But it is true. Not only does the medical system have to stabilize for life threatening issues ( which by the way tend to be the most expensive..). The hospital also has to maintain equipment for people even though it's used very rarely.( i.e. not cost effective)
And it cannot discharge a patient to an unsafe environment ( unless they leave by choice ) and consequently hospitals will have to eat the costs of non paying clients they cannot find a place willing to take them.
That's a small percentage of patients, not every patient.
Face it..the medical system is in no way analogous to the supermarket as you tried to claim.
Notwithstanding that you're lacking in imagination, imagine going to buy anything and not having a clue about the price until after you buy it and then finding out other people paid more or less than you did for no apparent reason.
A friend's wife was in hospital for child-birth and later when they got the bill they had been charged $60 for two Tylenol tablets. They were at Good Samaritan and literally one block away was a UDF where he could have bought 10 bottles of 100 count Tylenol tablets for $60. Then later a friend of his wife's said they were charged $46 for two Tylenol tablets so, yes, they were quite infuriated.
We'll wait while you justify those prices.
As far as hospitals and poor?
One of the reasons that hospitals need a monopoly is to mitigate tge effects of low or no reimbursement.
When there is not enough good paying clients to keep three hospitals afloat..the hospitals must merge to survive.
Then end hospitals. There is no logical reason for hospitals to exist. Again, the former German Minister of Health stomps on your argument:
Polyclinics—clusters of general practitioners who work together to form more specialized primary care centers—were used extensively and quite successfully in the former German Democratic Republic.However, many politicians in West Germany initially disliked the idea of polyclinics because they associated them with communist ideology. It took a while for many people to understand that polyclinics offer significant advantages with regard to communication, coordination, and cooperation.
Source: How Germany is reining in health care costs: An interview with Franz Knieps pp 30-31
With the exception of Britain, Spain, and Portugal, the rest of the world got rid of hospitals decades ago because they are the worst method of healthcare delivery and the most costly method of healthcare delivery.
It ain't rocket science.
You will not save one penny with a universal system if you insist on using the antiquated obsolete Hospital Model.
Like the rest of the world who abandoned the Hospital Model and switched to the Clinic/Policlinic Model and saves money because they do, you must do the same.
Monopolizatoon is a directly caused by the declining reimbursement propolgated by the state.
That is factually incorrect. Hospitals became monopolies in the 1930's with the passage of "enabling laws" lobbied by the American Hospital Association.
NY Laws 1934, c. 595, adding Article 14, §§452-461, to the New York Insurance Law. The 1939 legislature adopted a new codification of the Insurance Law, effective June 15, 1939, in which Article DC-C, §§250-259, was substituted for Article 14, broadened to include non-profit medical indemnity corporations, and amended in other respects.
Alabama: Acts 1935, act no. 544, amended. Acts 1936 (Ext. Scss.) act no.169, Acts, 1939;
California: Stat. 1935, c 386, amended, Stat. 1937, c. 881, Stat. 1939, A. B. 1712;
Illinois:Rev. Stat. (1937) §§551-562;
Mississippi: Laws 1936, c 177;
Georgia: Laws 1937, no. 379, p. 690;
Maryland: Laws 1937, c. 224;
Massachusetts: Annotated Laws (1938 Supp.) c 176A;
Pennsylvania: Stat. Ann. (Purdon, 1938) tit. 15, a 49A, §§2851-1301—2851-1309;
Kentucky: Acts 1938, c. 23;
New Jersey: Laws 1938, c. 366;
Connecticut: Laws 1939, S. B. 51;
District of Columbia: S. B. 497, 76th Cong. 1st Scss.(1939);
Iowa: Laws 1939, c. 222;
Maine: Laws 1939, c. 149;
Michigan: Laws 1939, H. B. 145;
New Hampshire: Laws 1939, H. B. 232;
New Mexico: Laws 1939, c. 66;
Ohio: Laws- 1939, S. B. 181;
Rhode Island: Laws 1939, c. 719;
South Carolina: Acts 1939, H. B. 845;
Texas: Laws 1939, Subst. H. B. 191;
Vermont: Laws 1939;
Wisconsin: Laws 1939, S. B. 288.
Note: The Iowa, Michigan, and Wisconsin acts were passed in 1939 after bills had been defeated in 1937.