All true, but we have good models of integrated care in the US; Kaiser, Cleveland Clinic, Mayo…..and smaller regional ones, like Kelsey-Seybold in Houston. Integrated systems eliminate duplicative services and rework, taking a ton of inefficiency out of the system.

From there, the patient can still be enabled to shop the system if they wish. The costs of a procedure are almost always going to be higher in a larger city than they are in a mid-tier one; if I am incented to save, say, a thousand bucks by using an exurban facility that’s 30 miles away rather than the one near my urban home, many people will do so.

We can get there, but it’s a tough road ahead.

Free markets, free minds. Question all narratives. If you think one political party is right and the other party is evil, the problem with our politics is you.

Free markets, free minds. Question all narratives. If you think one political party is right and the other party is evil, the problem with our politics is you.