Independent Center USA

Democracy works best when more people participate

Traditional medicare part a and b , seem to be doing a better job than Medicare Advantage I’m a big believer in free markets. But sometimes companies take advantage. They capture legislators, which in turn leads to horrifically inefficient markets. When legislators don’t understand markets , or have been captured , by insurance companies and huge hospital systems, for example, the companies become so good at gaming the system, the costs they introduce and hide in the system, via opacity and financial engineering - end up being far more expensive to patients and taxpayers than the most incapable bureaucrats ever could be The bureaucrats will forever be scrutinized by the financial engineers. The bureaucrats are not capable of keeping up with the ever changing costs the big companies introduce Which is why we need to be break up the big insurance companies and hospitals, figure out a balance between regulation and free markets and try to make the healthcare markets efficient for the first time Out another way , without the right regulation , market dominant companies are more expensive to patients because they know how to game the system, than incapable bureaucrats running the same system, ever could be. The bureaucrats don’t want to be fired. The dominant companies know they can’t be fired