tigerwillow1
Known around here
Perhaps. I have both a positive view, and a negative view.So lose your insurance or pay more is going to be the solution.
The positive view: If we backpedaled the insurance system to where it was 50 to 60 years ago, it would cost a lot less. One example is the providers didn't fight the insurance companies. The individual paid the bill, then submitted it to the insurance for reimbursement. Now, we're paying extra employees of the provider to do this job for us. Another example is all of the covered things that previously weren't. Oregon, probably one of the worst, mandates coverage for birth control, reproductive health services, alcoholism, behavioral health treatment, tobacco cessation programs, gender affirming stuff, and other things that at least in some opinions should not be covered. Another example is how the drug companies are cleaning up.
The negative view: There are so many new treatments and drugs available that just didn't exist decades ago. I'm a consumer of a drug that is literally keeping me alive. I would have checked out last year without it. The published price is $16.5k/month and the insurance (medicare) supposedly pays 13.2k/month for it. $158k per year. 10 years ago I would have been gone and the insurance would not have paid out anything. I get insurance paid CT+MRI scans 4 times a year. 50 years ago these things didn't exist. Having spent a bunch of time at the hospital and getting tests last year, I'm totally blown away at all of the diagnostic devices and tests that exist, and I saw only a small sample of what exists.
Why is this negative? We're spending more and more money keeping people alive longer and improving their quality of life. New treatments and gadgets continue to be added, and each one adds to the total medical cost. If the trajectory doesn't slow down, our entire GDP and employment force will be dedicated to keeping people alive longer and improving quality of life. Yes, there is inefficiency and graft increasing the costs, but take that away, and we're still heading for an economic disaster with the well intentioned things that we won't be able to pay for, no matter how incompassionate it is.