market principles + HC Flashcards
what would privatization of HC look like?
private purchase, for-profit, operation of market forces
market principles mainly on?
supply + demand.
fixed supply, high demand - price rises. ppl priced out (cant afford). prices drop once a lot of ppl can’t afford + demand decreases
if hospital treat appendix regardless of economic circumstance then?
cannot be priced out.
MUST be floor price (govt pays) but no ceiling price
what incentives would convince you to pay higher price?
- > hotel service?
- > better care?
- > preferential care?
implication of floor price
why pay more unless floor price services are inadequate?
free surgery - do u take?
Market theory: when reduce price = more ppl want. doesnt work with surgery.
payment of private vs public
Pr: out of pocked
Pu: taxes - financially progressive
burden of Pr vs Pu
Pr: individual
Pu: population
coverage of Pr. vs Pu
Pr: some ppl excluded
Pu: universal
rationing of PPr. vs Pu
Pr: ability to pay
Pu: medically necessary
what is rationing?
mechanism that allows ppl to go without beneficial health care services
weakness of Pr vs Pu
Pr: cost, efficiency (cost on individual. geared towards profit- pay more for speedy service)
Pu: responsiveness (ability to meet needs at rapid rate)
evidence private increases resources into public system?
private = hoice
faster treatment - reduce public wait time
private still pay public tax = increase resources available
evidence private drains public resources
- > provider drawn to lucrative private system = less supply in public.
- > provider incentive to increase wait list to demand private
- > pr and pu not substitutes for each other. private less specialized/complicated. public = more complex/expensive - more pressure on public for big things, but no docs bc they leave for private
SC - waiting list. Chaoulli + Zeliotis. arugment?
access to waiting list =/= access to HC.
SC unconstitutional to ban private if public cant provide services timely.
=> private system saw as win. 2 parallel systems
=> public system saw that more money toward waiting times
