Food fights
Follow the evidence
Blog Review 751
Bad news all round
Various thoughts
Binning Barnett
Blog Review 750
Save health savings accounts
Adding insurance to the mix creates a whole host of problems. First of all, it imposes significant administrative costs, which often exceed the price of the actual medical service. Secondly, insurance gives both the doctor and the patient an incentive to maximise costs – the patient because he's paid his dues and wants his money's worth, the doctor because he wants to increase his income. Thirdly, it blunts incentives to keep yourself healthy, because that's what you've got insurance for.
Moving to a more rational system, where people pay their doctors directly for routine services and insurance is confined to its natural role, is the key to reforming healthcare the world over – to keep costs under control, free doctors and empower patients. I hope policymakers realize that.
For a more detailed explanation of the benefits of health savings accounts, have a look our 2001 report Medical Savings Accounts.