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It's precisely because our system is a hybrid that it results in higher costs.


The government here entitles a large portion of the population to health care at an artificially low price. The providers who agree to these prices make up the difference on everyone else by charging them more.


By contrast, foreign governments have more or less a monopoly on health care expenditures, and since they're the only ones making the decisions, they can arbitrarily decide to spend only so much -- throttling supply, lowering net costs, and leading to gross instances of abuse and neglect we hear about all the time.


Our hybrid system can be fixed (in part) if price discrimination were outlawed and the government fixed its Medicare reimbursement schedule. But it won't do that, because this would require a recognition that the money isn't there to entitle tens of millions of Americans to free synthetic hips worth half a million dollars.


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