医院才是真正的本地垄断。

http://www.truthinhealthcare.org/secret-negotiations-between-hospitals-insurance-companies-keep-health-care-prices-high-and-variable/

Large hospitals have all the power

Every two or three years—or sometimes more frequently—health care providers and insurance companies sit down to negotiate the prices for a host of medical services. The larger the hospital system, the more power it has in these negotiations, since insurers want to be sure to offer their customers access to the largest facility in town. Thus, when a hospital is large or the only game in town for a particular service, insurers are typically unable to walk away from the negotiating table.

Peter Ubel, in Forbes, describes the situation bluntly:

As hospitals bond together in ever larger networks, their negotiating leverage rises much more quickly than their quality of care. In other parts of the economy, efficiencies of scale usually lead to lower prices. In medical care, any efficiencies of scale that come from hospitals working together are overwhelmed the ability of those same hospitals to raise their prices.

 

所有跟帖： 

• 医院是非盈利机构！应该要求医疗保险公司也是非盈利机构！ -green_grass- ♀ (0 bytes) () 06/21/2017 postreply 12:08:16

• 看到没有？如果所有人都不用保险，他们的勾结就没有效果。所以废除保险公司这个中间人，医院才会和你商量价格问题。 -万得福- ♂ (0 bytes) () 06/21/2017 postreply 12:09:29

• 保险公司有专业谈判人员手里拿着成万的订单，都打不过大医院，请问你一个病人有什么能力和医院谈判？ -柠檬椰子汁- ♂ (0 bytes) () 06/21/2017 postreply 12:43:32

• 保险公司拿别人的钱，办别人的事，崽卖爷田心不痛。你叫他们专业谈判人员？专业谈判人员只有你自己。 -万得福- ♂ (0 bytes) () 06/21/2017 postreply 13:00:14

• 保险公司省钱保费低买的人多啊，和walmart不是一样吗？ -柠檬椰子汁- ♂ (0 bytes) () 06/21/2017 postreply 13:09:49

• 保险需要专业人员为你服务，永远是奢侈品。从来不是walmart也没有可能成为walmart。保险市场份额越高，你的服务质量越低。 -万得福- ♂ (0 bytes) () 06/21/2017 postreply 13:17:00

• 保险市场份额越高，你的服务质量越低。你的保险是你的公司给你的福利。 -万得福- ♂ (0 bytes) () 06/21/2017 postreply 13:17:56