It doesn't account for plain ol' greed:
NEW YORK (Reuters) - Visit to New York City orthopedist:
$223. One X-ray: $50. One follow-up magnetic
resonance imaging test: $766. Total bill for checking out
that aching shoulder: $1,039 - all to be paid by the
patient, rather than the insurer.
Healthcare has gone retail.
Over the next 18 months, between one quarter and one
half of Americans who get insurance coverage through
their employers will pay more of their doctor bills
themselves as companies roll out healthcare plans with
higher deductibles, benefits consultants say. The result:
"They have huge out-of-pocket costs before they get any
insurance coverage, it's a real slap in the face," said Ron
Pollack, the executive director of Families USA, a
healthcare advocacy group.
High-deductible plans set a threshold for medical
expenses that an individual must pay for, often in the
thousands of dollars, before insurance kicks in. Studies
show people on these plans are three times more likely
to delay or skip care than people on traditional plans,
where doctor or emergency room visits are covered by a
relatively low co-payment.
These plans have been around for years, pushed by
employers, insurers and industry experts who believe
that consumers with "skin in the game" will drive
demand for better quality care at a lower cost. It is a
rationale also backed by President Barack Obama's
Republican challenger Mitt Romney.
But now corporate America's adoption of high-
deductible plans is accelerating, partly because of
Obama's healthcare reform, which requires insurance
plans to provide more expansive coverage such as
Several industry surveys forecast a two-percentage-point
increase in the number of companies offering only high-
deductible plans in 2013 to about 19 percent, and a
larger jump of anywhere from 5 to 25 percentage points
"2013 is almost a calm period before a period of intense
change in 2014," according to Randall Abbott of Towers
Watson & Co, a Boston-based senior consulting leader at
the human resources firm.
The shift means consumers will have to spend many
more hours researching their treatment options and
managing costs on websites like
Healthcarebluebook.com, which helped budget the cost
of examining the shoulder pain mentioned above.
It could also spur lawsuits against doctors whom patients
may blame for not making clear whether a test or
procedure would spare them future harm, legal experts
Read the rest here: mobile.reuters.com/article/healthNews/idUSBRE89R0EP20121028?irpc=932
In short people are being forced into the private sector (via obamacare) and the insurance agencies are now going to force you to pay a certain amount out of pocket before coverage kicks in....so what the fuck is the point of having health insurance if I'm still paying for everything below a certain amount myself?