Through my own research and common sense, I knew plans requiring significant cost sharing would be great for the well-heeled and healthy—but potentially disastrous for others.
Consumerism proponents contended that if patients had more skin in the game they would be more prudent consumers of health care; however, the reality reveals a different story.
As head of corporate communications at Cigna, I was responsible for persuading reporters and politicians that consumerism would be the long-awaited solution to rising insurance premiums.
Of the estimated 100 million Americans with medical debt, most have health insurance; their plans are simply inadequate for their medical needs, despite rising premiums.
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