Earlier, Stround mentioned that it was impossible to cut out the middle man.  Increasingly, there is a chance (in some sectors) that this may not be the case.  As stated earlier, the problem with massive bureaucracies is that they themselves cost money and the cost of compliance.  Some Care providers are finding that it is much easier to manage their own risk pool in house through concierge care than having to wait on a reimbursment from an insurance company.  This both dramatically decreases overhead cost to the insured and dramatically increases access and choice.  Health Savings accounts, Direct risk managed basic and preventative care coupled with catastrophic major health insurance could be a winning combination moving forward. 

 

As another aside, it is my responsibility to again point out the blind absurdity of having the US government trying to manage risk pools.  How's the VA working out?  They are about to bankrupt the country with a failed Old Age insurance scheme.  They last two major health entitlement programs they created are heading towards insolvency.  The last regulation/entitlement/debacle was  a lesson in mal practice.  If a CEO of a health insurance company went on television and ensured that all of his policy holders would be able to keep their network doctors and then that turned out to be a calculated lie, they would have been thrown in jail.  IF they lied about policy decreases instead of policy increases they would be thrown in jail.  IF they had a negative debt to income ratio of nearly 6 to 1 then they would be rejected by every insurance commission in all 50 states!  The idea that more regulation and more intervention is going to make things CHEAPER is absurd. 

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