Milton Friedman on Medicine and health care
Almost everywhere medical practitioners have formed themselves into organizations that have generally, with the assistance of the state, restricted entry into medicine—all, of course, for good purposes. Nobody ever does undesirable things for bad reasons; all for the good purpose of raising standards of medical practice.
Context. From a talk to physicians, published in Private Practice in July 1981, on the trend toward government control of medicine and the prospects for reversing it. Following the Hippocratic oath forward through the centuries of medical practice.
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Milton Friedman, “The Market and Human Freedom” (Private Practice (July 1981); reprinted in the Congressional Record, Extensions of Remarks, September 9, 1981, pp. 19996 to 19997, introduced by Representative Larry McDonald of Georgia as “Professor Friedman’s recent article on this subject” in “Private Practice magazine for July 1981”, 1981), Congressional Record, September 9, 1981, p. 19996. https://miltonfriedman.org/quotes/nobody-does-undesirable-things-bad-reasons-1981
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He also said
I have examined the story in this area in the United States, in particular with the American Medical Association during the course of the 1920’s and 1930’s. It’s an extreme example of a very powerful trade union which succeeded in keeping down the number of physicians and in the process raising costs, which succeeded in retarding the development of efficient group medical practice and in the process reduced the quality. I mention this not to attack the American Medical Association or the members of it. They are noble, able people who wanted good things, but were misled. But only to suggest again a sense in which the developments in medicine are not special to medicine.
Context. From a talk to physicians, published in Private Practice in July 1981, on the trend toward government control of medicine and the prospects for reversing it. On the American Medical Association in the 1920s and 1930s, a history he says he had examined.
The Market and Human FreedomSpeech, 1981, Private Practice (July 1981); reprinted in the Congressional Record, Extensions of Remarks, September 9, 1981, pp. 19996 to 19997, introduced by Representative Larry McDonald of Georgia as “Professor Friedman’s recent article on this subject” in “Private Practice magazine for July 1981”, Congressional Record, September 9, 1981, p. 19996Checked against the sourceRead the originalWell the first and most important reform would be to eliminate the tax exemption of employer-provided medical care. … There’s no reason and logic, no reason on principle why medical care should be treated differently from other things. Food is just as essential to the life and health of a child. So is shelter and clothing. But those things we more or less let the private market take care of. What differentiates health? You might say, “Well, there are large costs involved. Sometimes you have to have big operations.” Well that’s what the private insurance is for. You have a large cost in a fire in a building. But that doesn’t mean that we have government fire insurance.
Context. From a November 2005 interview with Peter Robinson, conducted for the World Health Congress and printed in the Hoover Digest as “How to Cure Health Care.” Asked how he would reform the U.S. health-care system if he could ignore political realities. The ellipsis marks Robinson’s follow-up (“You’d do that before abolishing Medicare and Medicaid.”) and Friedman’s “Yes.”
How to Cure Health CareInterview, 2005, Interview by Peter Robinson for the World Health Congress, November 21, 2005; printed in Hoover Digest 2006 No. 4Checked against the sourceRead the transcriptI have argued against the licensure of physicians before the board of directors of the American Medical Association and had one of the most vituperative, the most argumentative evenings I have ever had. But, your endorsement of that is fascinating because I think physicians everywhere and people everywhere are coming to realize the truth of that old saying that if you’re going to sup with the devil you better have a very long spoon. And licensure is not a long enough spoon. It has been a major source of the problem.
Context. From a talk to physicians, published in Private Practice in July 1981, on the trend toward government control of medicine and the prospects for reversing it. Responding to the audience’s applause for his call for no government licensure of physicians.
The Market and Human FreedomSpeech, 1981, Private Practice (July 1981); reprinted in the Congressional Record, Extensions of Remarks, September 9, 1981, pp. 19996 to 19997, introduced by Representative Larry McDonald of Georgia as “Professor Friedman’s recent article on this subject” in “Private Practice magazine for July 1981”, Congressional Record, September 9, 1981, p. 19997Checked against the sourceRead the original
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