Medical Cost Containment: A Microeconomic Approach

Marc D. Joffe
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Abstract

The high and rising cost of US medical care is partially attributable to legally enforced rigidities in the health care system. By relaxing restrictions, the government can unlock competitive forces that drive prices down and empower individuals to avoid unnecessary, expensive medical services. A more open health care market would give providers incentives to innovate in ways that not only improve the quality of care but also reduce the cost of offering it. In this report, I suggest that significant cost savings can be achieved by encouraging medical tourism, empowering "mid-level" providers, using administrative law procedures as an alternative to malpractice litigation, reducing the scope of drug patents, and switching prescription medicines to over-the-counter dispensing.
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医疗成本控制:微观经济学方法
美国医疗保健费用的高企和不断上升的部分原因是医疗保健系统中法律强制执行的僵化。通过放宽限制,政府可以释放推动价格下降的竞争力量,并使个人能够避免不必要的、昂贵的医疗服务。一个更加开放的医疗保健市场将激励提供者进行创新,不仅提高医疗质量,而且降低提供医疗服务的成本。在本报告中,我建议,通过鼓励医疗旅游、赋予"中级"提供者权力、利用行政法程序替代医疗事故诉讼、缩小药品专利的范围以及将处方药改为非处方分发,可以显著节省成本。
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