So, who’s pulling the strings? Though policymakers and others have some role, our health-care system is largely controlled by a patchwork of private interests, from the big-spending lobbyists of the American Medical Association (which represents only about a quarter of practicing physicians) to AHIP, the health insurers’ trade association, to the investors motivated by profit rather than public health. It was AHIP that ghoulishly declared, though insurers would waive copays for COVID-19 testing, they would make no such promise for the actual treatment of the disease. When some insurers relented, and promised to cover COVID-19-related copays, they put their patients in the bizarre position of hoping for a positive test; if the ailment turns out to be flu or something else, they’ll be back on the hook for these out-of-pocket costs.
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