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People shouldn’t need to comparison shop for health care

Written by Diane Archer

Kaiser Health News reports on recent findings in Health Affairs revealing that most people do not try to lower their health care costs by comparison shopping. While comparison shopping could lower your out-of-pocket costs for some tests and procedures, here are six reasons why people should not need to comparison shop for health care.

  1. First, continuity of care is important for better health, and we should not be moving from one doctor to another based on the cost of a particular treatment.
  2. Second, as a general rule, when we visit the doctor, we often receive a battery of services that we could not have predicted. So, even if our doctor charges more than another doctor for the treatment we plan to receive, the other doctor may provide additional services we could not predict that end up costing us more.
  3. Third, all doctors and hospitals are not created equal. So, paying less may not mean saving money. At this juncture, we still have little clue about differences in health care quality among doctors or hospitals. It’s smart to see doctors who come highly recommended, because they have experience and a good reputation for treating people with your condition. Finding these doctors is not always easy, but if you can find them, paying more upfront, could mean paying less later on. (Here are some tips for choosing a doctor.)
  4. Fourth, 60 percent of hospital spending is for non-elective services, for which we are unable to shop around, be they emergency services or services in hospital over which we have virtually no control. So comparison shopping is out of the question. We are saddled with bills at whatever level the hospital, in collaboration with our health insurers, is able to set them.
  5. Fifth, many people have cognitive impairments and other functional limitations that prevent them from comparison shopping. It’s wrong for our health care system to penalize them.
  6. Sixth, most of us are busy working all day, without the time or flexibility to shop around for lower-cost services.

Our current health care system permits irrational pricing and price-gouging and offers people very little information to make informed health care choices, even when they have the time and wherewithal to make them. With improved Medicare for all, we wouldn’t need to worry that our doctors and hospitals were gouging us. Prices would be set, as they are with Medicare. And, in a humane health care system, we all would be able to afford needed care. Traditional Medicare comes closest to that system, though you need supplemental insurance coverage to budget for your care.

Here’s more from Just Care:


1 Comment

  • People shouldn’t have to shop around for a competent doctor either. I had one doctor diagnose a mini-stroke before he even met me (didn’t have one) and prescribe an expensive therapy program run by a friend. The next doctor asked me three times in one fifteen minute visit how often I took a blood sugar reading (once, fasting, daily). Needless to say I went elsewhere but had a difficult time finding a doctor who would take my Medicare and Supplement.

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