Capitalist Health Care Always Sucks. Always.

Published at 14:59 on 11 October 2013

So, there’s this new option available where I work called a “Health Savings Account”. The one offered by my employer is actually a very generous plan. And it sucks less abjectly than the ironically named “flexible” accounts, which you have to use within a calendar year or lose, forever.

But, there’s still a whopper of a catch. In this case, it’s called “You must save your receipts. Every last one. For seven long years.”

Good heavens, I can’t even keep one week’s worth of notes on a project straight. I could not fathom what would be required to care for hundreds or thousands of slips of paper for seven long years.

And note that these aren’t pieces of letter-sized paper one gets delivered by mail; they are randomly-sized small slips that get handed to you at the pharmacy or the clinic, ones that you must not, ever, leave in your pockets when doing the laundry. You must not let one fall out of your wallet unnoticed, ever. You must not forget and leave one on the sales counter. You must not toss one in a sidewalk waste-basket by mistake. You must not leave it in the bag then toss the bag in the recycle bin. Ever. Or woe unto you if you are audited.

Obviously, there’s people in the world who are intrinsically organized. My parents, for one. When they work on a big project, every item on the desk is at a neat 90-degree angle with respect to the other items and in order, always. It’s just the way they’re wired.

It’s also just not the way I am wired. Even if I make conscious effort to organize my things during a project, within a minute or two after said effort is ended, a significant degree of chaos and disorder will have emerged. It doesn’t bug me; in fact, I never even try to achieve strict desktop order anymore. It’s just not the way I work.

Sure, there needs to be greater cost control in the medical establishment, but I’d much rather get it like, say, the Canadians do, by having a Medicare card that I can just use, with other people (you know, the intrinsically organized types) being paid to professionally do all the receipt-tallying minutia that I am personally so ill-suited to do.

And I don’t think I am the only one. Really, now, saving every last medical receipt? For seven years? This is someone’s idea of “reform?” Seriously?

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