Companies would still have to compete for customers which means they will still find ways to make the product more affordable or better. Under the model I mentioned rather than crapping on the bottom guys to make the price more affordable you would see a cut in the pay at the highest levels. Depending on the business and market some products/services may see a price increase
It sounds like Flapp is talking about something a little different than I am, the model I mentioned really isn't a hard cap, it is just tied to other worker's pay levels.
You act like healthcare is just the same as any other product. It's not.
First, it's a service -- not a product. insurance is a product, and some policies are much better than others.
But, when it comes to services, the best people cost what they cost. You can't sell the services of the best doctors, nurses and technicians in the industry without paying the salaries required to attract and keep them. As an HMO or hospital, you pay more than the next HMO, or you get less than excellent talent.
In other words, the HMO can only control the prices they have to pay for doctors if the competition is unable or unwilling to increase what they offer.
It has nothing to do with "our surgeons cost the patient less than that HMO's surgeons."
Healthcare is a unique service. It's one of the few things people are willing to pay as much as is asked of them, because the alternative is to get no care or lower quality care. when faced with death or debilitating damage to the body, no price is too high -- even if it means financial ruin for the patient and their family. you can always recover from poverty, but it's difficultt to enjoy your nice house and possessions when you're dead or severely ill.