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Illustration: Lazaro Gamio/Axios

The theory that putting patients on the hook for more of their health care costs would make them better consumers — thus driving down overall costs — hasn't panned out, the LA Times' Noam Levey writes in his latest piece in a series on deductibles.

Why it matters: Health care prices are still rising, and are largely untethered to quality. At the same time, care has become increasingly unaffordable for many Americans.

  • This, in turn, has driven today's political debates over drug prices, surprise medical bills and overall costs.

Between the lines: High deductibles hasn't led to the kind of shopping that would be necessary for the "skin in the game" theory to be successful.

  • That's because shopping is often impossible, either because the service isn't planned in advance or because providers and insurers don't always make prices available ahead of time.

What they're saying: "We overestimated the ability of consumers to be good stewards of their healthcare dollars in a system that is very unfriendly to consumers, and underestimated the support they would need from us," Marcus Thygeson, a former Blue Shield of California executive who worked on early efforts to develop "consumer-directed health plans," told the LAT.

My thought bubble: We've pointed it out before, but there's a strong irony to the fact that conservatives' darling policy idea has led to Americans being more willing than ever before to accept a single-payer health plan.

Go deeper: "Skin in the game" doesn't work

Go deeper

Heat dome roasts Northwest, Central states as "derecho" threat looms in Midwest

Weather map showing a sprawling heat dome centered over Kansas on July 30, 2021. (WeatherBell.com)

The latest in a series of relentless heat waves is bringing dangerously hot temperatures to a the Central U.S. on Wednesday, and will contribute to a severe thunderstorm outbreak across the Upper Midwest. The heat will expand in scope toward the end of the week.

The big picture: Heat watches, warnings and advisories are in effect across 19 states, from Portland, Oregon east to Minneapolis, and running all the way south to New Orleans. Temperatures of between 10°F and 15°F above average in these areas along with high humidity poses a public health threat.

Google offices to mandate vaccines

Photo: Brooks Kraft LLC/Corbis via Getty Images

Google announced Wednesday it would require all in-office workers and visitors to be vaccinated and that employees could continue working from home through Oct. 18.

Why it matters: It's another sign that the Delta variant's spread is upending corporate plans for a quick and steady resumption of in-office work.

1 hour ago - World

Israeli and Palestinian officials are speaking again

Isaac Herzog (L), then the leader of the opposition, meets with Mahmoud Abbas in 2015. Photo: Abbas MomaniI/AFP via Getty

Relations between the new Israeli government and the Palestinian Authority have shifted substantially in recent weeks, with Israeli officials going so far as to call it “a renaissance."

Why it matters: During Benjamin Netanyahu's 12-year tenure as prime minister, relations deteriorated to the point where there was almost no contact other than security coordination.

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