Friday, June 10, 2011

health services as new market paradigm

quote of a quote by pk of some  randomly correct miteful  by some geefster at the britful  abominist :

"key thing to pay attention to is who this marketing campaign was targeted at: key decisionmakers at providers and insurance companies. Those are the people who decide whether medical procedures get ordered. It’s not patients. Patients aren’t going to experience a loss of freedom or satisfaction because an expert reviewer at the Independant Payment Advisory Board makes the call as to whether a procedure is medically beneficial, rather than the corresponding bureaucrat at their insurance provider or at the for-profit clinic they’re attending"

gets paul to this :

http://www.aeaweb.org/aer/top20/53.5.941-973.pdf
that's arrow's now classic analytics of an ... exceptional market : health services

pre dating akerloff's   not so exceptional   used car market model
and apres that ??...  the  eclectic deluge

which gets me to this:


the culminating  greenwald stigiltz theorem ( GST )

revisited here by dixit:
http://www.princeton.edu/~dixitak/home/StiglitzFest_Dixit.pdf

"Among the hundreds of papers Joe has written on information economics, the one
with Greenwald (1986) surely ranks near the top. It establishes a conceptual parallel
between asymmetric information and technological externalities, and shows that a
competitive equilibrium of an economy with asymmetric information is generically not
even constrained Pareto efficient ...
                                                              but  !!!!!!!
A government facing the same information constraints as the private individuals in the economy
can nevertheless find Pareto-improving policy interventions."
-dixit-



what was it about trading beaver pelts for deer meat that seemed so univerisal
neoclassics  made all markets  structurally identical  ...errrr  except for the exceptions ???

or fresh fish at dock side ???

or gold on an exchange .... ...oops !!!! calling doctor mallinvaud !!!!

adverse currents
dancing frolicing asymmetries
 market self immolation
  unnatural  sellection pressures
survival of the credit worthy or at  least  credit connected

product markets plus or minus free range  ad blitzing


all this
hardly  proving universal  or even near universal reign of markets as optimal


and after  the coming of the GST  in the mid 80's
yes all that long ago now

 why  not more shouts of

"no mercatian "dike "
no  mercodicy
    for you... mr plutonic"

from the windows of the ivory tower ???



maybe we wild childs
 of the post neoclassic  post eclectic  dispensation
 need to remove the walrasian  homoginization process
once and for all  ....eh

past master of  leon's  dairy ken arrow himself
 drank straight from raw markets
once more for the road:

the GST
"shows that a competitive equilibrium of an economy with asymmetric information
   is  GENERICALLY NOT EVEN PARETO OPTIMAL " !!!!!!