We're living in the reasons why, but still, some people seem to think "competition" will give us all affordable (hahahahahahaha) healthcare. And Paul Krugman is here to tell us why not.
There are two strongly distinctive aspects of health care. One is that you don't know when or whether you'll need care -- but if you do, the care can be extremely expensive. The big bucks are in triple coronary bypass surgery, not routine visits to the doctor's office; and very, very few people can afford to pay major medical costs out of pocket.Read the whole thing, it's quite short.
This tells you right away that health care can't be sold like bread. It must be largely paid for by some kind of insurance. And this in turn means that someone other than the patient ends up making decisions about what to buy. Consumer choice is nonsense when it comes to health care. And you can't just trust insurance companies either -- they're not in business for their health, or yours.