Capitated models do seem to be more cost effective but fee for services provide incentive which is something we have not really looked at.
I would also suggest spending a few minutes on the role socioeconomic levels play in all this. Remember everyone still believes improving one’s life is key to education, health, entrepreneurship, etc. And as we have also learned money does indeed drive health care.
Wealth, or net worth, is defined as total assets minus total liabilities. Assets are resources with economic valuethink houses, retirement funds, and savings accounts. Liabilities, or debt, is the oppositethink mortgages, student loans, and car loans.
Here are some interesting statistics about wealth and who has it. Currently, the richest 1% hold about 40% of all privately held wealth in the United States, while the bottom 90% hold 73.2% of all debt. According to The New York Times (2019), the richest 1 percent in the United States now own more wealth than the bottom 90percent.
Put another way, the wealthiest 1% of Americans controlled about $41.52 trillion in the first quarter, according to the Federal Reserve. Yet the bottom 50% of Americans only controlled about $2.62 trillion collectively, which is roughly 16 times less than those in the top 1%.
Interesting isn’t it. Now where would you put health care in all this????