Dr. Atlas advocates one solution to the lack of health care for many in the U.S.—increasing access to private health insurance. Exactly how does that improve things? All it does is increase the amount of money in the pockets of the insurers rather than paying doctors and other providers who actually deliver care.
If we aren’t going to return to the gold standard of paying for health care like we pay for everything else—as we use it, why not just spread the risk to everyone with one risk pool. In other words, why not Medicare for everyone? If the lesson is that doctors wouldn’t make enough money and thus refuse to see these patients, increase the payment to the doctors instead of to the administrators of insurance companies.
Insurance companies do nothing but mitigate risk and take resources out of the health-care industrial complex and don’t provide anyone with health care. Get rid of them.
Let the government collect a tax to pay for everyone’s health care and hire a contractor to run the system as it hires contractors to build fighter jets. This would be a single-payer system with competitive bidding for provision of care. It would eliminate a whole lot of middlemen who add no value to health care.
Leonard Zwelling, M.D.