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Published in: Journal of General Internal Medicine 6/2007

Open Access 01-06-2007 | Perspectives

Consumer Directed Healthcare: Except for the Healthy and Wealthy It’s Unwise

Authors: Steffie Woolhandler, MD, MPH, David U. Himmelstein, MD

Published in: Journal of General Internal Medicine | Issue 6/2007

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Abstract

Many politicians and business leaders are advocating high deductible health insurance plans linked with health savings accounts—so-called consumer-directed healthcare. These policies penalize the sick, discourage needed care (especially primary and preventive care), and direct tax subsidies towards the wealthiest Americans. They offer little hope of slowing the growth of health care costs and add further bureaucratic costs and complexity to our health care financing system.
Literature
1.
go back to reference Newhouse JP, Insurance Experiment Group. Free For All? Lessons from the Rand Health Insurance Experiment. Cambridge, MA: Harvard University Press; 1993. Newhouse JP, Insurance Experiment Group. Free For All? Lessons from the Rand Health Insurance Experiment. Cambridge, MA: Harvard University Press; 1993.
2.
go back to reference Freudenheim M. Prognosis is mixed for health savings; though enrollment grows, many don’t bother to save. New York Times, January 26, 2006:C1. Freudenheim M. Prognosis is mixed for health savings; though enrollment grows, many don’t bother to save. New York Times, January 26, 2006:C1.
9.
go back to reference Enterline PE, Salter V, McDonald AD, McDonald JC. The distribution of medical services before and after “free” medical care—the Quebec experience. N Engl J Med. 1973;289(22):1174–8.PubMedCrossRef Enterline PE, Salter V, McDonald AD, McDonald JC. The distribution of medical services before and after “free” medical care—the Quebec experience. N Engl J Med. 1973;289(22):1174–8.PubMedCrossRef
10.
go back to reference Beck RG, Horne JM. Utilization of publicly insured health services in Saskatchewan before, during and after copayment. Med Care. 1980;18(8):787–806.PubMedCrossRef Beck RG, Horne JM. Utilization of publicly insured health services in Saskatchewan before, during and after copayment. Med Care. 1980;18(8):787–806.PubMedCrossRef
11.
go back to reference Tamblyn R, Laprise R, Hanley JA, et al. Adverse events associated with prescription drug cost—sharing among poor and elderly persons. JAMA. 2001;285(4):421–9.PubMedCrossRef Tamblyn R, Laprise R, Hanley JA, et al. Adverse events associated with prescription drug cost—sharing among poor and elderly persons. JAMA. 2001;285(4):421–9.PubMedCrossRef
12.
go back to reference Becker C. One question: credit or debit? As health savings accounts gain in popularity, insurers and the financial services industry want to bank the cash. Mod Healthc. 2006;36:6–16. Becker C. One question: credit or debit? As health savings accounts gain in popularity, insurers and the financial services industry want to bank the cash. Mod Healthc. 2006;36:6–16.
13.
Metadata
Title
Consumer Directed Healthcare: Except for the Healthy and Wealthy It’s Unwise
Authors
Steffie Woolhandler, MD, MPH
David U. Himmelstein, MD
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 6/2007
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-007-0187-3

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