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The vast majority of healthcare can be shopped for. Emergency care is only a few percent of total spending.



As somebody having once "shopped for healthcare" in the US: It's pretty high on my list of all-time most frustrating and stressful situations, and that was for a relatively minor dental issue. I can't begin to imagine how it must be for somebody facing a major life-threatening (but not urgent in the emergency room sense) condition.

I'd gladly "overpay" a few (or even many) percent if that's what it takes to get systematic protection from being a pawn in a game of 10d chess between doctors needing to overtreat to recoup their enormous investments, insurers pushing back by possibly declining to pay for what I actually need to get done, and medical administration and billing companies, and industry for the size of which I have yet to hear a compelling economic argument.


It's actually easier to shop for medical care than dental. Health plans are now required to give members an online price comparison tool. You can just log on to your insurance company's member portal and search for the care you need to see prices for network providers in your area. Unfortunately, the same rule doesn't apply to dental insurance.

https://www.cms.gov/healthplan-price-transparency/consumers


That's great to know, thank you!

Still, a problem at least as big as finding various options and their prices seems to be finding somebody incentivized to give an honest evaluation of whether a given treatment is medically necessary at all.

Sometimes I wonder if it wouldn't make sense to have a doctor "on a retainer" that just gets a fixed yearly compensation for advising what to do, and what to better decline, but there's probably tons of ways this could go wrong in either direction (overtreatment vs. missing important issues) as well.


You are essentially describing "concierge medicine". This can be a good option for affluent patients who can afford the monthly fee but it's not a scalable solution for the systemic problems in the US healthcare system. A lot of the people who take advantage of it are what is known in the industry as the "worried well" — rich hypochondriacs willing to pay for personal reassurance whenever they have a tummy ache.

https://www.webmd.com/a-to-z-guides/what-is-a-concierge-doct...




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