To the Editor: In her reexamination of cost sharing in healthinsurance (April 27 issue),1 Rasell offers a selective readingof the literature on the economics of health care and emphasizesthe deleterious effects of cost sharing. In fact, cost sharingis an important mechanism of cost containment that can reducecosts with few adverse effects.
Rasell uses aggregated statistics on the utilization of servicesin the United States to conclude that cost sharing is ineffective.She states that "even with out-of-pocket spend-ing . . . atthe current high level, health care expenditures in the UnitedStates are the . . . [Full Text of this Article]
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