Now that consumers can choose between competing plans doesn the free market ensure that given enough time only the plans which have superior service will come to dominate?
In fact most working people have little choice of health plan. Fully 42% of those who are offered some health plan at work (and many are not offered any) are offered only a single plan. More importantly, what the insurers understand very well is that a few cheap whistles and bells can be added for tremendous mileage in impressing the healthy majority (say 90% of policyholders) with the “great care” they receive. Meanwhile the insurers can cut back in the areas of great cost that affect only the relatively few who face real medical hardships. Few consumers will realize about these cutbacks and even then only too late – at the point when the insurer would love for them to quit or switch.
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