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by scabbycakes 2239 days ago
I can agree on the points you made about the system not having any need to be efficient, a government ran system is just not able to be lean - but as far as people just getting whatever they can for the heck of it, that's probably not the case.

Just from personal experience, I don't have copays or much in the way of direct monetary costs (I'm not American) and it's not like I'm out there grabbing free drugs and surgeries. There's a cost other than money to everything, time and effort and rehabilitation and fear of the unknown and so on. As another example my retired parents have messed up knees and hips but they don't feel it warrants the hassle/risk even though it'd not cost them anything to have surgeries, there's more to it than just financial consideration.

Health savings accounts doesn't seem that great though - I don't know if I'll ever have health issues so if I'm socking away $x00/month I'm removing that from the economy betting against my health. Assuming a somewhat capable health care system I'd rather pay that amount to the government in taxes so they can leverage it now for someone else and if my time comes, then I don't have to worry about dollars and cents and what I can afford.

Also if the government had the money from everyone now in the form of taxes instead of individuals socking it away, it'd be more able to purchase equipment and hire doctors well in advance and the local hospital may have better capacity to cater to my needs.

Just my two cents.

3 comments

Expand the HSA to be a universal savings account, more like food stamps + social security.

https://en.wikipedia.org/wiki/Central_Provident_Fund

https://news.ycombinator.com/item?id=23010921

HSAs are just like bank accounts. It reflects a debt owed to you by the govt/bank. The govt/bank doesn’t actually store all the money it owes on hand, it lends it out, makes investments or spends it. That’s why bank panics and bank runs can occur when too many people withdraw their money at once.
> Health savings accounts doesn't seem that great though - I don't know if I'll ever have health issues so if I'm socking away $x00/month I'm removing that from the economy betting against my health.

A pretty safe bet, seeing as most people's health gets quite a bit worse over time.