----- Original Message ----- 
From: "Erik Reuter" <[EMAIL PROTECTED]>
To: "Killer Bs Discussion" <[email protected]>
Sent: Sunday, February 20, 2005 10:09 AM
Subject: Re: Medical costs


> * Dan Minette ([EMAIL PROTECTED]) wrote:


> If combined with some sort of deductible, this makes a lot of sense.
> Another way of putting it is that patients are responsible for paying
> the bottom and top of the spectrum of costs, but that a third party
> (insurance, government, hospital, etc.) takes care of the middle.


There is one small variation on the deductabile idea that I have with my
present plan,  and that works.  There are three levels of deductables for
prescriptions.  The first, and lowest, is for generic.  It's $7.50 per
month, or $15 for a mail order 3 month supply.  The next is non-generic, at
$25/month or $50 per 3 months.  The third is a restricted non-generic,
usually a newer higher priced non-generic drug that treats a condition that
can be treated by other drugs...it's $50/month. or $100 per 3 months.

I see my own behavior influenced by this.  I get migraines.  I can spend 33
dollars a month on the newest drug that doesn't make me sleepy or an older
drug that does.  I'm doing a cost benefit analaysis, deciding which one
makes more sense for me.  It's very reasonable for my insurance company to
faciltate my particiapation in the cost-benefit analysis.  This is one
place, I think, where your ideas on health care are being implemented.

Dan M.




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