> Even with all the regulation, when you get in an ambulance you can tell them to take you to a specific hospital.
A) you may be unconscious B) you may not know anything that would allow you to differentiate ER facilities C) you almost certainly have no information on the current wait times at an ER facility, let alone specific physicians on call D) you may be unaware of the intersection between your insurance and hospital choice (for example, I had insurance once that only covered care at a (very fine, major urban) hospital that was unable to treat my amputation accident).
So really ... just no.
If you're going to start dismissing the fact that smart people have written smart stuff on a topic by saying that we revise what is considered smart, then I'd just do the same in reverse, and say that none of the worldview/policy view that you're arguing for is supported by anyone worth paying attention to, since it's all just out of date and/or will be consigned to the trash heap of history very soon.
The books I am talking about are not "musty old volumes".
> In a basic simple mathematical way, fewer providers means less access to care.
That's a response to a completely inverted point. If there are already enough providers, then more providers doesn't mean more access to care (certainly not based on access to providers, rather than cost).
> The problem is that things like social planning of healthcare provision are evidently flawed in every respect due to the belief that they can’t be trusted to markets.
You're on the edge of a no true scotsman argument here, which means I'm going to bed.
A) you may be unconscious B) you may not know anything that would allow you to differentiate ER facilities C) you almost certainly have no information on the current wait times at an ER facility, let alone specific physicians on call D) you may be unaware of the intersection between your insurance and hospital choice (for example, I had insurance once that only covered care at a (very fine, major urban) hospital that was unable to treat my amputation accident).
So really ... just no.
If you're going to start dismissing the fact that smart people have written smart stuff on a topic by saying that we revise what is considered smart, then I'd just do the same in reverse, and say that none of the worldview/policy view that you're arguing for is supported by anyone worth paying attention to, since it's all just out of date and/or will be consigned to the trash heap of history very soon.
The books I am talking about are not "musty old volumes".
Here's Forbes from 2017: https://www.forbes.com/sites/chrisladd/2017/03/07/there-is-n...
Somewhat older, here's Krugman from 2009: https://krugman.blogs.nytimes.com/2009/07/25/why-markets-can...
Here's (supposedly) a libertarian on the problems in 2018: https://thehealthcareblog.com/blog/2018/08/02/a-libertarians...
And here's perhaps the oldest (recent) paper that got things rolling, "way back" in 1963: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2585909/
> In a basic simple mathematical way, fewer providers means less access to care.
That's a response to a completely inverted point. If there are already enough providers, then more providers doesn't mean more access to care (certainly not based on access to providers, rather than cost).
> The problem is that things like social planning of healthcare provision are evidently flawed in every respect due to the belief that they can’t be trusted to markets.
You're on the edge of a no true scotsman argument here, which means I'm going to bed.