
The Mrs. recently reported a conversation she had had with a tennis friend who had a rotator cuff repair, and had prematurely discontinued her physical therapy because the insurance coverage cut off after the predetermined number of sessions for that surgery.
This friend of hers drives a new Mercedes every year, owns three houses in various vacation spots, and spends three months/year traveling around the world. However, the notion of actually paying (pocket change) for her own physical well-being eluded her imagination. And her shoulder still hurts.
People have been well-trained to expect to get what they need "for free." And somehow have been trained to imagine that, if insurance doesn't cover it, it must not matter very much. A childlike, entitlement culture.
Who wants a statistician for a doctor?
As I have mentioned before, I have inexpensive major medical insurance with a $10,000 two-year deductible for my family. (Some other Maggie's folks have similar.) After that, it's unlimited. If anybody (God forbid) gets very ill or injured, I will keep my humble abode.
When I see a doctor, I enjoy the look of surprise on the faces of the office staff when I pull out my checkbook. I like to pay doctors. What better use of money is there (other than buying cigars)?
A word to the wise: If you tell them you are paying out of pocket, most docs will give you a discount because it's no staff time, it's instant payment, and because it just seems right to pay for a service - same as an electrician or plumber or lawyer.
If you are on Medicare or Medicaid, or if some insurance pays your bills, what do you do personally for your doctor to let him or her know that you appreciate their care for you?

PS: My Internist tells me that a couple of wines and two or three cigars daily is just about right for a guy like me. Like most Americans of my middle age, I take Lipitor and BP meds, and I always take care to use extra salt. The occasional Viagra? I'm not saying. He is a good, sane, practical doc who individualizes things, and thinks it's narcissistic for people to obsess about their health. "Get the most out of life, while you have it" is his motto. "You can't save life for later because 'later' is just a theory."