---
title: Cut Out The Middleman
description: Cut Out The Middleman
---

# Cut Out The Middleman

April 14, 2008

[insurance](https://chipsblog.pcc.com/tag/insurance)

It appears that the chorus of people suggesting that we cut out the middleman in our physician-insurance-patient tripod (to mix metaphors) has grown even larger. I will continue to [write about the concept here](https://chipsblog.pcc.com/?p=159), of course, but see what the latest [WSJ health blog](http://online.wsj.com/article/SB120813453964211685.html.html) has to say:

> Most discussions about the rising cost of health care emphasize the need to get more people insured. The assumption seems to be that insurance - rather than the service delivered by doctor to patient - is the important commodity.
> 
> But perhaps the solution to much of what currently plagues us in health care - rising costs and bureaucracy, diminishing levels of service - rests on a radically different approach: fewer people insured.

...[read the rest](http://online.wsj.com/article/SB120813453964211685.html.html) by Jonathan Kellerman - yes, *that *Jonathan Kellerman, the one who writes the medical thrillers.  Apparently, he is a clinical professor of pediatrics and psychology at USC.  Who knew?  I'll have to read one of his books next time I'm on a plane...like Wednesday!

For the record, I don't know about *fewer *people being insured.  Perhaps it's more people, but different (you know...indemnity) insurance.  To cover the things we can't pay for.

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