Jan 6, 2007

Lo primero es la salud

Más sobre un tema que me interesan mucho, los sistemas de salud. Tema complicado, creo que no hay un sistema perfecto ni soluciones mágicas. Pero si hay algo que me queda muy claro en relación a todo esto es que la solución pasa por más mercado y libertad y menos estado e intervencionismo.

Este es el punto de vista de Milton Friedman en Hoover, muy interesante:

The high cost and inequitable character of our medical care system are the direct result of our steady movement toward reliance on third-party payment. A cure requires reversing course, reprivatizing medical care by eliminating most third-party payment, and restoring the role of insurance to providing protection against major medical catastrophes.

The ideal way to do that would be to reverse past actions: repeal the tax exemption of employer-provided medical care; terminate Medicare and Medicaid; deregulate most insurance; and restrict the role of the government, preferably state and local rather than federal, to financing care for the hard cases. However, the vested interests that have grown up around the existing system, and the tyranny of the status quo, clearly make that solution not feasible politically. Yet it is worth stating the ideal as a guide to judging whether proposed incremental changes are in the right direction.

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