Most political and media discussions of medical care have an air of unreality reminiscent of Alice in Wonderland. There is an abundance of...

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Just as medical care, houses and cars were all cheaper when they lacked things that they have today, so medical care in other countries is cheaper when they lack many things that are more readily available in the United States.

There are more than four times as many magnetic resonance imaging units (MRIs) per capita in the United States as in Britain or Canada, where there are government-run medical systems. There are more than twice as many CT scanners per capita in the United States as in Canada and more than four times as many per capita as in Britain.

Is it surprising that such things cost money?

The cost of developing a new pharmaceutical drug is now about a billion dollars. Neither political rhetoric nor government bureaucracies will make those costs go away.

We can even refuse to pay for so many doctors. But that just means that we will have to wait longer to see a doctor — as people do in countries with government-run medical systems.

In Canada, 27% of the people who have surgery wait four months or more. In Britain, 38% wait that long. But only 5% of Americans wait that long for surgery.

Surgery may well cost less in countries with government-run medical systems — if you count only the money cost, and not the time the patients have to endure the ailments that require surgery, or the fact that some conditions become worse, or even fatal, while patients wait.

A recent report from the Fraser Institute in Canada shows that patients there wait an average of 10 weeks to get an MRI, just to find out what is wrong with them. A lot of bad things can happen in 10 weeks, ranging from suffering to death.

Politicians may talk about "bringing down the cost of medical care," but they seldom even attempt to bring down the costs. What they bring down is the price — which is to say, they refuse to pay the costs.

Anybody can refuse to pay any cost. But don't be surprised if you get less when you pay less. None of this is rocket science. But it does require us to stop and think before jumping on a bandwagon.