By Kevin M

Health insurance coverage has become a national concern, but no where is the issue quite as close to home as it if for the self-employed. An employee may be concerned with the size of his premium contribution, or with co-pays and deductibles. The self employed business person has those concerns too, and a whole lot more. Like how to pay a premium that’s the size of a house payment but isn’t subsidized by an employer. Or even whether or not he can get any coverage at all.

There’s a lot of debate on health care, but we should expect no true reform and certainly no salvation in the foreseeable future. All of the schemes being devised center on how to maintain funding mechanisms to support the current over-priced system, or to trim “administrative costs” at the fringes. None of them get to the core of the issue, which is that the efforts at greater funding have lead to a system of perpetually higher costs

At some point, the healthcare system will blow up—a la the mortgage meltdown—and then perhaps crisis will break the cost spiral in a way that decades of putting tape and glue on the status quo couldn’t. In the meantime, what do you do to deal with what has become for the self-employed, an almost malicious system?

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