Wednesday, July 19, 2006
Milton Friedman on health care
["Free to Choose: A Conversation with Milton Friedman," Imprimis, July 2006.]
The latest issue of Hillsdale College's Imprimis features an interview of Milton Friedman by Hillsdale President Larry Arnn. The discussion includes some great insights by Friedman into the state of health care in the U.S.:
LA: Is there an area here in the United States in which we have not been as aggressive as we should in promoting property rights and free markets?
MF: Yes, in the field of medical care. We have a socialist-communist system of distributing medical care. Instead of letting people hire their own physicians and pay them, no one pays his or her own medical bills. Instead, there's a third party payment system. It is a communist system and it has a communist result. Despite this, we've had numerous miracles in medical science. From the discovery of penicillin, to new surgical techniques, to MRIs and CAT scans, the last 30 or 40 years have been a period of miraculous change in medical science. On the other hand, we've seen costs skyrocket. Nobody is happy: physicians don't like it, patients don't like it. Why? Because none of them are responsible for themselves. You no longer have a situation in which a patient chooses a physician, receives a service, gets charged, and pays for it. There is no direct relation between the patient and the physician. The physician is an employee of an insurance company or an employee of the government. Today, a third party pays the bills. As a result, no one who visits the doctor asks what the charge is going to be—somebody else is going to take care of that. The end result is third party payment and, worst of all, third party treatment.
LA: Following the recent expansion in prescription drug benefits and Medicare, what hope is there for a return to the free market in medical care?
MF: It does seem that markets are on the defensive, but there is hope. The expansion of drug benefits was accompanied by the introduction of health savings accounts—HSAs. That's the one hopeful sign in the medical area, because it's a step in the direction of making people responsible for themselves and for their own care. No one spends somebody else's money as carefully as he spends his own.
[Devon Herrick, "Competition and creativity in health care," The Kansas City Kansan, 28 June 2006.]
The latest issue of Hillsdale College's Imprimis features an interview of Milton Friedman by Hillsdale President Larry Arnn. The discussion includes some great insights by Friedman into the state of health care in the U.S.:
LA: Is there an area here in the United States in which we have not been as aggressive as we should in promoting property rights and free markets?
MF: Yes, in the field of medical care. We have a socialist-communist system of distributing medical care. Instead of letting people hire their own physicians and pay them, no one pays his or her own medical bills. Instead, there's a third party payment system. It is a communist system and it has a communist result. Despite this, we've had numerous miracles in medical science. From the discovery of penicillin, to new surgical techniques, to MRIs and CAT scans, the last 30 or 40 years have been a period of miraculous change in medical science. On the other hand, we've seen costs skyrocket. Nobody is happy: physicians don't like it, patients don't like it. Why? Because none of them are responsible for themselves. You no longer have a situation in which a patient chooses a physician, receives a service, gets charged, and pays for it. There is no direct relation between the patient and the physician. The physician is an employee of an insurance company or an employee of the government. Today, a third party pays the bills. As a result, no one who visits the doctor asks what the charge is going to be—somebody else is going to take care of that. The end result is third party payment and, worst of all, third party treatment.
LA: Following the recent expansion in prescription drug benefits and Medicare, what hope is there for a return to the free market in medical care?
MF: It does seem that markets are on the defensive, but there is hope. The expansion of drug benefits was accompanied by the introduction of health savings accounts—HSAs. That's the one hopeful sign in the medical area, because it's a step in the direction of making people responsible for themselves and for their own care. No one spends somebody else's money as carefully as he spends his own.
[Devon Herrick, "Competition and creativity in health care," The Kansas City Kansan, 28 June 2006.]
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