Tom Acre wrote:thomasglee wrote:...My understanding is that whenever there is a shortage of anything (especially products and/or services) it leads to an INCREASE in cost. If the government implements the controls you postulate, wouldn't that create, for lack of a better term, a black market for those services at inflated prices?
Price controls cause shortages precisely because they distort markets. For instance, in this case, medical providers wouldn't be able to increase charges. If they could, whatever specific good or service would become lucrative and producers and suppliers would enter the market eventually stabilizng.
Many times grey and black markets emerge b/c of rationing. But almost all industries are regulated and medicine more than most; so it would be marginal. The people who are imposing this upon the country won't be affected. They will either get preferential treatment in the system or are wealthy enough to go on a "medical vacations" to Costa Rica or the like.
Don't leave out synthetic "legal" monopolies or monopolies in effect, such as the AMA. The AMA controls (owns in fee simple, really) the state medical boards and the state medical examiners, and that gives them control over how many people can enter the medical profession. Bar associations run in much the same fashion. Many/most of the professional trades are covered by similar groups. For that matter, try being elected without joining one of the two competing "unions", Democrat or Republican.
Shortages are usually synthetic in this modern world. And if more people realized that, there would be a huge drop in what you pay for professional services, in the USA.
GDP - GNP whatever you want to call it, it's a rubber ruler. And damn near meaningless. Plus, many items are counted twice - like my paycheck. When a contractor gets paid, a check is cut to the contracting company, and that adds to GDP. The company pays me, and that adds to GDP. I spend the money, and that adds to GDP. But GDP would be lower if I was paid directly, right?
Add in differences in pricing - I go to a dentist in the USA get a filling, insurance pays 50 and I pay 50. I go to a dentist in Hungary, and I pay 25. Hungary's GDP rises by 25$. BUT IT'S THE SAME FILLING!
If I fill a prescription in Italy, it will cost me about 10% of what it costs in the USA. Does that mean the drugs are only 10% effective?
GDP is not a very meaningful concept in terms of what it purports to represent.