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To: TimF who wrote (67585)10/16/2008 4:11:32 PM
From: thames_sider  Read Replies (1) | Respond to of 90947
 
Quality of care is not simple to measure
Actually for a lot of the work passed to the private sector, it is. It's routine operations and the like, and success/failure is easy to determine.

In many areas market solutions tend to be better than government solutions but the reason for this is not because the companies providing it are private, but because they face a real competitive market.
Now that may be the case. Mass healthcare is not a perfect market for many reasons, and probably can't ever be - the barriers to entry are far too high, the consumer generally lacks perfect information, and often the condition requiring treatment is urgent or incapacitating so they can hardly shop around anyway. Plus the costs are so high that very few individuals can actually pay themselves, so they use insurance or state schemes - which then means that the consumer is not the actual customer, and competition aligned to the latter may not work in the benefit of the former, so choice gets limited or directed further...

Thinking about it, healthcare is probably one of the least suitable services to be run on market means! LOL.