‘Skin in the game’ isn’t the answer to what ails healthcare system
Regarding the Sept. 26 editorial published in advance of this year’s first presidential debate (“Thank you for that question, Lester,” p. 24), one should note our experience with some of the cost-saving strategies described. The “skin in the game” concept is familiar to millions enrolled in highdeductible health plans, which not only encourage one to postpone care, but appear to fail to produce longterm savings.
The public is awakening to erosion in the value of coverage as premiums, deductibles and copayments are ratcheted upward. Suggesting that consumers should shop more effectively fails to recognize that most Americans lack both the resources and opportunity to make such complex comparisons.
Public frustration is palpable, and recent drug-pricing scandals underscore the deficit of public confidence in government action to slow rising health costs, as well as the pressing need to do so.
William Pewen, Ph.D.