These basic realities lie at the heart of our inability to confront the expensive over-treatment our system encourages.
Fortunately, the solution to this dilemma may actually be simpler to resolve than it may first appear.
How about including the cost of CT screening in the insurance premiums of smokers?
The premium could be paid for through a designated cigarette tax.
I wish I could take credit for this idea, but it is not mine, it is called capitalism.
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Radiologists are cheering a recent study unequivocally demonstrating that CT screening for lung cancer saves lives.
Of course, such a suggestion has no possibility of adoption now, it is too politically incorrect.Bad drivers pay much higher rates than good drivers, and insurance companies are allowed to judge this risk and charge accordingly.One can choose to speed or drive drunk, but must assume the responsibility and pay for the extra risk these activities entail.In contrast, for reasons both historical and societal, health insurance pricing is not based upon the risk profile of the person being insured.Everyone, no matter how irresponsible their personal behavior, pays the same premium.