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Health dollar complexity

October 7, 2014

When an American tells me that they understand their medical insurance, or the choices available to them when they decide between alternative carriers, I don’t believe them. The complexities that insurance companies hide from their clients, then use to snow those same clients when they struggle with bills, and the different complexities they negotiate with providers, is all part of maximizing their slice as a third-party provider. That is done much more in the US, where private insurance accounts for 35% of health expenditures, than in most modern democracies, where that number varies between 0% and 15%. That complexity also is the large source of fraud, since it creates tremendous room for false billing. Which explains why hackers go after people’s medical records.

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