Longest36603MarketA

Longest36603MarketA - HSA 366 Session 03 Markets and...

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Markets and Politics 9/1/09 HSA 366 Session 03
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Gawande, 2009 article Why did this physician go to McAllen and what did he find there? What were significant points of article? Looked @ Mayo Clinic & that they don’t file many procedures but had a high quality of care Got a lot of public Press during the summer & brings up issue Impacts on Health Care Policy? Provide more team based things Prevention is the cheapest way to go Evidence based health care Multiple sides Means w/in health care, there are certain procedures that we know work better Why can’t we enforce this policy? b/c we don’t pay for it
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Session Outline How economists view important concepts of Health Care Economics Markets Governments Traditional vs. Health Care Markets Regulation in Health Care
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Markets ala Adam Smith: “Wealth of Nations” – 1776 Economic Markets can make the self-interested actions of disparate individuals / entities result in “optimal allocation” of society’s resources. Consumers “demand” the items / services they want most, maximizing the utility given their limited budgets Suppliers produce only those things that are demanded by consumers at a price (low-enough) to attract buyers
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Markets “Pareto optimality” “It is impossible to make someone better off without making someone else worse off” Impacts for health care? Impacts on equity? Market-based economics and competition are designed to enhance efficiency But Societies and governments also have goal of distributing general public good and sometimes wealth
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General Market Assumptions Are these valid questions for health care or bend their way through the HC system? Individuals are rational Know what goods and services are likely to help / improve their status Can use available information to achieve this “best-off” position given their wealth Individuals’ taste for goods and services are predetermined Cannot be significantly influenced by providers of goods or services
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General Market Assumptions Individuals are rational Individuals’ taste for goods and services are predetermined Distribution of wealth is monitored and approved by society Individuals care only for their own resources and not others
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Longest36603MarketA - HSA 366 Session 03 Markets and...

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