Wednesday, September 2, 2009

Why Health Care Should Cost Money, and Lots

This whole "Health Care" debate has really gotten off track. As I have stated before, the current bills do absolutely nothing to improve health or reduce costs. Several proponents of the plan have an idealistic view of the problem. They expect "Free" health care courtesy of the government. From personal and professional observation, Free health care would be the worst thing to happen to this great nation.

Allow me to illustrate the folly of Free health care with at little story:

Two kids in the neighborhood want new bikes. The first kid tells his parents, "I want a new bike." and the parents give him the brand new bike. The second kid knows better than to ask his struggling parents to give him a new bike, so all summer he mows lawns and does several odd jobs. He saves his money, doesn't go to the movies with his buddies or buy candy at the store. Finally, he has enough to purchase the bike himself.

Ask yourself this question, who's bike will be in better condition in a year?

You know the answer, most grade school kids know the answer. The kid who worked hard and sacrificed will take very good care of his bike, because it has value. The first kid won't care if he leaves it outside in the rain, or bangs it up. He doesn't care because it didn't cost him anything, it has no value. If it breaks, his parents will probably get him a new one.

It is pure human nature. If something has value it is taken care of and cherished. If it has no value,it is disposable. Free health care has No Value!

I have seen this first hand in my practice. People who do not pay for their care are less healthy. There is no incentive to get healthy because someone else is going to pay for all the care they need. My patients who do not have insurance, or have very high deductibles and/or co-pays are much healthier. They value their health. They protect and maintain it like a valuable asset.

Even assets of great value, when given away for free, have no value to the recipient. Just look at free housing in inner city "Projects" or the free government housing given to the Native Americans for example. Run down and unkempt because the "owner" did not value it.

The best way to bring down health care costs is to improve the health of the nation. To do that, health has to have value. It has to be important enough to actively be taken care of. Routine tests and screenings should cost money. If you think you can't afford them, then you need to decide what is of more value. Maybe you have to cut back on other expenses, especially unhealthy ones. Smoking, alcohol, processed foods, etc... and put the money spent on unhealthy items into your health savings account to pay for better health.

Insurance was never supposed to cover routine maintenance. It is supposed to protect your assets in case of catastrophe/major illness. This is why I have always supported high deductible catastrophic insurance coupled with a health savings account. When you see where your health care dollars (and how much) are spent, you begin to live a healthier lifestyle.

Please leave a comment or question. Thanks for reading!

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