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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: Alighieri who wrote (14501)3/13/2010 9:43:39 PM
From: Lane3  Read Replies (2) | Respond to of 42652
 
We can have plans that stratify on the basis of services or some that do so on how much they reimburse.

It's not either or. Your notion of strata is one dimensional. We could have a mix of various strata. The out of pocket expenses are more important to some. The benefit mix is more important to some. If you do it only on out-of-pocket expenses, you lose a lot of opportunity to cut costs because fixed benefit packages have a tendency to grow until they are loaded. And once a benefit is in the package

If you look at the argument for selling insurance across state lines, that was intended to get away from loaded benefit packages where states had responded to lobbies for fertility treatments or acupuncture or whatever, thus driving up costs. If you could pick a leaner package, you could save money personally and save the system money overall.

Sure, smaller reimbursements save money but leaner benefit packages save money, too. That's the beauty in competition and choice.