There is no price transparency in health care and the payer is different from the person receiving the service. As a result there is no real price competition. Optional services such as Lasik are subject to market forces, and the resulting combination of quality and affordability are remarkable. In a normal market, some providers will take a low cost high volume strategy. However, in health care the people who choose providers have no visibility into price and the deductible is the same every they go. As a result, lowering prices does not bring in more volume, and there is effectively no reason to go lower. One way to solve the problem is to rate providers' cost schedule on a scale of 1 to 10, and tie insurance plans and/or deductibles to those ratings. It could save trillions.



