Regarding “Insurers may get more than they wanted on reform revision” (ModernHealthcare.com, Oct. 24): I think the same standards should apply to physicians and healthcare providers that apply to insurance carriers with respect to what percentage of healthcare dollars is actually for the cost of care provided and profits including administrative costs, which are part of that equation. Over 65% of every dollar spent today on healthcare goes to physicians and clinics with only one-third actually spent on treating patients. Today, the average person buying health insurance cannot afford to get sick with the exorbitant costs related to care. In my more than 20 years in insurance and the financial services arena, I have seen more hardworking families destroyed by the aggressive action of hospitals, clinics and collection agencies attempting to collect the exorbitant higher deductibles and maximum out-of-pocket limits after the insurance companies had covered 80% or more of the total cost. Healthcare is an eventuality, not a choice. We have to manage the accessibility and costs to have a more-even playing field. That goes for insurance companies, hospitals, doctors, drug companies and everyone involved in the delivery of healthcare.
Mark E. AdkinsSpringfield, Mo.