HLTHAGE 1AA3 Lecture 7: Lecture 7

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Although competition may allow people more flexibility- flaws exist. Because of competition, companies can"t sell long term plans. This means that rates fluctuate and individuals who suffer chronic health problems can be priced out. Individuals may purchase less, comprehensive plans than they"d ideally have (cheaper, favoured by healthy individuals) in order to aoi being pooled with unhealthy people (likely to drive premiums up). Competitions does not always follow market logic on price: sick individuals want best doctors and care. May promote needless treatment or reduce quality. Quality care (i. e. keeping people healthy, via capitation) Family doctor; certain amount of money for each patient that he/she has. If people don"t come to see her very often and don"t come to see that person. Md may avoid providing treatment in some cases e. g. pain. Good for care but might reduce productivity, spending too much time with each person. Ontario uses a mixture of fee-per-service and capitation.

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