John C. Goodman

In one case, an insurer prevented a woman from getting a CT scan her doctor ordered. In another, a mother couldn’t afford the full regimen of special bags needed to clear her cancer-stricken daughter’s lungs. In a third case, a woman lost her health insurance and could not afford end-of-life chemotherapy. These examples come from National Nurses United, the country’s largest nurses’ union. To prevent further incidents like these, the union favors a universal, government-run health care system. A lead editorial in the New York Times last week appeared to endorse their thinking. Here is what these folks are missing.

At first glance you might think that the Democratic presidential campaign is boiling over with one new idea after another. Free health care. Free education. No more carbon emissions. There have been so many pronouncements, it’s hard to keep track of them. But that’s just at first glance. If you delve deeper, you will discover these are not ideas at all. They are feelings. Strongly held feelings, mind you. But feelings, nonetheless.

Employers are paying hospitals more than twice as much as what Medicare pays. At some hospitals they are paying four times as much. So, who’s to blame? John Goodman says employers are to blame.

No other savings vehicle can top an HSA. Not a 401(k) plan. Not an IRA. Not even a Roth IRA. For starters, deposits to an HSA escape both income and payroll taxes. That can’t be said of the other three options. During the retirement years, health expenses are going to be larger than what most people realize. HSA withdrawals can be used to pay premiums for Medicare Part B, Part C and Part D, as well as any out-of-pocket medical expenses.

Accountable Care Organizations are President Obama’s attempt at stealth privatization — 10.4 million people think they are in a fee-for-service system, when in reality their doctors have economic incentives to reduce care. And it has been illegal for doctors to inform their patients of this fact. John Goodman and Laurence Wedekind explain the development and what Medicare director Seema Verma is doing about it.