THE USA DOES NOT HAVE A HEALTH CARE SYSTEM. IT HAS A DISEASE MANAGEMENT SYSTEM.
THERE IS NO PROFIT IN HEALTHY PEOPLE…DUH.
I hate to break it to them, but whatever you may think of Single Payer, there’s plenty of profit to be had from healthy people. Especially when you find ways to convince them that giving you their money is the only way they’re going to stay healthy.
There are legitimate ways in which healthy people can produce a revenue stream. Screening, by definition, is testing or procedures performed on healthy people. Mammography; colonoscopy; pap smears; well child exams; all profit-generating endeavors in and of themselves. Despite the drumbeat of “they just want to find more stuff they can treat,” bona fide screening programs are hardly loss leaders.
Then there are the less savory ways to extract money from healthy folks: chiropractic, naturopathy, homeopathy, acupuncture, nutraceuticals…the list is nearly endless. And that’s not even counting things like organic food, vitamins, supplements, and weight loss products directly marketed to the gullible public.
Somewhere in between those two extremes are what can most charitably be called “unnecessary care,” marketed to folks with more money than common sense when it comes to medical care, whose mantra is an unshakable “More is always Better.” The “Executive Physical”, annual stress tests, coronary artery calcium scoring, carotid artery testing, portable bone mineral density testing; procedures ranging from useless to unvalidated to debunked, still directly marketed in retirement communities and senior centers around the country.
Clearly there is plenty of profit in healthy people.