re: #772 PT Barnum

Another might be to adopt a comprehensive care model rather than fee per service which leads to a lot of unneccesary tests etc.

I dunno. If i have, let’s say, a $4k deductible on basic services and 100% coverage past that, then my conversation with the doctor is going to be very different than it is today. Dr says “i have to run this test in order to diagnose you”, i say go for it. Dr says “well, one thing we can do is run this test but…”, i might say ‘thanks, i’ll consider it’ and then go do research and get multiple opinions.

We’re a whooole lot better at picking the right services when we pay for them, which doesn’t mean that we have to pay more than we do today. Healthy individuals pay more in insurance than they actually spend on services unless they have a catastrophe.