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Home / Vol 5, No 17 (2017) Berdine
Medicine and Public Policy

Uncertainty and the welfare economics of medical care: An Austrian rebuttal Part 2

Gilbert Berdine MD

ABSTRACT

Part 2 of this 3 part series continues a rebuttal to Kenneth Arrow’s famous argument that health care is special and free market economic principles do not apply. The rebuttal is based on concepts of Austrian Economics. Part 1 of the series framed the debate and discussed general concepts. Part 2 discusses specific examples of how health care is special and does not behave according to market principles. Uncertainty of demand and uncertainty of outcome are discussed in detail. Information asymmetry is a special form of uncertainty that Kenneth Arrow claimed was somewhat unique to health care. Free market solutions to these problems are discussed in general with specific examples provided. The conclusions are that free market insurance (as opposed to subsidy) handles uncertainty of demand, branding handles uncertainty of outcome, and the free market for specialized information handles information asymmetry.


Keywords: health care economics, free market, information asymmetry


Article citation: Berdine G. Uncertainty and the welfare economics of medical care: an Austrian rebuttal: Part 2. The Southwest Respiratory and Critical Care Chronicles 2017;5(17):63-67
DOI: 10.12746/swrccc2017.0517.227
From: Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX
Corresponding author: Gilbert Berdine at gilbert.berdine@ttuhsc.edu

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ISSN: 2325-9205

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The Southwest Respiratory and Critical Care Chronicles

 Vol 6, Iss 22

Figure 1

 

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Figure 2

A 54-year-old obese woman with a history of cardioverter defibrillator implantation (ICD) in 2004 for symptomatic ventricular tachycardia presented with discomfort at the site of the pulse generator and a “feeling of a knot”. 

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