http://www.reuters.com/article/us-preventive-economics-idUSB...
http://www.statcan.gc.ca/pub/82-003-x/2015012/article/14295-...
http://www.thehoopsnews.com/effectiveness-of-mammograms-vast...
It's a complex subject, and a few articles aren't the final word one way or the other. My opinion is based on various things I've read over the past couple of decades (most of which I can't summon up right now) and conversations with various medical professionals in my family and social circle, and my overall worldview (as anyone's must be).
It seems there are preventative measures that are cost effective, and there are others that are not. So really, this indicates a need to determine a threshold. Perhaps we determine that we can afford to pay up to $50,000 per QALY, and cover any care that falls within that limit. So, we'd have coverage based on its efficiency rather than whether it is considered preventative or treatment or maintenance. The idea being to get the maximum amount of healthy years of life out of whatever amount of money we as society are willing to put toward healthcare. This could also be extended to programs outside of direct care, like some of those articles suggest, which encourage and support healthy activity in a way that still falls within the $/QALY target.
Of course, I expect it would be a bear to fairly study every possible treatment and program to determine its efficiency, especially factoring in a changing environment which is bound to change the efficiency of any given treatment from year to year.
Still, at a minimum, we should be grabbing those low-hanging fruits, where we can gain healthy years for a very low cost.
[1] https://en.wikipedia.org/wiki/RAND_Health_Insurance_Experime...
But being unsure where my next meal will come from, I can't even visit a clinic to get a test done.
I keep praying to get some money so I can go check myself before I leave my young family without a caregiver.
So yes, whatever you guys argue here today. Make sure people like me in future can be cared for. And that they don't have to worry about food, shelter, Healthcare.
Like you said, you absolutely don't want to leave your family without a caregiver.
When you live in Africa, you have different problems.
Either way, I was buttressing this point
> even a small personal cost can encourage people to ignore warning signs and not seek aid until the problem has become severe and expensive
Free-as-in-beer health care ensure more people going to the doctor for more crap, reducing availability and quality for the average person.
Yeah, it is called brainwashing. I worked in insurance and was all tickled to see them offering "wellness" benefits. I was all "Oh, yay, the world is turning into a better and more clued place!" Then I went to the meetings. These were purely a sales gimmick. That's it.
You encourage people to go to their annual check up and they feel like you actually care. It breeds employee loyalty. It mostly does very little for actual health outcomes. If you actually want better health, you are better off promoting exercise, healthy eating, sanitation, etc. in place of preventive medical screenings.