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AS long as people do not choose their own insurance companies with free market principles it IS a factor. In fact I think that how insurance companies are choosen is the second biggest factor effecting costs. If people choose their own insurance companies and paid their own premiums costs would be far less. The gov is responsible for this lack of market forces since it is the gov that created the situation inwhich employers choose your insurance company for you.What is the biggest factor? consider a doctors care in 1700. One doctor would have visited and offered bloodletting or a few apothacaries on top of whatever herbs you had already tried. In contrast today a team of professionals run mulitmillion dollar equipment and offer highly effective drugs - of course more and better care will cost more than less and less effective care.
AS long as people do not choose their own insurance companies with free market principles it IS a factor. In fact I think that how insurance companies are choosen is the second biggest factor effecting costs. If people choose their own insurance companies and paid their own premiums costs would be far less. The gov is responsible for this lack of market forces since it is the gov that created the situation inwhich employers choose your insurance company for you.
What is the biggest factor? consider a doctors care in 1700. One doctor would have visited and offered bloodletting or a few apothacaries on top of whatever herbs you had already tried. In contrast today a team of professionals run mulitmillion dollar equipment and offer highly effective drugs - of course more and better care will cost more than less and less effective care.
