It’s not insurance.
Nothing new here to people familiar with the situation, but many don’t seem to understand the problem. But this is the origin of it:
Health insurance started to change, though, during the Truman administration. (I hasten to mention that I wasn’t actually there: I was born during the Eisenhower administration, when the process had only gotten started.) Truman wanted to implement the progressive new notion of a national health care plan, but couldn’t get it through; at the same time, post-war wage controls were still on, so employers bidding for new workers had to find other ways to compete.
Through a sequence of compromises, what came out of it was a system in which companies and only companies could buy health insurance and health care for their employees, and deduct the cost as a business expense. My father’s music store and the steel mill across town could buy health insurance, basically, at a discount. (My uncle the butcher couldn’t; he wasn’t a “business.”)
Years pass. (Insert visual of wind-blown calendar leaves here.) Medical care becomes more complicated, legal conditions change, and a lot of things that used to be major medical issues that mostly affected the life insurance rates become things that could be cured, or at least managed. Increasingly, what was “major medical” insurance became, simply, health insurance; we expected the insurance companies not just to pay for unexpected events, but for the normal sort of day-to-day maintenance we all need.
People will pay to repair their car, or their pets, or appliances out of pocket, but somehow, over the past decades they’ve come to believe that it’s a fundamental human right to have someone else pay for your doctor visits. Until we cut off this disastrous government policy of tying health insurance to employment, and allow everyone to deduct medical expenses on a level playing field, and get people to understand that we have to return to the model of health insurance the problem will not be solved.