In Jacobin, Natalie Shure writes that "this urge to fix the health care system by tweaking individual incentives and optimizing consumer choices" is emblematic of for-profit health care's consumerist "hellscape" where cost burdens are ever-offloaded onto individuals, to protect corporate bottom lines.
"As insurers struggle to maximize profits amid ACA rules preventing their most barbaric tricks...they've ramped-up cost-sharing. Some 40 percent of Americans now hold a high-deductible plan...around 37 percent of them have foregone care due to high out-of-pocket costs, with little distinction between necessary and frivolous treatments. Smaller user fees like co-pays have an impact on lower-income patients, whose health outcomes deteriorate when charged even modest amounts at the point of use.
Cost-sharing has become so burdensome that the Commonwealth Fund estimates around one-quarter of American adults are underinsured — that is, they have insurance but can barely afford to use it."
You can read the full article in the Winter 2018 issue of Jacobin. For a limited time, $12.95 gets you not only this health care-themed issue but also the latest issue of Dissent, which boasts a special section on Medicare for All.