jodifla said:Yeah, I remember this as a kid in the '60s and '70s. And I also remember doctor's visits were $25, and test costs were reasonable too.
Good luck trying to do everything with a Health Savings Account. Get real. You'll be bankrupt with your first real illness.
You must have a HDHP to qualify for the HSA. You can't do "everything" with an HSA. It is a SUPPLIMENT to the HDHP. Why, exactly, would you think that someone with a high-deductable policy and an HSA would be bankrupt with their first real illness? The annual out-of-pocket max. on HSA-eligable HDHP policies is 10K. That's 2 years' worth of maxing out an HSA for a family. How, exactly, is that bankrupcy?
On the other hand, say you have employer-sponsored first-dollar health insurance, and you get cancer. You're out of work, and you exhaust your 18 months on COBRA. You are broke because you have no job. You can't afford the HIPPA-eligable premium for the HDHP in your state, which you now need because you're in the high-risk pool. On top of that, you have no HSA savings because you were dependant on that employer policy...now THAT is the recipe for medical bankrupcy. It's a very common scenario currently.
Also, how much do you think that that $25 Dr.'s visit in 1970 would cost you in today's inflation-adjusted dollars
Might it be close to the $90-$100 that you'd pay out-of-pocket for Dr. visits if you had an HDHP? I think that it would be. People need to get used to this idea, because it's not going away. Again, I really don't think that that's a bad thing. HDHP and HSA combos will allow people to AVOID medical bankrupcy because they'll no longer be dependant upon their employment to provide their medical insurance (and therefore no longer risk losing said medical insurance if they get sick and can't work).

