The healthy need catastrophic major
medical insurance with the highest deductible they can afford. This would give
us “Major Medical” coverage of “medically necessary” rescue and repair procedures.
We prefer outpatient surgery and recovery at home.
We are happy to pay for doctor’s visits
out of pocket. We don’t mind having a $1 million lifetime maximum. Before
Obamacare, we got this kind of coverage for $200 per year with a $5000
deductible. We expect that if we have pre-existing conditions, our premiums
will be high enough to cover these.
We need this coverage to ensure that the
hospital won’t take our homes if we find ourselves saddled with medical bills
that could amount to over $100,000. Most
of us, (50%) of us are in the “healthy” category. Our healthcare costs are very
low. We are tired of paying excessive amounts of cost-shifted subsidies to
support the healthcare industry as they overcharge the sick.
I am one of the healthy. I have always
viewed health insurance as my charitable contribution to medical research. I
believe that medicine is a “trial and error” industry.
My grandfather was an MD and ran a general
practice including internal medicine and surgery from 1905 to his death in
1962. He was an expert diagnostician and didn’t have or need a lot of expensive
tests, drugs or treatments.
I was hired by Washington University
School of Medicine in 1971 from Monsanto Chemical to establish the Personnel
function at the Medical School and shepherd the University to develop federal
regulatory compliance strategies. I did that and more, and returned back to
manufacturing in 1975 at Schwan Foods.
In my work as a Personnel Director, I was
responsible to serve as the “trustee” for the company medical plans. I wrote these
plans and determined the coverage and the cost.
My background informed my views. I believe
there are mistakes that have been made in Medicine that are responsible for the
unsustainable cost of healthcare we face today. And nobody is addressing these
The first problem is excessive federal
funding of healthcare that started in 1964 with the passage of Medicare and
Medicaid. Later, federal subsidies were increased by expanding drugs to be
included in Medicare. Finally, Obamacare
was passed and costs became unbearable.
The second problem was that technology was
available that could be applied to medical practice, but that would increase
the cost. They didn’t care because the government was going to pay for it.
The third problem was that church owned
and run hospitals were being sold to accountants with friends in the medical
The fourth problem was that the curriculum
in the Medical Schools was moving medical students to costlier solutions and
forgetting to teach them basic diagnostic skills.
The fifth problem was that medical
specialties were being pushed that would take physicians from being generalists
to being specialists, also expensive.
The sixth problem was Malpractice lawsuits
created “defensive medicine” waste in hospitals.
The seventh problem is government
healthcare subsidies for illegal aliens and refugees. The cost of this is
shifted to paying customers and taxpayers.
The demise of medicine was supported by
the special interests to the detriment of the citizen consumers.
Our current method of paying for
healthcare violates the laws of supply and demand and has no consumer control
over prices. There are no consumer consequences for overusing health insurance.
Currently there is no mention in the media
of excessive federal subsidies as a primary reason for the high cost of
healthcare, but it is massive.
If the federal government even hinted that
they were going to reduce federal healthcare subsidies, medical costs would
drop like a rock.