Cost of Care VS Cost of Insurance

By Stacy Mays

Right Between the Eyes. We need to talk about the real cost of “coverage.”

I’ve spent 30 years building and fixing health-benefit programs… and this still hits me in the gut:

🔹 50% of Americans spend < $1,300 a year on healthcare services
🔹 90% spend < $17,000
🔹 But the average individual premium? ~$9,000
🔹 And average out-of-pocket costs? ~$3,200

Most people are paying far more for insurance than they spend on actual care.

Here’s the thought experiment I can’t unsee:

What if your employer put $7,500/year directly into your HSA…
you paid routine care in cash…
and you carried catastrophic coverage for anything over ~$20,000?

For half the country, that’s not risky — it’s rational.

📌 Would you take that deal?
📌 Why or why not?

Clarity is coming for Cash + Catastrophic Coverage™.
And the numbers speak louder than the politics.