But audis are economically rational actors just like (almost) everyone else. If they’ve chosen to sell it for $6000 with three years of service rather than $3800 (or $4000 or something reasonably connected to the wholesale price) and a la carte follow-up care, it’s because they believe they can make more profit that way.
It’s a little bit more complicated than that. I’ve said in the past that I am not an owner and I am not involved in setting prices, but at this point I’ve been around long enough to know about some of that even if I don’t want to. My preference would be for audis to be rational, but at least where I am there are no business courses included in the degrees and so it is often a bunch of healthcare bleeding hearts trying to make a go at business and some are more rational about it than others. On top of that, in Canada because we have universal healthcare that covers a lot of things, people are largely unused to paying for healthcare and the frequent result of the unbundled model is that: 1) they do not come back for the regular care that would ensure continuing optimal function, which isn’t the ethical audi’s preference, and 2) they yell at you about the cost of things, oh boy do they yell at you. You show them the invoice they signed indicating that they declined the service package, and they deny and yell. You show them the notes on all the different options you reviewed after which they selected the cheapest model with no care package, and they deny and yell. They say, “I was just here 6 months ago and paid $150, why should I have to pay again!” and yell and leave one star google reviews like a vicious attack. So sometimes it’s just way easier to bundle and then encourage people to come in for “free” service and have them leave smiling. When I tally up costs in my head, if a patient comes in to see us annually during their care package then they are getting value from the bundle and if they come in even slightly more than that then they are getting a deal, but this is absolutely going to vary from place to place depending on pricing. If they buy and then disappear for five years, the bundle is not a value for them. This is the shady practice’s perfect patient because they will also then notice a huge improvement in new technology later compared to their malfunctioning unadjusted devices.
You’re ignoring this member’s posts.





