1199 Health Care
One way to appreciate how much third-party payment has influenced the hospital marketplace is to contrast cosmetic surgery with other types of surgery. Because neither public nor private insurance any longer covers cosmetic surgery, patients pay with their own funds. And even though many parties are involved in supplying the service (physician, nurse, anesthetist, and the hospital), patients are quoted a single package price in advance. In other words, ordinary people, spending their own money, have been able to get advance price information that large employers, large insurance companies, and even federal and state governments generally have been unable to obtain for any other type of surgery.
Changes in the Eighties
The system of 1199 health care that prevailed from the forties through the seventies contained the seeds of its own destruction. Any system in which patients spend other people's money at the point of purchase and in
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