The major obstacle to transparency in the health-care market apart from the presence of government, which is an obstacle in its own right is the fact that nobody knows how much anything costs:
One thing that might help is if people knew how much their health insurance company was paying for their drugs. I consume a handful of pills which costs me a dollar or two every day. I don’t really know because it’s always different, depending on whether I have satisfied my deductible or not, or maybe it’s by the phase of the moon. I gave up trying to fathom the workings of the insurance companies a long time ago. So I have to pay some money for these drugs, but I have no idea what the pharmacy is charging my insurance company. I’m pretty sure someone doesn’t want me to know, but they are cloaking this secrecy in the name of “you shouldn’t have to worry about the money when you’re sick, that’s what insurance is for”. Well, that’s BS.
CFI Care [not its real initials] is presumably not paying a whole hell of a lot for my daily dosages, inasmuch as my designated copays start at $15 for the lowest tier, yet most of these drugs run $10 or less for a 30-day supply. The pharmacy does supply an insert with “Retail Value,” but that doesn’t necessarily mean anything: you might perhaps assume that this is what the uninsured have to pay, but this particular chain offers lots of $4 generics, and nobody will put up with paying, say, $28.67 for a drug advertised at $4 unless someone else is shelling out the $28.67.
There’s got to be a better way. I’ll continue to push for my single-payer scheme: everybody bundle up your medical bills and send them to George Soros.