One of the largest expenses people have, outside of a mortgage, is healthcare. Year after year costs go up faster than the rate of inflation. Even for those lucky enough to have quality employer-sponsored and -funded insurance, times are changing. Premiums, co-pays, and stop-loss limits keep rising. Managed care (think HMOs) were supposed to provide the solution, but they rely too much on secong-guessing and limiting doctors to keep them from giving the treatment they would otherwise give, turning health decisions into business decisions.
Tonight’s State of the Union address was used by President Bush to push Health Savings Accounts (here’s the White House press release - can’t find a transcript yet). They are meant to be the backbone of a type of plan, often called “consumer-driven”, that tries to incent you to manage your own health care. The better-informed you are in your choices, you can keep the cost of your care down. Sounds like a good idea at first blush. However, Minnesota Public Radio just finished a series called Prescription for Change that looks at the state of healthcare and consumer-driven plans as well. The series highlights the potential benefits and drawbacks of this type of healthcare. It was interesting to listen to and makes a good read as well.
I highly recommend this series to help you understand the choices all of us will likely face over the coming years.