The ridiculous health care laws that are being passed in states like Tennessee and Massachusetts are truly scary - I’m not sure I could dream up any worse ideas than the ones these lawmakers have.
This article from Brendan Miniter breaks down some of the issues, but I have a couple of comments. First, on the Massachusetts law:
If there is one redeeming value to his approach, it is that it starts with the presumption that even the poor should pay something for their health care. That’s not a trivial point. Today many uninsured patients skip out on their bills and leave their health-care tabs for everyone else to pay in the form of bigger hospital bills and higher taxes.
Agreed. Everyone should pay something for their health care. But those “uninsured” people who might just choose to pay their bills (gasp!!) shouldn’t be forced to purchase insurance. And I’d be willing to bet that many of those “poor” that skip out on their doctor bills somehow manage to find the money to put gas in their cars and pay their cell phone and cable television bills, don’t they?
Secondly, Mr. Miniter brings up a point that goes along with BMB’s feeling on health insurance - why can’t we have some sort of catastrophic event coverage, like we have in the auto insurance world, and actually pay for checkups and doctor visits (unheard of, I know)?
What Tennessee and Massachusetts now have in common is that as lawmakers look for health insurance plans that are cheap enough for most people to afford, they’re going to run headlong into the reality that buying health coverage is very expensive. The reason isn’t just that health care across the country is expensive. It’s also that health insurers are prohibited from offering coverage that pays for only catastrophic events, such as a serious injury or heart attack. Rules vary by state, but in most places insurers are forced to cover everything from routine checkups to chiropractic care. Remove these mandates, allow deductibles and “copays” to be raised high enough, and in an instant the price for some health plans would fall to about that of dinner out and a movie for two.
Bingo. Catastrophic coverage would be a nice place to start for us to get a handle on this whole health care mess. But is that the direction we’re going? Sadly, it is not.