Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
To the Editor: The results of Dr Joyce and
colleagues1 do not seem surprising. Innovations
in benefit packages, such as increased co-payments, are intended to have a
direct fiscal effect by reducing insurers' costs. Furthermore, it is generally
hoped that the increased out-of-pocket expenses would reduce the moral hazard
problem created by insurance.
Motheral B, Sheth J. Financial Consequences of Drug Benefit PlansFinancial Consequences of Drug Benefit Plans. JAMA. 2003;289(4):423-424. doi:10.1001/jama.289.4.423-a