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<blockquote data-quote="takethepoints" data-source="post: 151032" data-attributes="member: 265"><p>It is true that many of the practices of American medicine probably don't have much effect on medical care. But it's a trade-off: allowing a free market for providing medical services would be much, much worse. For instance, the regulations on hospital establishment are there in part to combat what I once heard called the "dark dialysis" problem. If you allow hospitals to proliferate freely they will, of course, locate in areas with lots of insured and wealthy people. They will all try to have similar kinds of equipment, all state of the art, to attract patients. That will include dialysis machines. Lots of dialysis machines. More dialysis machines then the patient base can use. Dialysis machines that are shut off ("dark dialysis") a good part of the time. Since there aren't patients to charge for dialysis, the hospitals jack up the fees for all other patients to cover amortization of the dark dialysis machines. The result = higher hospital fees, higher insurance premiums for <em>everybody</em> (the insurance companies are not charities), fewer insured people, and worse overall public health. Similar problems proliferate all over health care. Like I said, it's a trade-off. I'll take the regulations myself.</p></blockquote><p></p>
[QUOTE="takethepoints, post: 151032, member: 265"] It is true that many of the practices of American medicine probably don't have much effect on medical care. But it's a trade-off: allowing a free market for providing medical services would be much, much worse. For instance, the regulations on hospital establishment are there in part to combat what I once heard called the "dark dialysis" problem. If you allow hospitals to proliferate freely they will, of course, locate in areas with lots of insured and wealthy people. They will all try to have similar kinds of equipment, all state of the art, to attract patients. That will include dialysis machines. Lots of dialysis machines. More dialysis machines then the patient base can use. Dialysis machines that are shut off ("dark dialysis") a good part of the time. Since there aren't patients to charge for dialysis, the hospitals jack up the fees for all other patients to cover amortization of the dark dialysis machines. The result = higher hospital fees, higher insurance premiums for [I]everybody[/I] (the insurance companies are not charities), fewer insured people, and worse overall public health. Similar problems proliferate all over health care. Like I said, it's a trade-off. I'll take the regulations myself. [/QUOTE]
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