Health Insurance vs. Health Care
Fear of the unknown is one of the main motivators to purchase insurance. People are concerned about the unexpected, catastrophic medical events. You may be surprised that health insurance costs are increasing at a rate greater than actual medical expenses.
Paying insurance premiums is not the same as paying for the health care. Insurance companies make a lot of money because they take in much more in premiums than they pay for medical care.
Medical expenses are the cost of the medication, office visits, surgery, etc. When paid for directly, these medical costs are reasonable.
Why is health insurance so expensive?
New health care interventions and medications may be more expensive. However, if exposed to market forces, these prices should come down. This is true for all goods and services, but not health care. Some debate that health care cannot be treated like other goods and services. We have many examples of cost control, while improving the quality of care provided, when health care is exposed to market forces.
A major problem with our healthcare delivery system is that insurance insulates the patient and health care provider from the actual expenses of health care. As a result, a significant portion of health care provided is probably not needed. A common question asked is, “Will my insurance cover this?” A better question to ask is, “Do I need this procedure, lab test, or surgery?”
With the passage of the Affordable Care Act (ACA), many are forced to purchase a high deductible insurance policy. This forces one to question the need for lab tests, diagnostic procedures, and to be more interested in a healthy lifestyle.
It is possible to get MRI/CT scans anywhere in the United States for less than $500! Lab tests are less expensive, and many health care providers are migrating towards payment at time of service and charging reasonable prices. Many surgical procedures are very affordable.