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Price Transparency
Ability to know costs upfront (very low in U.S. system).
Negotiated Prices
Prices set between insurers and providers—not by open market.
Externality
Impact on third parties not directly involved.
Positive Externality
Benefits others (vaccines, healthy workforce).
Negative Externality
Costs others (smoking, obesity).
Asymmetric Information
One party has more knowledge (doctor > patient).
Information Gap
Patients lack knowledge to make optimal decisions.
Lack of Transparency
Consumers cannot easily compare prices or quality.
Adverse Selection
High-risk individuals are more likely to buy insurance.
Adverse Selection Problem
Healthy people drop out → premiums increase → system worsens.