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Peter
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Peter

gjudd, it seems that (1), (2) and (3) are designed to cleaverly fund the present healthcare cost structure of double digit compounded yearly increases while sheltering some income groups? Do you also see cost controls implemented at the same time? My problem with all of this HSA’s/HDHP’s discussion is that it only seeks to find ways to fund the present system – which by all accounts is unsustainable. “If the goal of the HSA/high-deductible construct is to force patients to have “[fiscal] skin in the game” – to use that dubious but common phrase — so that patients think more… Read more »

gjudd
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gjudd

Matthew, as always, your taste in health care thinkers is nonpareil, but here your precis of the thinker’s actual thinking serves up a mouthful of spinach and spumoni. Rather than intimating simply that Reinhardt has fulminated against the horrors of health care that actually costs recipients something, which he has not done in the subject post, why not also share his musings on alternative cost-sharing formulae, which he includes late in the piece? His designs admittedly do not appear to champion either single payer or even universal coverage, but might still generate some stimulating contributions from your readership: Making the… Read more »