How elastic are medical costs versus demand? Higher deductibles, outpacing wages, are putting that to the test. Personally, if my cardiologist hadn’t switched me from visiting twice a year to once, I might have done that myself. I managed to get last year down to one physical and one cardiology checkup. A physical is fully covered, but the grand in blood tests associated with it are not. I’m still paying for the almost $500 my share of the cardiologist this spring
, and a somewhat lower cost specialist’s bill should bring the running balance back up soon.
On the plus side, the more than $300 a month that I pay toward coverage through my employer is easily offset by what we save on prescriptions, and the dental part of the coverage, low in cost, was a boon.
In any event, a serious medical issue would likely mean the insurance keeping the medical providers from being completely stiffed by my total inability to pay, but would otherwise mean I’d owe and be unable to pay a bill that would amount to a substantial portion of my income.
In theory, if you need medical attention, you need medical attention. In practice, you can skip or delay appointments or tests to some degree, as the article discusses. Delays can be problematic, or they can simply trim the revenue from an overzealous business. After all, medical practice is a business.