How's this for a deal: You pay me $13.09 a week. In exchange, I will pay your medical bills, but only up to $2,000 a year. Maybe that deal makes sense if you know with absolute certainty that your medical expenses in the coming year will fall between $680.68 ($13.09 each week for 52 weeks) and $2,000. It makes no sense at all if there's the slightest chance you might end up in the hospital. True, if your hospital expenses exceed $2,000 you'll have lowered the bill by about $1,300. But $1,300 won't likely cover even the cost of an ambulance, much less anything that happens after you arrive. You'd be better off using that $13.09 to buy yourself a weekly lottery ticket.
What I'm describing is an actual health insurance policy. Its technical name is "mini-med plan," but more commonly it goes by the term "crap health insurance." The specific plan described here is what McDonald's offers unmarried new recruits, and the Health and Human Services department just granted it a temporary waiver. McDonald's also offers slightly more generous plans at slightly higher cost: $24 per week for a policy with a $5,000 ceiling and $32 per week for a policy with a $10,000 ceiling.
Health care reform is all about replacing such bait-and-switch schemes with real health insurance. That should indeed happen in 2014, when state health insurance exchanges start selling federally subsidized policies offering a minimum standard of coverage that will not permit (for example) putting a $2,000 ceiling on payouts.
http://www.slate.com/id/2275877/