Another thought provoking idea is one created by Michael Cannon of the CATO Institute. In his paper, "Large Health Savings Accounts: A Step toward Tax Neutrality for Health Care," Cannon proposes making some changes to HSA's which would encourage more competition and therefore drive prices down to a competitive level. His proposals are as follows:
1. Increase HSA contribution limits dramatically. For illustrative purposes, assume the maximum annual contribution limits would be roughly tripled, from $2,850 to $8,000 for individuals and from $5,500 to $16,000 for families.
2. Remove the requirement that HSA holders be covered by a qualified high-deductible health plan. HSAs would be open to those covered by any type of insurance, as well as the uninsured.
3. Allow HSA holders to purchase health insurance, of any type and from any source, tax-free with HSA funds.
Cannon writes, "Restructuring the exclusion for employer-sponsored health benefits in this way would enable more individuals to obtain health insurance that matches their preferences, would increase efficiency in the health care sector, and could reduce inequities created by the exclusion. These changes also offer a means of limiting the currently unlimited tax exclusion for employer-sponsored health benefits that may be more politically feasible than past proposals. " He concludes: "Large HSAs could serve as a step toward a tax system that offers no preferred treatment to health expenditures, and thereby forces the health care sector to accomplish more with the resources devoted to it."
I personally liked his ideas and recommend that we look closer at them and invite our elected officials to look closer as well. What we need is not more government health care programs or forcing employers to purchase group insurance (which would just perpetuate and deepen the divide between the consumer and the prices) such as those being proposed by certain presidential contenders.
To read his full report, please click on the link below.
http://www.bepress.com/fhep/11/2/3/