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Thread: Can a Free Market Med Clinic be successful operating w/out insurance in today's climate?

  1. #1

    Can a Free Market Med Clinic be successful operating w/out insurance in today's climate?

    American healthcare industry is so convoluted and regulated that its very hard to even see where to begin dismantling the healthcare industrial complex without dramatically changing people's lives.

    How successful could a medical clinic be if somebody opened up shop, didn't take insurance and just took cash for a set visit or procedure? The profit incentive is with the insurance so nobody would want to compete, or they would be afraid to enter a territory that literally nobody is in. Doctors to start with are not open to new things and nobody would compete with price because everyone else is set in their ways.


    I know its easy for people here to say, abolish this or repeal that but there needs to be realistic steps to begin reseting this system so that the average American doesn't get hurt enough where it becomes a massively unpopular issue and labeled a failure to be never tried again.
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  3. #2
    I see no reason it would not work .
    Do something Danke

  4. #3
    It is an excellent idea. There should be a massive number of clinics and options for all types of healthcare, diagnosis and testing. This is the real solution.

    What stands in the way?

    - Insurance. People don’t want to pay if insurance covers it. Most would take DMV style, terrible service over quick, efficient, friendly service if means that insurance will pay. Additionally, insurance that covers everything removes market controls. No one cares about the price, thus it can continually be raised. That is what got us in this situation in the first place.

    - Regulation. Captured and controlled crony regulation that intentionally prevents competition.

    - Monopolies. As Ron Paul pointed out in an episode of Liberty Report, some companies simply refuse to sell their products if it means opening up competition. For instance, sophisticated testing equipment will not be sold if means competition with an existing crony customer. They want to keep competition out so that that prices stay high.
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  5. #4
    Are you asking this because you know the answer? Or do you not know one exists? Been around for a long time.

    Surgery Center of Oklahoma takes no insurance and has firm prices that you get like any other product.




  6. #5
    Quote Originally Posted by oyarde View Post
    I see no reason it would not work .
    Its easy to say that online but what incentivizes a doctor to change what currently and seemingly works for every other doctor? What messaging is needed? How to reach them? Proof of model? Doesn't look like anybody is even close to tackling this. I talk to doctors about this, none of them ever seem interested.
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  7. #6
    Quote Originally Posted by Krugminator2 View Post
    Are you asking this because you know the answer? Or do you not know one exists? Been around for a long time.

    Surgery Center of Oklahoma takes no insurance and has firm prices that you get like any other product.



    ^^^THIS^^^ Go to their site and watch their blog episodes. Gives great insight into their free market approach.

    https://surgerycenterok.com/
    Last edited by phill4paul; 10-18-2018 at 03:03 PM.

  8. #7
    Most non-catastrophic healthcare testing and treatments should not require any type of insurance.. Insurance is supposed to cover catastrophic incidents that you cannot afford all at one time.
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  9. #8
    Quote Originally Posted by Krugminator2 View Post
    Are you asking this because you know the answer? Or do you not know one exists? Been around for a long time.

    Surgery Center of Oklahoma takes no insurance and has firm prices that you get like any other product.

    I've never seen that before but I do know that people aren't just going to start listing their prices online because one hospital in Oklahoma did, the guy appears to clearly be some form of activist conservative or libertarian with hard principles. How many medical practice owners are just like him?

    Its a great start though.
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  11. #9
    Quote Originally Posted by dannno View Post
    Most non-catastrophic healthcare testing and treatments should not require any type of insurance.. Insurance is supposed to cover catastrophic incidents that you cannot afford all at one time.
    That is how it was when I was younger . It was incredibly cheap too , less than 5 bucks a month , deductible about a few thousand . Something like getting some stitches you just pd cash for , 25.00 and they did it in the office .
    Do something Danke

  12. #10
    If a person is a Medical Doctor, they can choose to practice their skills for free, as long as they have a source of income to survive on. What isnt cheap about providing that medical care is the equipment, and ESPECIALLY the drugs. The cost of those drugs is killing patients, hospitals, insurance companies (who pass on the high costs), and entire cities and counties. There was a recent viral video on a drug that costs $40 in Canada costing over $40,000 here in the US.
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  13. #11
    If healthcare in the United States was free market you would constantly hear about hospitals making price breakthroughs like they do in India. There heart surgery is down to $800, basically through application of raw capitalism. The OSC mentioned above runs at one tenth the cost of other US hospitals, basically the same rate as other western hospitals.

    Narayana has 56 facilities, treats 2 million patients every year and conducts 300+ surgeries daily. The chain is known for clinical excellence but innovates from the get-go on both processes and materials, leveraging economies of scale. Dr. Shetty has been dubbed the Henry Ford of heart surgeries because his doctors go from one operating table to the next with an assembly line precision that is rare in the Indian healthcare system. Narayana keeps tight control on its purchases, driving down prices by negotiating directly with equipment manufacturers like GE and, in some cases, encouraging domestic companies to make in India inexpensive local versions of costly imported medical supplies. Most recently, the chain has experimented with no-frills hospital buildings as well as with patient care - drafting and training patients’ family members to administer after-surgical care. All of this brings the cost of a heart surgery to about $800, a fraction of the costs in the West. “India is in a phenomenal position to lead the way, make a difference and show the world a new way of delivering affordable healthcare,” Dr. Shetty said.
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  14. #12
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    Quote Originally Posted by Krugminator2 View Post
    Are you asking this because you know the answer? Or do you not know one exists? Been around for a long time.

    Surgery Center of Oklahoma takes no insurance and has firm prices that you get like any other product.



    I am glad you posted this because it was the first thing I thought of.

    Their website even says it all in the search result:

    Free market-loving, price-displaying, state-of-the-art, AAAHC accredited, doctor owned, ...
    https://surgerycenterok.com/
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