Redefine Insurance
As I’ve listened to both candidates and both parties debate this issue, I think that in order to make any progress in reform we have to start by using correct terms. This issue is most apparent when referring to “insurance” or the insured.
Let’s be clear…What we call insurance today is really nothing more than a health payment plan. It isn’t really insurance.
Insurance is something you buy when you can’t afford to lose or suffer the loss of the thing you insure. Car insurance for example. I have liability insurance on my car, but not collision because the insurance costs more than the car is worth. But this insurance pays for something I cannot afford–a major accident. It does not provide for gas, oil-changes, safety inspections, minor repairs, alignments, new tires, etc.
The “insurance” issue clouds what we’re really trying to get to the bottom of: affordability, not the affordability of insurance, but the affordability of the routine care of our bodies. This would leave insurance to become true insurance, by insuring us against those health issues we can’t predict (stuff like my dad’s brain tumor) nor can we afford (the heart surgery and 2-week hospital stay of my mother-in-law).
By differentiating between affordability of care and dumping the insurance idea, I think we start to get a better idea of what the government may need to do to act as a safety net. I think we also start to better understand what affordable really looks like, affordable care that is.
On a side note, I think it would be interesting to compare what a family spends on cars as compared to health care and what they get for their dollar. If we can afford to take care of our cars, we should be able to afford to take care of the general needs of our bodies without insurance.