I have one thing that keep me away from doctors, and it's not cost: I don't want my doctor sharing my healthcare details, and choices with my insurance company.

I have one thing that keep me away from doctors, and it's not cost: I don't want my doctor sharing my healthcare details, and choices with my insurance company. I don't want some middle manager at Blue Cross Blue Shield to be the one who looks at my history and decides based on that whether I get coverage or not. For years I avoided the doctor because heaven forbid I didn't want to go to the doctor and that somehow influence my rate next year. I guess that's a fundamental question: Should insurance companies be able to know all of your details, or are they just a payment system?