I had been sort of sitting on Myth #2 because a lot of people reading and writing about health care costs at this time may not remember the brouhaha over MRI machines and their cost when they first became available to hospitals. Then Doug Farrago put up his Robot Wars poster on Authentic Medicine.
New technology, same old story.
Thank you, Doug.
The use of technology drives up the cost of medical care.
It’s not the technology, but the unnecessary duplication of equipment and services that drives up the cost of medical care.
Any unmet costs of the new health care technologies are simply passed on to the consumer as increases in insurance rates. When hospitals and clinics invest in duplicate technology such as magnetic resonance imaging (MRI), they seldom need to demonstrate the need for the equipment, and they are not required to demonstrate that the equipment will generate the income to cover its cost.
With no regulation of capital expenses for hospitals and clinics, there is no requirement to make the acquisition of new technology cost effective. Any unmet costs of the new technology are simply passed directly to the consumer in the form of increased insurance rates.
Services should not be duplicated without need and should be cost effective. If the new technology will not pay for itself as a capital investment, hospitals and clinics should not be allowed to pass this cost on through to consumers in the form of higher insurance rates.
Note: If this presentation of the problem seems a bit simplistic, remember that it’s now over 20 years old, and Modern Medicine: What You’re Dying to Know was written in an attempt to give health care consumers some notion of what was going on with skyrocketing health care costs.
Of course, it would be nice if readers here would notice that the game hasn’t changed much in all those years.