loss aversion, regret, anxiety, forecasting, discounting, and redistribution, all of which are important issues for a theory of health insurance.
overlooking key factors that could change everything
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Academic
QUESTION: how can we reconcile with this when people who may not make rational choices or who may be more risk seeking may be the ones who need healthcare the most? (examples)
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ndividuals choose plans with no deductibles to avoid making trade‐offs between medical care and money, trade‐offs they might ‘regret’ after the fact
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nor can they always estimate the consequences of changes in their circumstances
how can people make correct decisions on what kind of healthcare they need when the future is so unknown: especially for those with less money/ resources and therefore less stability
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o increase profits.
choose consumers to ensure that they are benefiting the most
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fficiency over equity.
QUESTION: how can we balance the two?
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It assumes that individuals make rational choices based on cost‐benefit calculations under varying conditions
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oluntarily embrace sharing these costs.
those with more money and resources help to cover those with less
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develop their health functioning and health agency,
QUESTION: how does insurance directly or indirectly result in someone increasing their health functioning and health agency?
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uard carefully against corruption and fraud (below).
QUESTION: who should this fall on- hospitals, governments, individuals?
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limited resources must be used wisely, and wasted resources undermine important health goals
emphasis on a no waste healthcare system (QUESTION: how could we monitor this- what is considered waste?)
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ability to pay (adjusting contributions to health care costs by income level)
great idea- saw this in Ypsilanti
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ll individuals at all times, regardless of changes in income, employment, marital or health status
everyone should be covered at all times (QUESTION: how would this affect those within the criminal justice system?)
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their freedom to flourish.
cost can inhibit one's ability to flourish
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And finally, the uncertainty of health need, the catastrophic costs of medical care, individuals' risk averse nature, and the need to redistribute resources from well to ill and rich to poor place risk pooling at the centre of health care financing.
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not ability to pay
we should prioritize need ivermectin ability to pay (completely flips the system?
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lack of health insurance.
people cannot afford high quality healthcare
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esource redistribution, regulation
potentially conflicts with a market based economy
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individual health, develop health functioning and agency, and enhance security.
why universal healthcare is central to the health capability paradigm
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