Michael Olúwafẹ́mi AJÍṢAFẸ́ retweetet

Americans fly to Turkey for $3,000 dental implants that cost $40,000 in Manhattan. They drive to Tijuana for $800 MRIs priced at $12,000 in San Diego (literally 15 minutes north). Medical tourism revenue hit $100 billion globally in 2023 while US healthcare spending broke $4.5 trillion.
The market speaks louder than any policy wonk ever could. When you can get the same cardiac surgery in Bangkok for $15,000 that costs $200,000 in Boston—using the same equipment, often better facilities, and surgeons trained at Johns Hopkins—the pricing isn't reflecting scarcity or quality. It's reflecting capture.
Insurance companies created this beautiful racket where they negotiate "discounts" off artificially inflated prices, hospitals play along because the government backstops the whole charade through Medicare reimbursements, and pharmaceutical companies... well, they just price whatever the market will bear (which turns out to be everything you own plus your firstborn).
Austrian school economists predicted this decades ago. When you remove price signals and direct payment, costs explode. When Americans rediscover actual market prices by flying to Mumbai for heart surgery, suddenly they remember what healthcare actually costs when providers compete for cash-paying customers instead of...
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