
While your beloved Emperor was walking back to his hotel he noticed an ambulance loading up an accident victim and taking him to a local hospital. Several people were standing around and watching the activity as the man had been struck by an automobile. The victim was not badly injured but had sustained some minor scrapes and bruises and was a little shaken up. I remarked to the people standing there that he would probably regret taking an ambulance because emergency services were so expensive. With minor injuries it was better to walk to the hospital or have a friend take you in a car.
One of the bystanders remarked that it was usually not expensive for Edonian citizens to get medical help as most purchased insurance at an early age when the premiums were cheap and then maintained it for life. Since it was illegal for private businesses to provide insurance in lieu of pay in Edonia, they didn't have the problem associated with people losing their jobs or the business shutting down and people thus losing their health insurance coverage. I asked why they just didn't make business provided insurance portable so people who changed jobs could take their insurance with them. They said no because that would make businesses less likely to hire people who they think might have health problems and would trap people in whatever business they started with. With no deductions in salary for health care coverage, people were expected to buy their own insurance independent of the business.
All Edonians had the option of whether or not they wanted to buy health insurance. No one was forced to buy insurance, however, most did because it is affordable. The Edonian government made sure that their were no regional monopolies for health insurance. There were at least three health insurance providers in each region and competition between them was fierce. However, people who practiced risky lifestyles were subjected to higher premiums and if it was determined that they had lied on their applications, their coverage could be legally dropped or the applicant could be required to pay a corrective premium to make up for the difference.
Most Edonians paid for routine medical expenses out of pocket and only used insurance for big expenses due to accidents or bad illnesses. Most medical fees were worked out between the patient and the doctor which helped to keep costs down and gave doctors the flexibility of helping those who did not have much money. Likewise, malpractice claims were limited to cases where doctors were clearly negligent. A doctor couldn't be sued for accidents unless he was clearly not following proper medical procedures. Cash awards in malpractice cases were determined by a judge and limited to reasonable costs associated with the harm done such as loss of income. One could not win a jackpot judgement from an Edonian jury for emotional suffering.
There was no government health coverage for the elderly as it was believed that citizens were responsible for their own health care and each citizen had an entire lifetime to save money for health care in old age. It was also considered better not to have government involvement in something so personal as health care, particularly at the end of a persons lifespan. Each citizen was permitted to maintain a tax-free medical savings account and could use it at any time to pay medical expenses without penalty. Medical tests were usually paid for out of pocket or through insurance so that doctors and patients were not in the habit of ordering lots of unnecessary tests "just in case."
The Edonian poor, about four percent of the population, could apply for assistance for medical bills through charitable organizations. However, charities were somewhat discriminatory depending on the lifestyle of the applicant. Drug addicts, alcoholics, smokers, and the obese were not necessarily helped with associated health problems regardless of how poor they were. Assistance was primarily given to those who were poor because they could not physically work and who suffered from health problems that were not caused by their own personal choices in life. Each Edonian citizen had to accept his own fate if he did not maintain a healthy lifestyle. A man who dropped out of school, began taking illegal drugs, and turned to a life of crime would usually not qualify for assistance unless it came from a prison.
As a general rule, Edonians are very healthy and do not usually suffer from problems associated with bad lifestyle choices unless they could pay for them themselves. The overall medical system is characterized by excellent availability, high quality, and affordable costs.


