Against Three Arguments for a Free Market in Healthcare

Healthcare is not like other commodities. Central features of healthcare undermine the benefits of a free market. A free market in healthcare fails to exhibit the same virtues as markets in other goods and services. Proponents of free markets in healthcare often argue for their position based on efficiency, moral hazard, and innovation. I will address these arguments in turn to show that each one relies on unstable assumptions and unstated definitions. According to the first argument, competitive free markets are efficient, so a free market in healthcare would be efficient; I demonstrate that free markets in healthcare are not competitive and thus do not promote efficiency. The second arguments states that in a healthcare free market, patients must pay for medical services, so will not use more healthcare than they need; I point out that on a medical definition of “appropriate use of healthcare,” a free market fails to solve the problem of overuse and may introduce a problem of underuse. The third argument asserts that through competitive pressure and profit-based motivations, free markets foster innovation; I will argue that the on a free market, companies can only generate profitable innovations, which may leave research deficiencies in crucial areas of healthcare. The way in which healthcare is distributed impacts the lives of the people who must access medical services: ostensibly everyone at some time or another. This project seeks to carefully examine and question the assumptions that underlie arguments in favor of a free market in healthcare in the hopes that a considered, informed debate can shape a better healthcare system.

Name thesis:degree_name

Master of Arts (MA)

Discipline thesis:degree_discipline

Philosophy

Grantor dc:publisher.institution

Arts

Year dc:date.issued

2018

Author dc:creator

• Tumasz-Jordan, Elena

Advisor dc:contributor.advisor

• Dick, David

Committee members dc:contributor.committeemember

• Levey, Ann
• Fantl, Jeremy

• Healthcare
• Free Market
• Philosophy
• Economics

Statement dc:rights

• University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.

Language dc:language.iso

eng

DOI

http://dx.doi.org/10.11575/PRISM/31821

OAI identifier oai:identifier

oai:ucalgary.scholaris.ca:1880/106535