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An Interesting Perspective on Health Insurance

When I think of health care I look at the doctors, nurses, medical assistants, patients and pharmacists and I rarely look up to see that they are all standing underneath the umbrella of the insurance companies. Insurance companies seem to hold the purse strings on medical care and vastly impact the quality of care able to be given to the multitudes. Insurance agencies also influence college students in an RN program and the quality of care that they will be able to give.

I admit that I don’t know much about insurance companies. I know that my husband and I pay a nice sum of money per month to them, have $10 co-pays for each doctor’s visit, a $4 generic drug payment, and when we do have a procedure done we receive a bill with an exorbitant amount of money on it in which most of the time we do not have to pay. I also know that we spend a lot of time of the phone arguing about things we are billed for that are covered in our account. Furthermore, state budget cuts are causing my county employee husband to pay more out of pocket for our health coverage. Yikes!

All that to say I just read an interesting article in the Grand Junction Free Press by Scott Rollins, M.D. in which he addresses an unusual point of view he has pertaining to the current health care crisis. This is what peaked my interest: “Step one toward solution is restoring insurance to what insurance is meant to be, a means to mitigate catastrophic risk. Car insurance doesn’t pay for an oil change or a flat tire — they pay when the car is totaled. Homeowners insurance doesn’t pay for a new coat of paint or fixing a leaky faucet — they pay when the house burns down. Our current health insurance system is not insurance but rather health management and we are paying dearly for it in more ways than dollars.”

“If every U.S. citizen converted to a high-deductible catastrophic health insurance, it is estimated 90% of them would not reach their deductible in a given year. That means the majority of insurance system costs would disappear. Then we’d see premiums drop, health care costs drop, patient freedom of choice and responsibility increase, while physician reimbursement returned to the free market based on our success at actually treating and preventing disease. Insurance companies could be less discriminatory with pre-existing health conditions and exclusions as the actuarial numbers would get much simpler to predict and afford.”

Honestly, I have no idea if this would work. I can see the pros and cons from both sides. This is some meaty food for thought and I just know the current system isn’t what it’s cracked up to be. Being in a registered nursing school, you have a lot to think about already. There are so many aspects of health care and sometimes new perspectives just make you stop and think.

To read the complete article mentioned in this post, please visit
http://www.gjfreepress.com/article/20110826/HEALTH/110829982/1001&parentprofile=1059

3 replies
  1. Christina
    Christina says:

    Thanks for the great comment. Yes, feel free to link to our site! Glad you feel that the information is important and worthy of sharing.

  2. Eric
    Eric says:

    Great article! I’ve been in the industry for 25 years and it is almost tragic what is happening in the health insurance industry… should be an intersting next few years!

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