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Sure, the stakes are much higher, but people often choose their physician based on skill. Why not throw cost into the mix as well? Right now that’s impossible.


> Sure, the stakes are much higher,

It's not that, it's that the cancer treatments are non-optional. Optional treatments have the luxury of price comparison and choosing the perfect vendor - cancer waits for no man and it shouldn't be the market deciding whether someone lives or dies.


There is always an option. People die of cancer choosing not to treat it every day in every part of the world.

I think opinions like yours above always stem from the naive assumption that all life is worth infinite at any point, so any obstacle to prolong it is a failure. Well, its not. Some treatments are expensive and cost is definitely something to take into account. If you get cancer and the treatment to save you is 100 million dollars, you better have them, because other people should not pay for that lavish expenditure.


I've never heard in a nationalized healthcare system that someones cancer treatment was too expensive, so they should just die.


The practice of medicine always had and always will have an economic component.

Countries dont even match their flu-shot vaccination recommendations, let alone multi-million dollar treatments.


> but people often choose their physician based on skill.

This is utterly wrong on the face of it.


Care to explain why?

I know plenty of cancer patients who got referrals to several of oncologists, interviewed them, then selected the one they thought was best equipped to treat their cancer.


Quality is only one of the measures patients use to select a doctors, and it would be fine to doubt patients can even gauge quality.

I would tell you location beats quality every day.


Fee like in these threads the people taking the other side of this conversation haven't had to deal with a serious health problem either for themselves or someone else. The whole shipping around bit basically does not work. What are you going to do pester doctors about hypothetical health issues? Change doctors, hospitals in the middle of treatment just to see if you get better treatment. Yeah lets try that a dozen times and then pick the 'best' yeah right. How you make a 'free market' work in a system with so many natural information asymmetries and frictions is beyond me.


The competition in the current market is not done at that level but at the insurance level.

Its just that insurances are picked by employer, so again, no way to compete.

The economics of the system are complex, but healthcare is far from being a "free market" as it is right now.




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