Even if consumers have better information about the efficacy of particular treatments, will they be any good at using that information? The answer is: probably not.
Doctors may know more about medicine than non-doctors, but they aren't much better at choosing the best treatments for themselves.
In recent years, the idea has spread that forcing consumers to pay more for healthcare — giving them “skin in the game” is the usual mantra — will prompt them to become more discerning medical shoppers. The goal is to improve the efficiency of the healthcare system by saddling consumers with higher costs if they opt for less useful or more overpriced services. Experts have identified numerous flaws with this concept, as we’ll get to in a bit.by Michael D.
The message is that “purely relying on consumer cost-sharing and high deductibles won’t get us to the best outcome,” Gruber says. The authors’ examples of low-value care included caesarean sections, which are judged by experts to be vastly overused; and pre-operative diagnostic tests for low-risk surgeries, such as chest X-rays prescribed for patients undergoing eye operations. The high-value examples included comprehensive diabetes care, statin use for patients with cardiac risk, and child vaccinations.
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