What Tummy Tucks Can Teach Us about Health Care Reform
Source: Shawn Tully, "What Tummy Tucks Can Teach Us about Health Care Reform," Fortune Magazine, May 23, 2013. Devon M. Herrick, "The Market for Medical Care Should Work Like Cosmetic Surgery," National Center for Policy Analysis, May 2013.
May 28, 2013
There are many myths downplaying the role the market can play in health care, says Shawn Tully, senior editor-at-large of Fortune Magazine.
It's just the opposite in cosmetic surgery: Whatever you can save on a procedure is money you get to spend on a vacation or your kid's tuition. Doctors compete vigorously to win business using steep discounts. Websites such as Groupon and LivingSocial regularly offer "deals-of-the day" for cosmetic procedures. Indeed, the average cost of Botox dropped from $500 in 2007 to $365.
The market will work in medicine. Rules that lavishly subsidize demand and at the same time shackle supply are not the answer. Follow the lessons from facelifts and tummy tucks: The more consumers spend their own money, the more efficient health care will become.
- One leading myth is that each patient is so different, and every procedure so tailored, that doctors can't determine the cost, or tell patients the price, in advance. Hence, providing consumers with prices they can compare is totally impractical.
- Another holds that medicine is so sophisticated that consumers are incapable of choosing deals that combine low cost with the promise of excellent outcomes.
- A third is the concept that -- in contrast to every other area of the economy -- new technology inevitably makes everything more expensive.
- Over the past two decades, U.S. medical prices -- not total spending -- have been rising at around 5 percent per year, or twice the increase in the consumer price index.
- By contrast, prices for cosmetic surgery are inching forward at just 1.3 percent a year, or a full 1.2 percentage points lower than inflation.
It's just the opposite in cosmetic surgery: Whatever you can save on a procedure is money you get to spend on a vacation or your kid's tuition. Doctors compete vigorously to win business using steep discounts. Websites such as Groupon and LivingSocial regularly offer "deals-of-the day" for cosmetic procedures. Indeed, the average cost of Botox dropped from $500 in 2007 to $365.
The market will work in medicine. Rules that lavishly subsidize demand and at the same time shackle supply are not the answer. Follow the lessons from facelifts and tummy tucks: The more consumers spend their own money, the more efficient health care will become.
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