PHSC 2 Lecture Notes - Lecture 7: Health Maintenance Organization, Price Controls, Free Market

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Usually lower premiums and mostly protect you from worst-case scenarios. Usually cover 3 primary care/urgent care visits with no out-of-pocket costs & no cost for preventive services. Other services are full price but at negotiated/discounted in-network price until you spend plan"s maximum. Annual deductible that"s not less than for self-only coverage or for family coverage. Annual-out-of-pocket expenses (deductibles, co-payments, and other amounts but not premiums) don"t exceed for self-only coverage or . 300 for family coverage. Slow down scientific development & drug making - us is one of top makers. Takes a lot of money and time for drug making curing a lot of diseases. Success rate is extremely low but companies are willing to invest b/c payout is really good with success. Price controls make companies drive away b/c not worth investment anymore. Country with more regulations = longer time to get access to drugs. Less incentive to push launch of drugs.

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