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Politics : A US National Health Care System?
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To: i-node who wrote (6434)3/22/2009 8:33:30 PM
From: Lane31 Recommendation  Read Replies (1) of 42652
 
But the fixed costs remain the same and just have to be borne by other hospital customers.

That's true immediately, but over time the infrastructure shrinks to accommodate the reduced business. You end up with one fewer hospital and one fewer CT scanner. As I said, there is a natural limit to how much you can size down and still get economies of scale--you need a certain critical mass--but there will never be enough medical tourism to reduce customers by that much. You need to evaluate the system after it has adjusted to the change to determine the impact of the change. The transition period is too volatile.

While reimportation isn't part of the "medical tourist" scenario, it IS part of the concept of moving health care costs out of the country where they are lower.

I'm not a proponent of reimportation. But I think that price shopping is a wonderful idea. It reduces costs, keeps traditional facilities honest, and warms the cockles of my capitalist heart. A little competition never hurt any enterprise.
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