The high deductible health plan is the biggest scam since corporate wellness programs.
Why do we insist that Americans can be consumers of health care as if they were shopping for a new car? They can’t and they won’t with any significant impact on the cost of care. Time to move on🤦🏻♂️ The notion that requiring people to spend thousands of dollars on health care before any reimbursement is counterproductive and harmful to many low and moderate income Americans. It doesn’t cause them to shop, it causes them unnecessary stress.
We need reasonable deductibles, co-payments coupled with published fee schedules for reimbursement of all but hospital inpatient expenses. No more games with networks, negotiated fees, or participating physicians.
We need a system where patients have no reason to care about individual costs because the reimbursement and permitted utilization of health care is centrally controlled. In its simplistic form that’s a tightly run HMO. In its national form it’s the UKs National Health Service.
You cannot control the cost of health care (and, of course premiums or taxes) unless you control the prices for services and how all those services are used. And that’s the truth, the whole truth and nothing but the truth.
A study published last month in JAMA found that just a quarter of respondents with a high-deductible plan consulted a doctor about the price of a service, while only 14 percent actively compared prices.