A sure-fire way to lower the cost of health insurance for those willing and able to buy it is to let people die on the curb in front of the hospital. Yep, give up your humanity and you too can save on health insurance. When the motive for healthcare is profit and there is no profit in free riders, what else?
If you opt for humanity and take that person into the hospital, it can cost you, and likely cost you a lot. That person without health insurance will incur costs that the hospital must absorb. The only way for a hospital to stay in business if they accept indigent care is to charge paying customers, usually insurers, more to offset the unreimbursed care.
If we are to be humane and provide care for the free riders, is there a better way? If we wait for high blood pressure to cause a heart attack, treatment of that one event can cost hundreds of thousands of dollars. Alternatively, drugs to manage high blood pressure can be had for pennies a day. To not provide for the blood pressure medication is just the sort of thing that Ben Franklin spoke of when he said “an ounce of prevention is worth a pound of cure.”
The reason President Trump and the Republicans struggle to produce a health plan to replace the ACA, even though they have had several years now, is there is no plan that actually works if it doesn’t include everybody, at least humanly. There are two ways to do that – make sure everybody has access to affordable care through private insurers or go to a less costly single-payer, not for profit, universal healthcare system like just about every other country in the world.
Government managed systems work and work well. We currently spend much more per capita on healthcare with poorer outcomes. There are over 40 countries with lower infant mortality rates, greater life expectancies, and lower costs.
President Trump said his replacement healthcare plan would cover everybody and cost less. So where is it? I can predict immediately that any plan from the Republican party will not mandate coverage with a complete, effective policy. This guarantees free riders and uncompensated costs. Another promise is to lower spending by the elimination of subsidies for the poor. It will lower or eliminate healthcare for the poor.
For those middle-income folks there are now cheaper insurance policies available, but only because of substandard policies. Lower costs mean less coverage. The ACA policies required a minimum standard of coverage which included preventive care. Cheap policies are available which allow you to pick your coverage limit – lower coverages mean lower policy costs. This however, can leave the taxpayer on the hook for catastrophic costs.
The real winners with a conservative healthcare plan are the rich, no surprise there. Taxes will go down while at the same time subsides not previously available to the rich will go up.
Conservatives continue to try to view healthcare as subject to the same market forces as buying unessential commodities, but it just doesn’t work that way. We are alone in the world with our failure to make that recognition. In these times of a debilitating even lethal pandemic, it is unconscionable to not provide quality healthcare to everyone in the country.
Dr. Bob Allen is Emeritus Professor of Chemistry, Arkansas Tech University.