In this post, I enumerated 11 reasons why health insurance is so expensive--at least 9 of which were due to government intervention in the marketplace (such as it is). In a couple of states where government mandates are so expensive people can't afford insurance - such as New York, who has "community rating" (pay the same as an old, fat person) and "guaranteed issue" (I have a serious illness, I'd better get insurance) - people have devised market alternatives to get affordable medical care. It's a montly flat fee-for-service -- keeping a doctor "on retainer," and it's a great idea. But not according to New York state regulators who want to define it as insurance, according to this story:
Veteran doctor John Muney says his flat-fee, $79-a-month medical service is a formula for making health care affordable and patient-friendly. But state regulators see it as self-styled insurance and have told him to shut it down.
The dispute, which emerged this month, reflects a rising issue in what is sometimes called "retainer" medical care. At least two other states have grappled with whether to consider such arrangements insurance, reaching different conclusions.
The question could become more pressing as jobs disappear in the ailing economy, taking many workers' traditional health insurance plans with them.
The debate "makes no sense to me. ... I feel that my flat-rate memberships provide a great service," Muney said at a press conference Wednesday. He is negotiating with the state Insurance Department to try to keep the service at his five AMG Medical Group centers around the city.
You won't hear leftwing activists and advocates for "access" speaking out against this sort of regulatory nonsense that denies people care. Instead, they will be in bed with the big insurance companies they so often malign so both can pressure state regulators to kill the market here, too. Insurance companies will get more rents. Leftwing activists will be one step closer to socialized healthcare. The unholy alliance is pretty perverse, eh? (Another Bootleggers and Baptists story -- all done in the name of "consumer protection.")
Full disclosure: My family has an HSA/HDHP combo and we use fee-for-service. We love our arrangement and we're not being harmed. State and federal regulators are trying to take away our HSA (federal) and I bet they'll be coming after our fee-for-service arrangement soon, if NY regulators prevail (state).