JoBBo said:
We have the same requirement in Germany. I have read complaints from US citizens about the concept a number of times now and it is apparently considered major limitation of "personal freedom"...
The limitation of personal freedoms already occur in the healthcare industry:
Companies decide what procedures to cover, California companies deny 25% of claims after they verbally approved them.
Companies deny people with pre-existing conditions. Get sick, especially a major illness, and change employers your new employer's insurance may simply refuse to cover you.
As an industry the law protects them against collusion. As a result they can get together and determine rates. As a result they can get together and decide to never insure John Doe ever again.
In many businesses the Health Insurance company worked to disallow employees to reject the Healthcare Insurance and take $ instead. This helps to prevent employees from competitively biding other options.
If the Dr. is thought to be in the wrong you can sue. If the Healthcare company is thought to be in the wrong you can't sue. If there's a disagreement you can use the arbiter, a Healthcare Company employee, or try and get your State's Attorney General to take action. Often times you don't get to pick your Dr.
Each Dr. needs to be approved by the healthcare insurance company. Not all Dr.s are approved for all companies. Using someone out of network often results in 75% to 100% of payment being out of pocket.
Insurance is often capped in it's payments for treatments. An ever increasing number of personal bankrupcies are due to healthcare companies refusing to pay for treatment.
And net the American system is twice as expensive as European systems. The USA is rarely #1 in quality of care so the money doesn't buy us anything. This forces people to spend more on medicine and less on other items.
Keeping the present system, IMO, has a significant amount of limited personal freedoms.