Money shot quote from a compelling article by Greg Scandlen about the schizophrenic effects of High Deductible Health Plans:
I don’t expect physicians to double as financial advisers, but I agree that they should be more aware of the costs of the treatments they prescribe. In my own case, my doctor prescribed a blood pressure medication. When I went to fill the prescription I discovered it was enormously expensive. I went back to my Doc to see if there was something more affordable available. No one had ever asked him about that, but when he looked into it, by golly there was a list of 25 different meds with prices ranging 1,000 percent, all equally effective.
That is the effect of an empowered consumer. Ultimately physicians will respond to the demands of their patients and as more of us are paying cash for services, we will insist on cost considerations far beyond what any third party payer could do. Unfortunately, the ObamaCare approach is far too clumsy to be effective in empowering consumers. The great advantage of funded HSAs is they give patients the means to pay the bill, but also get them to think twice about the costs. It is a carefully balanced approach to growing educated patients. ObamaCare just throws people in the deep end of the pool without any support. It is cruel and mean spirited — just what you might expect from the government.
However wrong this may seem, in my mind it’s a better option than care simply being uncompensated and falling on the provider or the facility to take the hit. At least in this model, there is some revenue stream going for care, even if it is basically a servitude for service model.
Diane Ravitch calls out The Projo for being lazy when it comes to researching education policy and its right-wing political origins.
Adjunct professors joining labor unions to voice concerns about low pay, job security – The Washington Post
Say it with me now, “The people…united….will never be defeated….”
Profiles in health care: Young, healthy artist weighs insurance options video | The Journal News | lohud.com | lohud.com
What it looks like at ground level for the young, the healthy, and the artistic who want to get health insurance…
I definitely don’t want to harsh on anyone’s mellow about Obamacare, but this is the part that worries me: the bad debt that hospitals are going to take on. This issue is going to have to be reconciled somehow.
I have heard many predictions about what health care reform will bring. This one suggests that high end plans may be driven out of the market.
The good news: once Obamacare kicks in, out of pocket health costs will be capped at about 6 K for individuals and 12 K for families. The bad news: you could still end up in bankrupcty if you don’t have that kind of money. But I believe most hospitals and health care providers can put you on an extended payment plan.