[RC one]

He's definitely on the right track with the health care spending accounts. Anybody getting tax payer funded healthcare should have to maintain a $500 minimum balance in a personal healthcare spending account and that money should then be used for ER and PCP copays, and urgent care services. Failure to maintain the copay should result in wage garnishment and/or forfeiture of tax refunds.

When people don't have to pay a dime for healthcare services, the system is overwhelmed by abusers and the system collapses and that's what's going on. Everyday, millions of freeloaders abuse the healthcare system simply because it doesn't cost them anything not to.

Most people have no idea how widespread this abuse is and what a problem it is for the system. It is massive.

[nclaurel]

A year ago I broke my left foot and in every room in ER was a sign saying you would not be refused service due to inability to pay. My co pay of $60 was actually reduced to $45 because we paid at the time of service. The hospital clerk said almost no one pays so this was a way they hope to encourage some payment. Sad that people feel so little self responsibility.