In addition, the "market-based" proposals to address this problem mostly exacerbate it. The suggestion is always that patients need more "skin in the game" -- in other words, that they need to be responsible for even more costs out-of-pocket -- and yet it's completely predictable that fewer people are going to seek preventative care if they have trouble paying for medicine now.

This also ends up being a pretty unfair way to apportion care because a rich man couldn't care less about a $100 fee and a poor man can find it prohibitive.