Insurance is heavily regulated though.
Yes, that's what needs to get fixed if we want things to work.
What distorted the price of houses last time was the existence of lightly to un regulated derivatives.
No, they were only once contributing factor among many. There were interest rates going to zero (and when interest rates go to zero, the price of property tends to infinity -- the Fed can bear some blame there) and there were government regulations and strong arming of lenders to make way too many subprime loans. There were other factors, too, but those two are huge.
I imagine car insurance might distort the price of autobody repair.
No one is saying that autobody repair is a national crisis, unaffordable, unavailable, etc. So, no, it's not a problem.
Come to think of it, you could say that house insurance distorts the price of houses as no one would lend you money to buy a house without it.
I'm saying that I believe highly regulated health insurance and health industry is a disaster that can be saved only by less regulation and more free market. I'm not saying that insurance has no effect on pricing or other factors. Every good and service has an effect on something.
Imagine if we had to pay cash.
Yes, that would affect things a lot.
I think the problem with health care is that for prices to go down somebody's ox is going to have to get gored.
That's the result of every single thing done economically. If good A costs more, someone benefits, someone does not. If good A costs less, someone benefits and someone does not. That's true of healthcare and also of microwave ovens, carpeting, Bic Macs, shoes, children's toys, luxury yachts, etc. A free market figures out what a good price is for something given alternative uses of those resources. That's what it's great at that central planning is not great at (as the Soviets, among others, proved).
The real market incentive for health care I would argue is quality of outcomes and that along with price is pretty hard to find out ahead of time.
I disagree. If you need a house-repair job done, you can get an estimate. If you need a medical procedure, you can get an estimate (although because the system has been moved so far from free market, that is not as easy as in home repair, but you can still definitely do it -- I have done it on many occasions).
I personally think the whole free market mantra is a little overblown.
Well, look at things subject to free market (microwaves, lumber, computers, air conditioners, car repair, singing lessons, pizzas, etc.) compared to things not subject to free market (especially health care) and see which ones go from expensive and unavailable to cheap and plentiful compared to things that go from expensive and unavailable to more expensive and more unavailable. Look a which nations have embraced at least some aspect of free markets (US, Germany, Japan, Taiwan, Singapore, China's current moves, India's current moves) vs. those that use high-regulated markets and central planning (Soviet Union, Venezuela, North Korea, Argentina, from time to time portions of Latin America and Africa).
I work in healthcare-related industries. My opinion is that the free market would work as well there as for any other good or service. There is nothing magical about the words "health care." It is technology and business, made up of people working and executing tasks, chemicals, electronics, mechanical parts, etc. -- just like lots and lots of other industries.
The free market is a startlingly powerful phenomena for organizing and motivating people,(that's why you have to weld manhole covers down when the price of scrap soars,) but the notion that it is a solution for all that ails us or that if we just let it be and utopia will follow I find as dubious as a young communist's enthusiasms for revolution.
Why dubious?
I think this thread has strayed.
A little bit, eh?