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Technology and Medical Care (by Don
Boudreaux)<http://www.cafehayek.com/hayek/2009/05/technology-and-medical-care.html>

Posted: 22 May 2009 12:56 PM PDT

One often-heard explanation for rising medical-care costs centers on the
advance of technology.  I'm sure that there are variations on this theme,
but fundamentally it sounds like this: technological advances improve
medical-care treatments but are quite expensive; this technology must be
paid for, so at least part of the higher prices for medical care is a
reflection of technological improvements in medical care.

Perhaps this explanation is correct; I have no data to contradict it.  But
my priors make me skeptical of this explanation.  Technology creates great
improvements in telecommunications and computing, yet the prices of wonders
such as cell phones, telephone calls, and personal computers have fallen
dramatically over the years.

The same is true for transportation.  Huge investments in transportation
technology -- engine design, the construction of container-shipping
facilities, airplane engineering, and on and on and on -- are all, both
individually and taken together, quite expensive.  Yet the price of moving a
ton of freight from New York to London, or a half-ton of family members from
home to the regional shopping mall, has fallen continually.

Why should medical care be different?  It must be the case that some other
factor is at work driving up the cost of medical care – a factor that either
works in tandem with technological improvements to raise these costs or that
works independently of technological improvements to raise these costs.
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The Mind of the Market (by Don
Boudreaux)<http://www.cafehayek.com/hayek/2009/05/the-mind-of-the-market.html>

Posted: 22 May 2009 06:39 AM PDT

Here's a fine paragraph from page 67 of Pietra Rivoli's wonderful 2005 book
*The Travels of a T-Shirt in the Global
Economy<http://www.amazon.com/Travels-T-Shirt-Global-Economy-Economist/dp/0470287160/ref=sr_1_1?ie=UTF8&s=books&qid=1242999494&sr=8-1>
*:
Americans, and now Russians and Slovaks and Chinese, disdain such central
planning for its inefficiencies.  A system that ignores market signals, that
provides no incentives, that subsidizes losers cannot be efficient in
producing goods and services.  Central planners will produce the wrong
goods, use the wrong inputs, set the wrong prices, hire the wrong people,
and ultimately produce shoddy products, and not enough of them, anyway.  But
to meet [Chinese textile-mill manager] Tao [Yong Fang] in the Number 36
factory is to realize that the real tragedy of central planning lies not in
its inefficiency but in its crushing of the intellect, of 20 years of Tao's
energy and intelligence laid to waste.  For 35 years the spindles in the
Number 36 mill clattered, and no one working in the mill had to
*decide*anything.  So today there is determination but bewilderment as
Tao faces the
basic questions of running a business rather than turning a cog: what to
produce, where to sell, whom to hire, what to pay?  [original emphasis]

Beautiful -- both the explanation and the humanity-building capacity of
markets.
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