Free Market Medicine
Stossel looks at affordable medical care offered by an Oklahoma doctor, guests debate the merits of ObamaCare and a veterinarian fights to keep his on...
May 14, 2013
Stossel looks at affordable medical care offered by an Oklahoma doctor, guests debate the merits of ObamaCare and a veterinarian fights to keep his on...
May 14, 2013
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Who care but that doesn't care for slightly different code means you've been struck by -- thirteen thousand.
Well there is government -- felt horrible -- is working this is a simple.
Strong good thing and then there's free market that's my patients.
Have my cell phone they have my email address the long term players in the medical business need to be pushed to a new way to look at things but what will beat -- -- -- Government for free market and what happens when they conflict.
-- a criminal he's OK Brian basin -- I hope so I need -- treat my dog but.
-- -- -- -- -- -- -- -- That's our show tonight.
Parts of our health care delivery system do need fixing.
Workers feel locked to their jobs because they get their health insurance from their job.
No one knows what anything costs even doctors don't know as a result everything costs -- Obamacare doesn't even address those problems but it's supposed to solve all kinds of other problems.
You have turned Mr.
President the right.
Of every American to have access to decent health care into reality.
-- -- -- In obamacare does promise to cover the uninsured and somehow -- lower costs and maybe it will it's early yet for.
I'm skeptical obamacare is already creating some new problems let's talk to a doctor about that orthopedic surgeon John -- -- I should also say he's -- US senator.
So -- what's that giant stack of paper next.
This is the red tape -- John it's over seven feet tall and these are just the regulations that have come out so far.
Because of the Obama health care law there's over 20000.
You and I thought that the health care law which was over 2000 pages.
Was too long but remember so many times it said the secretary of health and human services will write the rules and regulations.
This is just the first part of them.
That doctors and nurses and hospitals and patients and insurance companies all have to comply with under the the president's health care law.
So that's the first part more to come but what about the goal.
The -- insure 4000001520.
Whatever it is it's a noble goal get them insurance.
-- the president actually continued to use the word coverage instead of using the word care in the debate.
Because just because you have been Medicaid card which is the way the president -- seems to want to solve this.
Doesn't mean you can actually get care what what people wanted -- Health Care Reform was the the care that they need from the doctor they choose at lower cost.
But the president has failed in terms of trying to bring the the cost down remember he said by the end of his first term.
Families would see their insurance premiums dropped by about 2500 dollars per family per year.
No one has seen.
That and in fact if you go to a town hall meeting -- -- people how many of them think that they're paying more for health care under the president's health care law.
All the hands go up and then US can do you think that the quality and availability of your care.
Will be better nobody thinks that.
Even Kathleen Sebelius finally admitted she's the secretary of health and human services that under the health care law there would be winners as well as losers.
Well many more people now believe they're going to be losers under the president's health care law.
And the cross are already going up Associated Press reports.
Claims costs are up 32%.
I never quite understood I could you could cover more for people have -- cost less.
And the president has actually compound of the problem.
Under the government mandates that you have to buy government approved.
Which isn't necessarily the insurance that you think works for you and your family in terms of what you want -- -- can afford.
You have to buy.
A very expensive level of coverage because it has to cover so many things many of the things that things.
Aren't necessarily that would -- -- right for you or your family.
I see analysts you'd have every policy -- must cover preventive care.
Without any deductible breastfeeding support supplies and counseling.
So everybody has to pay for that if you don't even if you don't want.
Everyone has to pay -- pay for government mandated insurance which has a whole long list of things that they have to cover.
And of course the rates are gonna go up if you have to buy a lot of things that you don't want.
Part of what would you do about the poor without government -- the poor suffer.
We need to make sure I wanted to focus on getting actually the rates of insurance.
Down so people could get the care they need from a doctor they choose at lower cost.
But I don't think it helps anyone when the cost of care in the cost of insurance continues to go up.
Under the president's health care law.
The other problem is that he he he you're exempt if you're -- -- business and you have fewer than fifty employees so I hear.
Businesses are saying I'm knock -- expand I got 49 workers that set.
Well that the Federal Reserve is actually in his -- and its Beige Book last month said that one of the big drags on the economy.
In this country the reason that people aren't expanding aren't being our businesses aren't.
Expanding people aren't being hired.
Is because of the uncertainty as well as the mandates in the health care law part of it is -- -- number of fifty employees or fewer so they're not hiring more people into those businesses.
The other is in terms of full time or part time employees we see now that one of the largest.
A movie theater change in the country is now said.
For all of their folks that are paid by the hour.
They're going to be part time workers only which is anything less than thirty hours because businesses are mandated to have to cover.
Part time workers but they are mandated to cover the full time workers so you see in in businesses we've talked to some.
Where that where they say gee we we have an opening instead of hiring one full time person we're gonna hire two part time workers.
Instead of because because of the health care law.
The health care law is dragging down our economy making it harder for people to find full time work.
Thank you senator -- so all these laws have unintended consequence.
Thank you John let's look at that big seven foot pile again.
There it is and the secretary shall continue to write new rules.
It -- in the bill they will grow.
OK now let's debate orthopedic surgeon -- agrees with us -- when American health -- needs is less government and more free market.
Pediatrician Steve Auerbach says that's wrong at the free market doesn't really work for Madison so we need more government control.
-- say obamacare even doesn't go far enough to protect.
People -- what we need is -- health care for all Americans health care access for all Americans.
And the way to achieve that step number one.
Would be true universal health insurance through a single Payer health care system -- met Canada Britain has all the western industrialized countries all the western socialist capitalist democratic countries not just all of us and Europe.
Japan Taiwan Germany.
Folks have access to go choose to doctors they want to go to choose the hospitals in the clinics they wanna go to.
Under our system what we propose a single Payer universal health care HR 676.
I'm say we have a group pushing her -- and -- health program.
We saved some more roll.
Duty -- got -- we believe.
And I think many Americans believe from maybe even most Americans believe that health care is a human right that it's one of those things that.
You live in America you're an American and we should have an all American health care system and all American health care insurance.
Everybody would have insurance automatically no more turning on and -- very -- this sounds awfully good.
People it sounds good Canada has.
A universal health care system they have people waiting two to three years for primary care doctor.
Now in all the problem is.
It it -- the what in in Canada for example we have to wait six to nine -- for cat -- there's no place I can't get you a cat scan and an hour in America.
We in fact we just caught -- -- here -- pronounce her last name.
One of the former medical executives from Canada sneaking across the border on taxpayer dollars to come to a male clinic which is for cash.
And and why is it because.
It sounds good that they have access to all this care and everything but socialized systems do not produce the goods and services that you need to actually have quality medical care.
You know there -- let me ask you you've heard of the Soviet.
It wouldn't work out -- -- -- -- -- you were talking Germany we're talking Taiwan and yes we're talking in Canada and you know these anecdotes that are put out body.
Simply don't hold up when -- actually look at the statistics in fact there is not a net flow.
Folks crossing the border is -- the United States is in Seattle -- tasks and in fact -- -- Americans that wanted to get their drugs from the Canada side because there's so much less expensive but that's.
Because they free load off of our relatively free market wealth and want correct and one thing the drug companies for example the same multinational drug companies the same drug products from the same factories that are sold all over the world.
Are less expensive and every other of the developed capitalist.
Democracies in the world half the price in Canada corner the price the New Zealand.
And this whole business you know if you actually go to Canada Canadian support to their system.
They don't want the American system.
If you look out there -- they support.
Well I I can't -- speak to the polls but I but I can tell you that it's not just anecdotes when you have.
People that are in charge of the cat scans people that are physicians in Canada saying look we cannot get our patience these studies what did you do about the poor and the uninsured.
I'm old enough to remember when we didn't have government health care and people were dying in the streets.
The problem with the -- is that everything is priced out of everybody's range is not just about the -- I have trouble affording health insurance.
And it's because government regulation regulations are killing us they're making everything more expensive they're putting hospitals out of business.
You know hospitals are closing right now because it cannot afford the cost of the regulation and -- cannot afford the penalties of not being in compliance with the regulations.
So the answer for the poor as we -- get the cost down you know I was a doctor on the Mexican border for twenty years I took care of everybody.
People coming across the -- that were legal and illegal.
And let me tell you before government got involved in health care the fruit pickers the vegetable pickers that came across the border they paid cash for their health care and they can afford it.
Their wages were enough to afford.
Every day health care now it is not the -- the first interest to get the cost down by deregulating thing.
It's funny -- -- -- don't know were dying well that was then and that we agree on part of the diagnosis here we agreed that the cost the unit cost per visit our cat -- per test.
Per operation are too high.
If you I don't know whether and how do we added I hope you all know the -- are much higher in the United States and they aren't these other countries in fact any pre load off I know all these other countries that have the universal.
-- lower costs lower overhead free market works.
For many things supply and demand works for many things yeah I'll put it doesn't want -- health -- health -- economics actually but is there white.
You know we always talk about patient centered health care.
Can control costs free -- control costs when patients choose.
Cost and value.
The only way government patients spent all her own life you get sick you're Clark you're not going around checking the prices of my doctor -- after -- don't need to.
The way -- nine to hang on -- the way free markets work as you don't have to make the decision when you get sick.
When your car breaks down you know which is the good mechanic word gets out about which of the good doctors or hospitals.
Everybody says -- health care is special but every.
Field is special and different and the market works it sounds nice and I didn't I was -- -- they are not.
How health care works and in fact it what's funny here.
Is you know folks think I'm the pie in the sky dreamer thinking that we should have universal -- at all and -- that's the moral right thing to do and it can be done.
It turns out that's also what how the health care economics works and who helped -- assistant -- you know where we know this from among other places recently is Taiwan Taiwan.
-- capitalist country.
-- bomb went from private insurance they realized it was hurting their people and it was bad for their business and they went to universal single -- few years ago.
Well it taped to the Soviet Union seven years to break down that we're -- social and desist we're not talking economy time later collapse you -- -- Talk like you know the same thing though it -- doctor he'd be get the last word.
Well I mean talk would look at -- cancer death rate in.
Europe vs America we do much better our outcomes are much better much work is why is that it's no accident as a matter comparison to literally CD.
By W -- parent comes in August and boy -- -- is our -- that he.
We're out of time coming up big government now even gets in the way.
-- me getting answers to questions about my job really.
But first a new government role that will make you feel sorry.
For your -- Has your -- space time treating people like you don't.
Or filling out forms today's doctors complain they spend much too much of their time just -- -- paperwork.
Not healing people just handling insurer.
And that's a terrible waste and it's about to get much worse is congressman Ted Poe.
So what congress -- you may.
What's going to -- now the federal government has imposed new regulations.
Which means new codes for doctors.
To fill out when -- patient comes to see that right now there about thirteen.
Thousand coat that they have to check that I had the -- you have that -- Thirteen thousand code -- to define exactly what happened to the patient and why they're there.
The federal government they can be reimbursed said they reimbursed by Medicare.
And why so -- Well the federal government thinks there needs to be more -- there's going to be now.
Of these codes for doctors to fill out and they are very specific.
Gone from thirteen 241000.
-- already horrible tiny fine print here.
And none of these codes.
Make make a patient better or healthier.
They're very expensive.
Average the State's sole practitioner doctor will cost the doctor.
80000 dollars to implement the new federal code procedure if you have a bigger practice let's say there's -- to ten doctors it's about.
Dollars for the doctor to implement the federal government.
Codes so that -- patient comes in the doctor checks can't check bitten by dog anymore.
You have to check bitten by a Dalmatian.
A doberman a pit bull but -- -- -- you have to be very specific.
If you mess up if you make it make a mistake.
Or you dual purpose.
Then -- in violation that wall you'll get reimbursed you could be fine.
So that's what the doctors have to look forward -- -- already under the existing codes.
-- you have a code for if you're bitten by a duck.
A slightly different code means you've been struck by a -- Who cares who cares.
The -- doesn't care and neither should the patient or the doctor you want to treat the injury.
That's the biggest concern in Judy chicken -- the code for that fall other art gallery.
And we ask health and human services why so many and they didn't get back to -- Not surprised but that from what I read.
They say this will help -- planned for the future.
You -- information to another doctor he knows if you walked into a -- or fewer repeat pole walker until and that might make a difference in how we treat here.
Maybe maybe not those the federal government need to put all this.
To just keep records at this great expense and I don't believe they do.
It is unbelievable this is the old book again and the new one will be five or almost ten times in case.
That they're just stupid they must have a reason for doing that they don't -- just build empires do that well.
They are regulators.
And we -- and we have to understand when regulators go to work every day.
And they need around and I think these big oak tables and -- -- -- -- they decide who shall we regulate today.
Why don't we regulate the medical industry a little more and make doctors and hospitals.
Feel -- these very specific codes that don't treat a patient.
But give us information about the page.
And that's what they do regulators regulate that's what the law allows them to the doctors are just meekly.
Following these -- -- yes they are doctors Obey you have to Obey if you want to get pay.
If you wanna get reimbursed or get paid -- not be in violation of federal law rather than expanding a practice and hiring a nurse our associate our.
Someone else on the medical staff.
You hire someone to keep statistics for you so you can turn those into the federal government then and the federal government even -- on line agreed to take.
To know how to implement the new code and give us some other examples of nine different codes for being injured by a Turkey that is correct.
Where do you run into Turkey the Turkey runs -- -- you your -- to back Turkey.
Bitten by -- Turkey there's difference between being -- and being bitten.
So they have nine codes for Turkey they have.
About five codes for basketball.
You hit you hit by basketball.
Are you second offender or third offender being hit -- fastball or do you have a well I don't know what the medical term is.
-- condition where you're always be hit by basketball.
So doctors have to figure this out.
They kicked that -- with a number in the ten digit number in checked that digit net number to make sure that they have.
Hit a codes or even longer w.'s 6161.
And I think they don't -- pissed off.
-- they have a code book.
They're gonna get -- a lot bigger than that that was shall have to look it up in the code book under what I don't know do you look under Turkey.
Or do you look under what you run into our basketball would you have them do we hear king the king of all congress.
I think what that regulators and regulations.
Need to make some sense so what is the purpose what is the -- Of course doctors need to be accurate in their diagnosis.
But do they need to go through this much di tale to get information to the federal government.
I don't think they did.
And that it used to be clear this was this is not part of obamacare this was hit -- past but under bush.
Being -- the rules are being.
Increased under Obama care.
But this is why we patients also have to fill up more for before we go to the -- that is correct this is not a new thing just the new code code TN is the new this so it we've had nine.
We've had nine revisions.
Expansions of this initial law this is the -- expansion -- code book.
That may be had has gone a little -- war in treating the American sick patient by the Dr.
Phil and out the form.
The bureaucrats always want more so thank you congress -- -- first -- in this to my attention.
Coming up doctors who don't -- the cost of health care behind government codes and the result.
Is cheaper -- us.
-- happier patient and happier doctors to.
Although governments and bureaucratic insurance companies dominate American health care.
There are still a couple tiny areas where the free market rules because the patient pays directly.
Our special correspondent Kennedy visited a cosmetic dermatologist.
And a lazy -- search.
We have to -- provide.
Excellent quality service to be competitive because our patients who are.
Self paying in the premarket they don't want to wait an hour to see you don't expect what are the benefits.
For not having to go through insurance company.
Enormous amount of paperwork that's required.
Before and after we don't have whole departments dedicated to insurance company.
And he's since he competes against utterly -- surgeons for patience he needs to have the best equipment.
The patients are quite savvy so.
If it's not the advance spent the second lays there they're gonna lead it's a Google away to see what the best.
This technology is new when I graduated.
From residency we had one laser one -- both house wasn't even approved.
This is just in the last fifteen years that we have all these -- back this is a cosmetic dermatologist she must have the latest equipment.
To attract and maintain customers.
I happen to have fourteen different places I've bought them all there's new resurfacing lasers and heightening related and keep patients both of these doctors are very accessible.
Do you yourself whenever patients might -- have my cell phone they have my email address and I try to be accessible at all times.
We have office -- Saturdays.
We operate the 7 PM we have a doctor available 24/7.
We have to be great to be competitive.
It sounds -- and most of you I bet don't have such good.
Care -- that birthday adults.
Make themselves available that many hour wind up -- -- high -- your doctor seriously how many people go around doing Matt.
All right but this is lazy -- surgery cosmetic surgeries.
Elective stuff mostly for wealthier people doesn't take care of the big stuff.
Now this is elected stuff that works and people find a way to pay for it and that I have to tell you like.
This free market system this model.
I wish you were applied to other areas of Madison because in the doctors.
Have to be invested in their customers and their customers show their appreciation by going back continuously.
-- heart surgery isn't -- how -- the market work.
You find the best -- -- -- you look for customer views -- you look at someone's academic history do you pay for.
Well I mean you have insurgents.
-- an insurance for catastrophes.
Like heart surgery.
That's what insurance -- designed for it wasn't designed to pay for 80%.
As every single minor medical -- -- you might stumble upon throughout the year.
It's really supposed to be for those lights didn't think in fact.
I asked doctor day because I spent a year without health insurance because -- Sealy act disease and couldn't get -- the system is not perfect.
Trust me but when I didn't have insurance I had to go to my doctors and say all right.
What -- -- -- me since I'm outside the system and we worked together she said her father with it was -- the doctor gave you the discount.
Doctor day said.
Her father who is a position taught her people who can pay for -- painful people who can only pay a little bit.
They'll pay a little bit some people can't pay you help them out she said she would have negotiated a -- with me outside of -- -- -- In this little area free market medicine in the what's happened to the prices interest think that quality of -- six surgery keeps improving and the prices have come down 25%.
And the technology keeps improving because customers demand it.
And that when you have that sort of influence from what people really want.
It's going to make the service.
Better cosmetic services they've only gone up by 23%.
Inflation by 59%.
Medical services have gone up by a 108%.
When compared with one another.
Free market works wonders so thank you candidates.
Sell the market will take care of elective procedures like lazy -- -- but what about the when we return I'll tell you at Oklahoma surgery center where that's happened.
Are much lower.
URL -- America's government dominated health care and save money.
Not hard just leave the country.
Go to the Philippine.
It's just been brilliance that makes Filipino doctors popular it's Hollywood only treat.
Go to Columbia and get pampered.
I'll send us brits and the effort.
And he will take you through the whole well welcome back at China -- -- -- will be waiting for you.
Once we pick -- of the medical part we can -- you go to China -- The nation for affordable high quality health care services coming to China for my operation was the best decision.
This is called medical tourism there -- many places you can get medical treatment for much less than it costs in America.
And American's -- last year more than a million left the country to get cheaper treatment.
But we have to leave the country can't we find something similar in America.
Yes we Kansas doctor Keith Smith is he's found that a surgery center in Oklahoma that charges much less so how.
We own our facility as physicians and so -- by virtue of that arrangement have cut out the most inefficient and greedy profit seeker from the equation and that's that's not for profit hospital and to be honest.
And for the most part you're.
Customers your patience.
Pay themselves or are insured by a company that self insures that makes for a different relationship.
We cut our prices on the line and the first patients that -- post post them online in the first place and station them interestingly were -- Canadians.
That the patients they can do this now our fastest fastest growing part of our business -- Employees for him the employers pay for their care directly out of operating expenses.
And the reason TV really very recently posted a video clip about -- surgery senator let's let's watch it.
June starts he's about to undergo a simple procedure -- for Carpal Tunnel Syndrome.
And have it.
A little bit equipment.
I think a board of revenue principally at at what makes this routine surgery so when usual is that the total price which comes to 2750.
Dollars is posted online we decided we would have price honesty.
Where we have that and health care.
Because there are a lot of people that benefit friend dishonesty and pricing.
We put our prices on line with the hope that we would attract more patients in more business.
That also hoping to start a price war -- real deflationary price -- that.
That could bring prices to a level that people would reevaluate their need for insurance altogether in certainly.
Certainly we got reevaluate the role of government and healthcare.
And the price differences are are enormous let's play another clip from that reason -- The surgeon was doctor Jason statement Watson does the procedure at the surgery center of Oklahoma with a total price is 5885.
Dollars to build from -- comes to more than 33000.
Dollars doctor Jason -- regularly performs procedures of both the surgery center and -- -- that this medical center which is the epitome of -- traditional hospital -- says the surgery centers so much more efficient than -- that he can perform twice as many surgeries -- a single day.
We have pressures to do that because the amount that we get reimbursed for the same case that they do the hospital is such a fraction that were really forced to be efficient.
And Entegris is the big local hospital there and these surgeons are you -- they work for you and for the hospital.
And they don't work for me either independent.
This should say do surgery -- -- Is yes at both places and five -- vs thirty now yes.
In the -- companies a lot of them drive them to the larger facilities where it's more expensive than that that was one of the things that drove us to put our put a price is on line was to expose that problem.
And the result is that some people because they have a deductible.
They -- -- you they paid out of their own pocket.
And still come out ahead yes people that have high deductible plans health savings accounts.
Mike has said before people that are part of self funded plans -- they have the sticker shock so they're shopping there.
-- -- treated consumers in the market.
Is seems free and I'm on Medicare they're even asking what things cost if she has to pay 3000 box her she come -- ahead.
She came out ahead this patient did -- -- Her employer paid for the whole thing otherwise they would they would they had in the hospital would charge them 6810 times that says that.
-- -- didn't have any out of -- was so happy that it was cheaper than awake the whole thing forget the deductible up.
Now one of the reasons there's less competition is in many states there -- in most states there's this law called.
The con -- certificate of need which means that if you're gonna build a hospital you have to prove to the bureaucrats.
It's not just hospitals had surgery sinners MRI units you name it and so it's it's old fashioned protectionism it's old fashioned crony capitalism.
What -- result of your posting your prices is that the hospital true has started.
Coming down -- price when I get I get between five and seven emails every week from patients that said we were going to come.
To your facility from Florida but our local hospital surrendered to -- pricing so.
We're saving people money all over the country and we're not even doing surgeries many talents.
Just not just by saying we're here right but -- growing you've got 47 surgeons and you may soon have more.
Bad I think we will and we're expanding our facility we're gonna add two more operating greens so will will be able to do a whole lot more surgery than we're doing now and I think.
The way things are going that's that's going to be needed.
Thank you doctor -- math next the battle between government and the free market how will this affect me.
And my dog.
This is my dog look.
He's got some medical and psychological issues that neglected consultant veterinarian about -- One final winning colder -- that -- -- -- -- era vet and I consult one on the Internet maybe someone like Ron kind.
Ron's a 69 year old Texas -- veterinarian with the PDC and biology.
He's been on the Internet for ten years -- pet owners across the country.
And -- the world some don't have access to veterinarians.
That was a video from the institute for justice and I'm glad I learned about Ron -- -- goal in this computer.
Ask some questions via you don't get some answers but.
Wait I can't after -- isn't answering questions anymore.
Well why not.
Let's ask -- he joins us via Skype that's why -- headphones from Texas.
His volunteer lawyer from the Institute for Justice Jeff roses in the studio self.
Doctor -- why do you stop giving online -- I had to.
-- I got a letter almost exactly a year ago that -- what I was doing was criminal and the please stop immediately.
So I did.
Letter from home.
From the state of Texas.
So let's go clear volunteer lawyer he's with the institute for justice and and they.
Defend people like Ron so what what's this about.
This is about the fact that a veterinarian should be able to give advice and -- shouldn't be illegal it's a collision between the First Amendment right to free speech.
And the government's power to regulate occupations -- think everybody should give advice but what law did do they say he's violating.
Well Texas says that a -- can't give that advice.
-- -- side -- it has examined the animal in person at least once which for Ron is impossible because he works via the Internet and the animals he helps are scattered all over the world.
And run you do this because you had it used to have active veterinary practice but now you have some back problems and so you wanted to do it by telephone.
Or in our -- that.
Yes John it seemed like an -- the waited for me to continue -- doing the work I love.
I can't do it physically but there's nothing to keep me from a keyboard.
So for ten years you email people answered their questions before you got this letter.
Any complaints about you.
Not to my knowledge.
Any complaints about him no not at all there's not even an allegation by the Texas state board that he harmed any animals.
38 states have this law that he could a dog can be in the parking lot -- going to get the -- the dog but.
It it has to be there.
-- it has to be in person examination now what's the point of this well let's look at it in 2005.
Texas adopted this law.
And it adopted it verbatim from the American Veterinary Medical Association which in 2003 decided.
-- -- some crisis.
In people giving out information and advice about pets or what's the crisis.
The Internet made it possible to get information -- -- better faster and from anybody anywhere in the world.
That's a crisis for veterinarians that's not a crisis for pet owners and so they pass a -- to make it illegal.
Ron you agree they're they're trying to put you out of business.
I believe so -- I guess they have put you out of business how do you make money.
I'd ever made much money under this -- -- I live on Social Security I.
I have very minimal needs but -- -- some people flat feet -- have a lot of email contact with them.
I do some people -- -- molester I don't fifty bucks.
Our outlaw I'll spend the fifty bucks -- look at here he he he eats -- in the park would that mean anything.
He has early stage kidney disease.
Well the mud -- the mud is a -- issue we could deal with that separately but the kidneys are more important -- He's -- special diet for that that's all I -- willing to do.
Well people send me their pets blood work I look over and I look over X rays and I try to use the experience fifty years to just let him know what their options might the I don't cure animals over the Internet but I.
Try to tell them what that would do to remind.
Well what what what would you do if your dog eight months.
Well I'd be sure that it was clean mud.
It's Central Park I have no control over that he's running around he's awfully -- like -- -- I calling me doesn't come that he likes the mud more than me.
But I don't think the -- -- -- -- keep them on a month the worm and heart worm preventative and he's going to be just fine.
That's goodness -- You wanted to make a point Jeff rubble when -- wanted to make is dead -- exercise of free speech here is dangerously criminal and as his lawyer I almost feel like telling them to stop but at the Institute for Justice were about offending -- between -- -- -- for Ron all the way to Supreme Court if that's what it takes.
Thank you Jeff and Ron coming up how the American government begin direct health care what the same time funneled money -- And my -- That's next.
Why don't we have free market health care in America health care differed from other consumer services.
I say no all markets are different special.
America's free market health care really begin to die during World War II went our government imposed wage and price controls.
The first companies said great stability we don't have to worry about price competition workers asking for raises.
But then they realize that they had less flexibility in the couldn't attract better workers by offering them more pay.
So companies got around the -- this company's usually do instead of raises employers gave benefits like health insurance.
Government distorted the market further by getting employer based health insurance better tax treatment -- coverage you -- by yourself.
And one -- sidebar to this story my father at the time was a poor immigrant who supported himself selling towels to Sears Roebuck.
-- was frustrated because they couldn't raise their prices but government said companies if they added value to a product then they could.
So Dan came up with the idea of named -- howls with your name -- Sears could sell well as for more and so we got named towels and I got this house that I grew up in.
Because of government price controls.
Unfortunately America also got stuck with -- employer based health insurance which is -- Getting insurance at work is especially dumb today when Americans changed jobs all the time.
Employer based health insurance killed some of the health care market and now Obama care and Medicare may kill the rest.
Maybe will be like Canada where people sometimes wait for years for treatment.
Although I should say.
All of Canadian health care is not long lines there's one place where they do offer easy access to cutting edge lifesaving technology.
CT scan endoscopy -- cost fifty lap for -- that he arthroscopic procedures to evaluate joints for cartilage abnormality.
Available all the -- 24 hours seven days a week.
Patients rarely went.
-- by a C a patient that's torn actress -- ligament in that patients need we can generally how that patients scheduled within probably a week.
Brought -- you have to bar or me now to get this kind of treatment.
Want -- CT scans can that vet clinics that they could get a dog in the next day for people the waiting list is a month.
Many clients will come here with their pads and as they're meeting -- when next time I get sick I wanna come here I don't wanna go to the regular hospital.
Here that look of the market at least works for you.
And even -- you humans I noticed that when there's a lot at stake people do and ways of escaping government controls in Canada.
Patients and doctors begin to see the problems with government care private alternatives -- emerge the first independent clinic opened in 1993.
Now one company alone centric health operates about a thousand private for profit clinics.
When competitions allow.
The free market will win and then consumers win.
That's our show I'm John Stossel see -- next.
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