>I've talked to many many many many americans who are reluctant to even go to a dr for a simple checkup because they cannot afford it. Your comment is dishones

>I've talked to many many many many americans who are reluctant to even go to a dr for a simple checkup because they cannot afford it. Your comment is dishonest and misleading. The demographics who routinely go without annually physicals and other basic care are not poor people. They are gainfully employed individuals or childless couples on high deductible plans. These people can't hope to hit their deductible within a year from normal preventative care alone so they pay full price for services like annual physicals. Those that are young and generally healthy frequently opt to skip such visits and keep the money because paying someone in white coat hundreds for the privilege of being told they are generally healthy but could stand to use a few pounds is an absolute crap value for money no matter how you look at it. If this seems like a perverse incentive to avoid preventative care that's because it is. HDHP plans are terrible for everyone who's annual healthcare spend is low because they create this incentive. Ironically, with the myriad of state programs people suffering from financial hardship are actually better provided for in many cases. If they want an annual physical they're out a copay, possibly a discounted one.