5/21/12

INSURANCE SHMINSURANCE

I think that health insurance is not needed (and in my opinion should not be used) to have affordable basic primary health care. Healthcare reform is only needed in areas involving insurance for the expenses associated with hospitalizations and procedures.

The average American spends $65 per month on a cell phone bill, $40 per month on Internet access and $70 per month on a cable/satellite TV bill. That is over $2000 per year on (what I would argue is) discretionary spending.

In my practice, the average person who has 2 or more chronic conditions will spend per year about $120 for 2 office visits, $100 on labs and $160 on prescribed medications. This averages out to a little over one dollar per day for their basic healthcare.

There are very few people who cannot afford that amount. It is about priorities. If your health is important enough you will use your discretionary spending money on that first even if that means cutting down on smoking, eating out, cell phone use, Internet access or cable TV.

If you're spending more than that on your primary healthcare, you need to ask yourself why. Is your doctor charging you too much? Can your medications be changed to cheaper ones? Are you provided with samples of medications you cannot afford? Are the prices being charged for lab tests too high? Are all the labs necessary?

I encourage you to compare prices. Call various doctor's offices and ask how much a visit is, ask if medicine samples are available and ask how much a lab test such as a cholesterol screen will cost you.

Don't assume that you can't afford to care for yourself just because you don't have health insurance or have a high deductible. Receiving healthcare now can save your money and health for the future.