If state Sen. Scott Jensen, R-Chaska, gets his way, a startling medical innovation will soon be on its way to a primary care clinic near you. Like many aggressive therapies, it may not make you feel better right away. But in time it might, just might, prove to be part of a cure for what ails American health care.
The breakthrough medical device prescribed by Jensen — a family physician as well as a political practitioner — is, essentially, a price list. His proposal's most visible result would be a document posted in every Minnesota medical clinic's reception area — required by state law under legislation co-authored by Jensen (SF 3480) and moving encouragingly toward enactment at the State Capitol.
The notice would disclose such heretofore closely guarded secrets as what your clinic charges different kinds of patients for its most commonly provided services.
If Jensen's bill becomes law, you may experience side effects on your way home following your first dose of what's called health care "price transparency." You may for the first time marvel appreciatively over the gasoline prices that are posted in numbers as big as screen doors outside every service station. You may suddenly feel dizzy studying the thousands of prices plainly marked on every last item for sale at the superstore where you stop to pick up a few things.
In short, you may awaken to a realization of just how abnormal America's health care system really is, as described by the late, noted health care economist Uwe Reinhardt: "In virtually all other areas of commerce, consumers know the price … of what they intend to buy," Reinhardt wrote. But in health care they are "led blindfolded into [a] bewildering … marketplace."
In fact, it isn't in health care alone where prices are widely disguised or concealed, as commentator Gary M. Johnson makes clear in a May 13 commentary decrying a lack of transparency and candor in higher-education pricing. It's no coincidence that the health care and higher-ed marketplaces both feature a dominant role for indirect, third-party funding, both public and private.
Helping health care consumers learn more about the subsidies, mandates and secret agreements that produce large disparities in prices paid for the same services is one of Jensen's main aims with a bill he calls "a step, not a destination" toward lifting the "veil of secrecy" on health care pricing and tapping consumers' "greatest resource of common sense."
Jensen's bill passed the Minnesota Senate May 1 with a thumping bipartisan vote of 65-2 (it awaits action in the House). That's approval broad enough to suggest the legislation may not be particularly bold. It's almost reassuring to hear Jensen admit to being "irritated" that insurers and other health care industry interests "tried to gut" the measure. They succeeded in diluting it in one respect.