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Health insurance in the United States is based on the casualty insurance model—that is, seeking financial protection from the rare and costly catastrophe. Although health insurance is called "insurance," it is a form of prepayment for medical services to be rendered in the near future. In fact, there is relatively little insurance for the rare and costly illness, but a great deal of prepayment for common, relatively inexpensive medical care. According to Professor Enthoven, this perversion of insurance principles plus the financial incentives that the payment system gives to providers is a fundamental cause of many of our health system
Health Plan. The Only Practical Solution to the Soaring Cost of Medical Care.. Ann Intern Med. ;93:514–515. doi: 10.7326/0003-4819-93-3-514_2
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Published: Ann Intern Med. 1980;93(3):514-515.
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