Fixing Medicare Requires Seniors to Pay Quite a Bit More | Jeffrey A. Miron | Cato Institute: Commentary

Fixing Medicare Requires Seniors to Pay Quite a Bit More | Jeffrey A. Miron | Cato Institute: Commentary: "It makes no sense to buy insurance against the "risk" of routine medical care, such as annual checkups, or against the risk of moderate expenses, such as many medication regimes, minor surgeries or treatments. Homeowners insurance does not cover broken toilets or snow removal, only major events such as a fire. These expenditures may well be worthwhile. For example, annual checkups might help avoid larger medical expenses in future. But most consumers can afford these without insurance.

In addition, insurance can make the healthcare market less efficient by reducing consumer incentive to economize on health costs. This "moral hazard" is a major reason behind escalating costs. When consumers are not paying for their care, the incentives for excessive utilization are huge: unnecessary tests, too much surgery rather than watchful waiting, doctor visits with minimal value, brand name versus generic drugs and more."