Jan Graves
February 9 2007, 11:30 AM
Golden Rule primarily insures individuals and the HSA/ high deductable plan I have through them is reasonably priced. Many states have laws that prevent you from being penalized by preexisting conditions, provided you've maintained some sort of health insurance without any gaps.
The HSA type of insurance ultimately gives you a lot more control over your health care since you can chose where and how to spend your money or to save it. That's the primary downfall of a goverment run system, someone else decides what treatment you qualify for and where and when you get it.
When I was a healthcare and Medicare LA on the Hill, I was constantly lobbyied (by those with a financial interest) and begged by constitutents to change Medicare benefits. It always stuck me as a little crazy that people like me (as staff write legislation and greatly influence their boss's vote) with no medical background have contol over what type of care is covered.
And what most people don't know is doctors that treat Medicare patients aren't allowed to provide treatement that's outside the scope of what Medicare covers, even if the patient wants to pay for it out of their pocket.
This is obviously a huge topic, but one other thought, a lot of our uninsured population are young people that don't think they need insurance and don't want to pay for it. Even in countries with "free" health insurance they can't get everyone to sign up.
Our system is certainly broken, but, in my opinion, giving people more control over their care and having the cost more visible (so people aren't running to the doctor for colds because it only costs them $20) will make people more savy consumers of health care while maintaing quality of care that we have. We really do have the best health care in the world.