
Are Insurance Copayments Unethical?
Mammograms are recommended for all women over the age of 45 as a breast cancer screening tool. Some insurance and Medicare plans provide full coverage for these tests because they are deemed necessary and beneficial. Other plans apply co-pays to mammograms, and other similar medical interventions, despite the prevalent medical opinion that they are both necessary and beneficial to the health of the patient.
A large-scale study published in the New England Journal of Medicine found that patients who are required to pay $10 or more for a mammogram are significantly less likely to have the examination on a biannual basis when compared to individuals whose insurance plans provided complete coverage. This discrepancy was highest among lower income and less educated individuals, but was present across the board, including educated and financially stable patients.
Many writers and reporters have commented that co-payments for such important medical studies as mammograms are unethical, because they deter patients from having the exam regularly. I have no problem with providing free mammograms for women who legitimately cannot afford their co-pay. However, if someone who has the financial capability to pay $10 for a mammogram chooses not to do so, it is not the fault of the insurance company or the healthcare system, but of the patient.
Patients are responsible for eating healthy, exercising, getting enough sleep, and a myriad of other factors that doctors and insurers cannot control. They are also responsible for having good judgment. If you can afford the co-payment, but you just don’t like it, that is no excuse for failing to access medical care.
Healthcare providers bear the very important responsibility of educating patients about the importance of preventive measures such as annual mammography. Insurers have the task of making healthcare affordable and accessible. No one is responsible for making it free.
Reference
Trivedi, A.N., Rakowski, W., Ayanian, J.Z. (2008). Effect of Cost Sharing on Screening Mammography in Medicare Health Plans. New England Journal of Medicine, 358(4), 375-383. DOI: 10.1056/NEJMsa070929
Popular Posts
- Mind Games - Science's Attempts at Thought Control
- The Science of Stuttering
- Risks of Personalized Medicine
- Intelligence - Are You Holding Back Your Brain?
- Is Grief a Mental Illness?
- The Brain's Buying Power
- The Cost of a Good Night's Sleep
- Inside Your Brain on Holiday
- Risk Factors for Recurrence of Depression
- Salvia Divinorum - DEA Control over Magic in the Mint
Future Posts
Latest Posts
- Thinking Fast Equals Risky Business
- A Gateway to Weight Loss?
- Intelligence – Do You Need it to be Successful?
- A Trip for Terminal Patients
- Memory Ain’t What It Used to Be – And That’s Good for Psychotherapy
- The Science of Stuttering
- Are Your Friends Making You Fat?
- Beer – The Smarter Drink
- Macroeconomics and Suicide
- From Nymphomania to Hypersexuality
Comments
- Mumbai Escorts:
- brucemclaren: Our company employees are well
- brucemclaren: Waar gewerkt wordt, kunnen arb
- Ryan: Great post! I agree with the p
- : I have used heroin for 20 year
- Lino Baine: I am not aware that people wit
- Lulu Jones: Hmm....this is interesting. I
- Robert A. Yourell, MA: Hi Stephanie...OR they tried a
- Stephnie: Based on the facts in the arti
- Sammy: I was a test subject for one o
- Veronica Pamoukaghlian, MA: Thank you for your insightful
- Richard Kensinger, MSW: I agree w/ Howard Gardner's pe









No Responses