“Sweden has better healthcare than the US. Swedish healthcare is run by the state. US healthcare is more of a free market. Therefore, state control of medical services will make the US medical situation more like Sweden’s, especially in the long run.”
This is an inductive statement, as the conclusion that the situation in the US would be like Sweden’s doesn’t necessarily follow, but given nothing more than these facts, is very probably true.
But in Sweden there are 3.3 physicians per 1000, and only 2.3 per 1000 in the US. Why is this?
- Is there a shortage of individuals in the US willing to become doctors? If this is the case, then having the state manage medical services clearly won’t solve the problem per se.
- Is the supply of doctors restricted some way in the US that it is not restricted in Sweden? I am not an expert on the Swedish university system, but I imagine there is less restriction on supply in Sweden than in the US, and let me explain why:
1. In the US, to be a doctor, you have to be licensed by the state.
2. The medical schools are nominally private.
3. Medical schools in the US are licensed by the state.
4. The number of physicians relative to the US population has fallen since forever
5. The American Medical Association has lobbied to prevent the licensing of new medical schools in proportion to the US population growth. This allows the extant doctors to charge more.
And so the supply of physicians in the US has not kept pace with the population, which explains why there are so few physicians in the US per capita.
I assume that in Sweden the university system is controlled by the state directly. Because it is controlled by the state directly, there is no incentive to restrict the supply of physicians.
So would the US be better off if the state controlled the medical services? My tentative answer is yes, but please don’t take that as an endorsement of “universal healthcare”. The first problem in the US is the restriction of supply, and that is caused by the state licensing medical services.
And so a clear solution to this problem is to have the state stop licensing doctors and medical schools. And when I say this, people think I am crazy. Now you can have private licensing agencies, but saying this is problematic because people are trained to have a general bias against anything with the word private. This is mainly the fault of corporations.
If the state stopped licensing medical schools and doctors, certainly patients would still want some sort of certification, and they would want it from a reputable agency. I suspect it would be mostly the same people.
The difference is that on a free market, if an agency unreasonably restricted the doctors they licensed, then there would be a demand for a new agency that was more lenient. And so grades would form, and this would raise the supply of doctors.
The statist in my brain is jabbering: “Oh so poor people would have to get the shitty doctors while the rich people get all the good doctors? You are a sicko!”
First off, rich people get nicer things. That is a fact of reality, and is not something particular to medical services. If you wish to make an exception, then you can form fraternal societies like those that existed in the past. And this will form a patchwork of communitarian welfare-pools with which to make medical services disconnected from prices.
This “free market socialism” is an important concept. And on a free market, “socialism” will exist to the extent that it is demanded. That is, financial considerations will be overriden by communitarian solutions to the extent that individuals desire to put “people before profits”. And the amount of socialism that emerges is calibrated to the demand!
And the fact that “who will take care of the poor” is one of the first concerns leveled when anyone proposes a free market tells me that this is not something I should be worried about, especially since there will simply be so much more physical stuff in absolute terms.
For further elaboration on medical services, I have videos:
I’m a terrible hypochondriac. I love reading about mental diseases, but alot of the times I always start to wonder maybe I have this problem. o.o I’m crazy and/or unstable. SHIT.I need to not read things like this.