I think I lack the vocabulary to say something. So, I’m gonna ramble here a bit and see if you guys help figure it out. I was discussing this a bit with my brother and that helped. We discussed the state of the healthcare marketplaces. There’s a problematic issue discussing PBMs and hospital consolidation and insulin price gouging (Federal Trade Commission has started to frame it as medical monopolies, similar to what they claim Amazon is doing with the online markets in their new lawsuit). That issue is some sort of intellectual door jam that forces people in the government to keep referring to the world in the context of the 1950’s - where the paradigm is either “free markets,” or communism.
It’s hard for me to know how to talk to people about the markets because I didn’t live through the 1950’s and when I say “free markets,” I kinda imagine a situation where we don’t have price fixing by the drug manufactures and the PBMs. Maybe a better 1970’s analogy would be the oil cartels?
The world has changed so much in the last 70 years. I don’t want to keep having conversations about markets reframed into the context of the 1950’s. It prevents any constructive problem solving on the practical problems that exist now. People my age have watched American institutions topple under the weight of this 1950’s paradigm - the banking system and international markets, understandings of the Nation-State, domestic political institutions.
How can I have a meaningful conversation about the medical markets with my representatives? I think they might be reframing things as “free markets” or “regulation.” I have no idea what that means, but I know that it is super triggering to people and there has to be a way around it.