Temporary Fix, Permanent Cost: Why Health Insurance Is Expensive | Intellections
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whether it's a world war or a pandemic
authorities are quick to enact policies
during a crisis to protect the public
from harm
these policies are enacted with the best
of intentions
but they often have long-term unintended
consequences
that far outlast the crisis for example
during world war ii the government
instituted wage and price controls
to help with the war effort but there
was a problem
businesses couldn't recruit enough
workers without offering higher wages
to compensate for these wage controls
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employers started paying for their
employees health insurance as a new
benefit
businesses and workers then successfully
lobbied congress
not to count health insurance's income
effectively making it tax-free
wage and price controls were lifted
after world war ii
but the tax-free status of employer paid
medical care remained in place
today federal taxes are still
subsidizing
expensive employer-paid insurance these
plans give patients less motivation to
scrutinize the cost of their healthcare
choices
so they end up using more care than they
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really need
ultimately this drives up medical costs
and healthcare premiums for all
if not for a temporary decision made in
the midst of a world war
today's healthcare system might offer
americans more options
and lower prices when a crisis happens
we expect our policymakers to respond
but we should remember policies that
might be good in the short term
can have bad long-term consequences
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you