The next time you hear someone – likely a politician or spokesperson for a medical special interest group – argue that America’s health insurance arrangements are fine because they offer lots of choice for patients, don’t take them seriously.

What choice are they talking about? Almost anyone navigating the health system over the last decade knows that insurers have limited where they can go for care and whom they can see.

Trudy Lieberman writes for Community Health Service,supported by a partnership of 16 state press associations, including the Hoosier State Press Association, with the goal of providing unbiased, factual articles that readers can use, to help communities address important health care issues. She can be reached at

(2) comments


Even more crazy is the ACA is the only insurance available for many people. Higher rates and higher deductibles, but you take it anyway because you need coverage... Then a place like the Elkhart Clinic, who serves thousands of people from the surrounding area sends you a letter and says, "Your only option? NO we don't accept that any more.." If WE have to take it (Only option available, remember..) Then THEY should have to take it too. This is also a big issue if you are out of state and something arises.. You may find out you are not covered anywhere except near home....


Just wait till the government runs all of healthcare. It will be much much worse.

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