First, the US pays more in a lot of markets. By and large, that's because we can.
Second, capitalism isn't applied. That sounds like it's some sort of regulatory tool that just isn't being used correctly. Capitalism is the absence of government force in an economic market with the notable exception of enforcing private property rights. You can say a lot about the US healthcare situation, but "applied capitalism" it is not.
I lived in Canada for 10 years. I live in the US now. While living in Canada, I paid more to the government then I pay now. My health care costs for myself and my family are much cheaper. In fact, ignoring the costs of insurance (which was effectively the same) and taxes (which were 3 times higher in Canada, and on everything), my costs for equal service I receive now would have been more than $36,000 more in Canada. That's partly a lie though. The services would not have been equal, as we can get home care here, whereas in Canada, we could not.
This also ignores the 1-2 year waiting list for private care we would have had to deal with in Canada. In the US, we had treatment started within 2 weeks of moving here.
- How much money did it take to develop them? (Count the failures in your estimate)
- What is the supply vs demand for them? (demand is probably low since you don't want to use these unless you really need to)
- What's the shelf life for them.
- Do hospitals have to toss them if they don't get used?
- Do they have to keep them on hand or can they be Just In Time manufactured and delivered in an emergency?
As others have said here the real problem is lack of transparency into these issues. Speculating about what the cost of antibiotics should be only adds to the cloud of misinformation around medical billing.I agree though that demanding more transparency is a good thing.
from a technology, taxation, and moral standpoint, what the hell led to a system where some heavy-duty antibiotics cost about 10-15X what they should? More importantly, why do generally intellegent audiences get caught up in arguments over socialism rather than correcting the cost issue first? Is it sue-happy lawyers, is is an anti-competitive marketplace, or is it the pushing of the very concept of insurance that has given us such an unsustainable system?
I truly want to put out a call to geeks: for every healthcare dollar you spend, grill your provider. Haggle them down, and make them justify the price, or we're all screwed, no matter who is paying for things.