http://www.reuters.com/article/us-preventive-economics-idUSB...
http://www.statcan.gc.ca/pub/82-003-x/2015012/article/14295-...
http://www.thehoopsnews.com/effectiveness-of-mammograms-vast...
It's a complex subject, and a few articles aren't the final word one way or the other. My opinion is based on various things I've read over the past couple of decades (most of which I can't summon up right now) and conversations with various medical professionals in my family and social circle, and my overall worldview (as anyone's must be).
It seems there are preventative measures that are cost effective, and there are others that are not. So really, this indicates a need to determine a threshold. Perhaps we determine that we can afford to pay up to $50,000 per QALY, and cover any care that falls within that limit. So, we'd have coverage based on its efficiency rather than whether it is considered preventative or treatment or maintenance. The idea being to get the maximum amount of healthy years of life out of whatever amount of money we as society are willing to put toward healthcare. This could also be extended to programs outside of direct care, like some of those articles suggest, which encourage and support healthy activity in a way that still falls within the $/QALY target.
Of course, I expect it would be a bear to fairly study every possible treatment and program to determine its efficiency, especially factoring in a changing environment which is bound to change the efficiency of any given treatment from year to year.
Still, at a minimum, we should be grabbing those low-hanging fruits, where we can gain healthy years for a very low cost.
[1] https://en.wikipedia.org/wiki/RAND_Health_Insurance_Experime...
But being unsure where my next meal will come from, I can't even visit a clinic to get a test done.
I keep praying to get some money so I can go check myself before I leave my young family without a caregiver.
So yes, whatever you guys argue here today. Make sure people like me in future can be cared for. And that they don't have to worry about food, shelter, Healthcare.
Like you said, you absolutely don't want to leave your family without a caregiver.
When you live in Africa, you have different problems.
Either way, I was buttressing this point
> even a small personal cost can encourage people to ignore warning signs and not seek aid until the problem has become severe and expensive
Free-as-in-beer health care ensure more people going to the doctor for more crap, reducing availability and quality for the average person.
Yeah, it is called brainwashing. I worked in insurance and was all tickled to see them offering "wellness" benefits. I was all "Oh, yay, the world is turning into a better and more clued place!" Then I went to the meetings. These were purely a sales gimmick. That's it.
You encourage people to go to their annual check up and they feel like you actually care. It breeds employee loyalty. It mostly does very little for actual health outcomes. If you actually want better health, you are better off promoting exercise, healthy eating, sanitation, etc. in place of preventive medical screenings.
This is a pretty terrible idea. Even programs in the current day that are trying to make consumers feel their healthcare costs (like HSAs and their required high-deductible PPO plans) often or always cover preventative care at 100%.
Preventative care is precisely the kind of care that people are most likely to skip to save on some money, and at the system-level this just means much more costly healthcare. Regardless of how you structure your healthcare system, increasing the cost of the actual care itself is a horrible idea.
We already have a national individual mandate for health insurance with specific coverage rules which has made decisions about this; essentially, a mature BI would cover expected out-of-pocket costs plus insurance premiums in that system.
(That's not to say further reform of that system isn't possible or desirable, with or without BI, just that, given the existing system, there seems to be a fairly natural way that healthcare within that system fits into BI.)
(Not sure why I jumped to that conclusion, except that perhaps a basic income system appeals to the same economic minimalism that an out-of-pocket health cost system does.)
This seems like a terrible idea. If someone, for example, notices a new mole, they are much less likely to get it checked out if it is an out-of-pocket expense. Obviously, most of the time it'll be fine, but it could also be skin cancer that was easily treatable but has now metastasised and will be hugely expensive to treat.
(Which is not to say that I disagree with you, though I do think that there are actually three different cost categories of health care:
1. Routine/preventative/minor care. Probably best dealt with as out-of-pocket costs.
2. One-time catastrophes, like "I broke my arm" or "I got pneumonia." Probably best dealt with as insurance.
3. Long-term or lifelong large expenses, like "I have HIV" or "I have MS." Probably best dealt with as a government program.
But then you'll have a lot of problems with the boundary cases.)