthcare system through innovation, competition, and supply side economics. Industries have never grown because the government dictated prices to the supplier.

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