Lucrum. thank you for posting that Cato Institute article which makes the case for a competition driven medical system over one closely controlled and regulated by the government.
Just two few brief comments:
1. I would guess that competition driven medical care, if only it could work well, would be the ideal from the perspective of myself and many ET'ers. We are mostly confirmed capitalists (zdreg's insistance that i'm a communist not withstanding.

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I have written long detailed posts extolling the virtues of competition in medical care and pleading for deregulation. That was before I realized I was wrong, and that while we should make every effort to introduce competition, and while we need to eliminate the anti-competitive regulation that we have now, a totally deregulated, profit driven, medical care delivery in the U.S. will forever prevent us from becoming fully civilized. And the reason is so obvious that it escaped me for years.
Now I realize that for free enterprise capitalism to work as we anticipate, the customer has to be able to walk. If you don't satisfy that fundamental condition, you will end up with an unsavory form of capitalism -- a form that
we, in fact, ended up with, viz., a Cartel!
2. Statements made by Cato such as "In countries weighted heavily toward government control, people are most likely to face waiting lists, rationing, restrictions on physician choice, and other obstacles to care", tells us that there is a correlation between government control and rationing and waiting lists. Yet the data tells us waiting lists and government control aren't correlated.
All the health systems, including our own, are heavily weighted toward government control. I would suggest that government control is weakly correlated, if at all, with the quality or cost of care. On the other hand, the
kind of control exercised appears very important to the relative success of the various systems.
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I always like to emphasize that my definition of "free enterprise" is different from that of many of the capitalist tycoons such as Bill Gates, or in a former era, Mr. Rockefeller. "Free enterprise" to me means that everyone is free to enter the market place on equal terms, letting the customer decide who succeeds and who fails. This requires that he government act as a referee and sheriff. On the other hand what typical capitalists business tycoons mean when they extoll the virtues of "free enterprise" is
laissez faire capitalism which means you are free to do whatever you like without government interference. You are free to lie, cheat, intimidate, steal and form monopolies and cartels. This latter definition of "free enterprise" requires that the government stay on the sidelines and turn a blind eye, or assume an active role if business interests require the government's help and protection in securing their dominance in a particular market. The latter is the U.S. model, the former is the ideal.
The chief role of government, so far as the citizens are concerned, should be to protect free enterprise from the capitalists.