Those routine office visits, routine prescriptions, and inoculations are not where most of our healthcare dollars go. Prescription and doctors fees account for just 30% of healthcare cost. An of that 30% about half goes for acute care not routine care. That's leaves only 15%.
The cheapest traditional medical care available is through your doctor's office and your pharmacy. Shifting all these costs to the patient will mean less preventive care and less early diagnosis and higher overall cost.
Health Care Spending in America
save this bullshit post for later. prediction as fact as truth
worse than creationism
So you agree with Foxfyre, routine office visits, prescriptions, and emergency room care should be paid out of pocket and we should have higher deductibles for hospitals?
That would be emergency room care up to the amount of the deductible. The way it used to work is that you had a set deductible on your insurance, say anything from $500 to $2,000. You pay all your medical expenses out of pocket up to the amount of that deductible. Then your insurance kicks in and either pays the whole amount or there is a prescribed co pay.
The basic medical plan would pay up to a maximum just as there is a maximum on auto or home insurance. But if you want additional protection for your auto andhome, you can buy umbrella policies that kick in and provide much more protection if you reach the maximum. Likewise, we could have a catastophic insurance pool that would be very affordable by spreading the risk across the general population but would take care of those ultra expensive cancer patients, etc.
Even Medicare has a optimum amount after which the patient is expected to pay the next several thousand dollars before Medicare picks up again.
Think of all the people you know and how few of those need expensive medical care or hospitalization in any given year.
The advantage of such a system is that the vast majority of working Americans who buy insurance in the first place will have much more affordable insurance to buy. We all pay out of pocket for routine maintenance and repairs on our homes, our cars, our computers, and all other things that we own. It is ridiculous not to do the same for our healthcare at least up to an amount that won't break the bank. Under the old system, the better insurance policies included the cost of an annual checkup and waived the deductible for that. And we would be questioning and challenging the costs on the bill too, just like we do with repairs on our car or house and we would require the medical provider to justify them. That alone would save countless millions in healthcare costs every year.
Because the emergency room will cost more than going to the doctor, most people will stop using it as a convenience and use it only for emergencies. For those who didn't have enough in the bank to pay the emergency room bill or to cover their deductible and copay at the hospital, we set them up on a payment plan to pay it out in manageable monthly payments, interest free. Most people could do that too.
This is just one way we can change the culture to re-establish affordable healthcare without creating another unsustainable entitlement that drains the lifeblood from the economy. To provide incentive, the government should go with the Republican's proposal for medical savings plans, say $2,000 that people could set aside tax free to use just for medical care. If they don't need it all at the end of the year they can then spend it for whatever they want tax free and deposit another $2,000 into their medical savings account.
This cultural change along with tort reform and some better application of anti trust laws are just some of the ways we can repair the system without breaking the bank.