“A delusion is a belief held with strong conviction despite superior evidence to the contrary”

November 22nd, 2012 | Healthcare Reform

More to follow, but it appears that the title of this post, taken from Wikipedia,* sums up the proposed regulations released by CMS yesterday on essential health benefits.  Although I would need a textbook rather than a BLOG post to hit them all, as I sit here on the eve of Thanksgiving, this is my favorite Oxymoron:

“The coverage of additional benefits results in a transfer from out-of-pocket payments to premium payments. Increased access to insurance coverage for previously excluded benefits will make medical care for those benefit categories more affordable for consumers by covering a portion of the costs of those services. While out of pocket costs would decline, consumers could purchase benefits and services inefficiently – that is, purchase more than the efficient amount of the previously excluded benefits and services. However, studies of the Medicare program suggest that the costs of this inefficiency are likely more than offset by the benefits of risk reduction.”

Huh?  So, like I take a previously uninsured service and make it insured, right? And, because it is insured and folks think they do not have to pay for it, it is cheaper. Yeah, I think I get that. People who needed the service used to pay for it but now insurance will pay for it; yeah, OK, that means the users do not pay for it. But wait. If insurance pays for it now, doesn’t that means that everyone is paying for it thru their insurance premiums?

Dear Mr. Fantasy play us a tune
Something to make us all happy
Do anything, take us out of this gloom
Write a regulation, sourced from the Moon

And a tip o’ the hat to Traffic and NASA


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