{"id":4869,"date":"2011-12-04T09:47:58","date_gmt":"2011-12-04T15:47:58","guid":{"rendered":"http:\/\/michaelsiegel.net\/?p=4869"},"modified":"2011-12-04T09:49:12","modified_gmt":"2011-12-04T15:49:12","slug":"the-healthy-1","status":"publish","type":"post","link":"https:\/\/michaelsiegel.net\/?p=4869","title":{"rendered":"The Healthy 1%"},"content":{"rendered":"<p>Some attention has been focused on a <a href=\"http:\/\/blog.american.com\/2011\/11\/the-health-spending-1-percent-healthcare-fact-of-the-week\/comment-page-1\/\">recent analysis<\/a> that health care costs are highly skewed. Apparently, 1% of patients accounts for a fifth of all healthcare costs.  For half of us, our healthcare costs are only a few hundred bucks a year.  For the top 1%, they exceed $100,000.<\/p>\n<p>I&#8217;m not sure what the point of this is.  The very idea of health insurance is to <i>insure<\/i> against catastrophic illness.  $100,000 is the cost of a moderate to bad health problem.  That 1% is not a static group; people move in and out as they get sick or healthy.  We don&#8217;t need government to tax us all to help people pay bills; that&#8217;s  what insurance <i>does<\/i>.  The only impact his has on the healthcare debate is to either link mandated coverage with mandated purchase &#8212; i.e., prevent people from waiting until they&#8217;re sick to buy insurance.  It could also argue for high-deductible plans that only cover disasters.<\/p>\n<p>Naturally, this is being used to argue for all kinds of other things.  Preventative care is a big one.  But as I&#8217;ve noted, preventative care does not <a href=\"http:\/\/www.plosmedicine.org\/article\/info:doi\/10.1371\/journal.pmed.0050029\">save money<\/a> even if it saves lives.  It&#8217;s also being used to argue for end-of-life planning, which I support but is unrelated to this.<\/p>\n<p>Really, I don&#8217;t know this stat has suddenly become so big.  Healthcare doesn&#8217;t cost much until you need it.  We knew that, didn&#8217;t we?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Some attention has been focused on a recent analysis that health care costs are highly skewed. Apparently, 1% of patients accounts for a fifth of all healthcare costs. For half of us, our healthcare costs are only a few hundred bucks a year. For the top 1%, they exceed $100,000. I&#8217;m not sure what the &hellip; <a href=\"https:\/\/michaelsiegel.net\/?p=4869\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">The Healthy 1%<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[17,5],"tags":[410],"class_list":["post-4869","post","type-post","status-publish","format-standard","hentry","category-healthcare","category-politics","tag-healthcare"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p2BzKF-1gx","_links":{"self":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts\/4869","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4869"}],"version-history":[{"count":3,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts\/4869\/revisions"}],"predecessor-version":[{"id":4872,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=\/wp\/v2\/posts\/4869\/revisions\/4872"}],"wp:attachment":[{"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4869"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4869"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/michaelsiegel.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4869"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}