Still working on the health-care issue in my rather limited mental capacity. See if this clicks at all.
Insurance is, (originally anyway), based on risk. The more risk the insurance company takes on, the higher the premium.
The "risk" that someone with an insurance policy will get the flu, or a cold, or bronchitis, or an inner-ear infection, or etc. etc. is 100%. This means that the insurance company, before any other calculation, must account for the cost of providing services for these common illnesses. To provide services for these common issues that virtually every person will need, the insurance company relies on internal and external bureaucracies. These layers of red tape are required to oversee the system and verify needs, etc. These expenses are much inflated at the insurance company level over what they would be at the individual level.
A visit to a direct care doctor for an illness and the subsequent treatment is exponentially more efficient and effective than going through the insurance company's bureaucratic environment.
Since I have retired, I have engaged in a contract with a direct care physician and have a small sample of personal experience to draw from. I make a monthly payment for his services and then pay as I go for additional items. A recent blood work-up and an inquiry into prescriptions I need for eye drops revealed an incredibly low cost on both accounts. The blood test was around 20 bucks and one of the eye drops was about a tenth of what I'd been paying even with prescription coverage on my old plan. Additionally, I can call him 24/7 and know that I will get a doctor on the phone. I can email, text or use the handy on-line app they provide. I then purchased a policy to cover any major medical issues I may encounter and the combined costs of both are significantly less, (about half), of my previous employer-provided coverage. Yes, there are still questions and scenarios that may reveal issues with this set-up, but it's the kind of effort I expect from a free society. A society, a citizenry, that is losing freedoms by the day and will quickly lose much ground in this regard if we let the government seize control of our health-care system. (now, back to our regularly scheduled discussion).
With a direct care model in place, (or something similar), the insurance company's would be free to return to their more appropriate place in the system and provide, true, risk-based coverage for people. This would see a dramatic drop in costs because the 100% risk factor will be replaced by a much lower factor and the common, predictable illnesses will be covered by the much more effective and direct approach offered by the doctor-patient contract mentioned above. A significant outcome with this arrangement is the person's more direct involvement in his health-care services and costs. The individual replaces the incredibly ineffective bureaucracy the insurance companies had previously relied on.
I don't have a solution to our complex medical insurance situation here in the US, but doesn't it seem incumbent to consider some viable alternatives? This model has been around for many years and is available in all but 2 states as of this writing. If you were wondering how you can bring back a more free society, exercising some initiative and individual responsibility is one way. Please consider taking your health-care back from the government before it's too late.
Thanks and have a nice day.
