Cut Costs Without Rationing Care by Putting Patient Back in Charge

By TEVI D. TROY and JEFFREY H. ANDERSON
Investor’s Business Daily
Posted Monday, August 31, 2009

Decades of data confirm a simple truth: If we want to lower health costs, we need to put consumers back in charge.

Many people now feel like second-class citizens when they enter the doctor’s office. That’s because everyone in the office knows that the patient isn’t really the payer — that the patient doesn’t hold the purse strings.

The greater the percentage that patients instead pay directly to their doctor out-of-pocket, the more patients are in charge.

Whether it’s televisions, computers or Lasik eye surgery, when consumers are in charge, prices stay in check. In 1970, consumers paid for 62% of all privately purchased health care out-of-pocket. Today that percentage is just 26%.

Meanwhile, per-patient health costs have nearly quadrupled — even after accounting for inflation.

Consumers are paying less directly to doctors, but they’re paying four times as much overall — to insurers or the IRS.

The editorial continues at Investor’s Business Daily

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