All Men Are Not Equal When Choosing a Provider

John Marcille

The Declaration of Independence, that audacious document, contains the remarkable phrase: "All men are created equal." No one believed it for a moment, not even Thomas Jefferson, who quickly, in the next phrase, cites the "Creator" as the basis of this equality. Only in the eyes of God can this be true, for certainly, in the eyes of Charles Darwin and, today, in the eyes of any biologist or physician, it just isn't so.

The story of health care is a chronicle of just how unequally we are created. Genetics can now dig to scary depths to make that point. At the same time, the consumer-directed health care movement pretends that Jefferson was correct all along.

As our cover story points out, Darwin has not been silenced. The survival of the fittest applies to just how much control individuals can exert over their health coverage benefits. The story asks how can you expect the 90 million Americans with limited literacy to navigate the complex shoals of health care. Further, what will that ignorance wind up costing the rest of society in the long run?

Evolution is a blind machine that doesn't pause to ask questions. So, too, is the marketplace. Ready or not, consumer-directed health care is coming. Health plans and all other players in the system must figure out a way to break information choice down to the "See Spot run" level.

Meanwhile, we wonder. Did the dinosaurs of millennia past think, in any sense that a human identifies thought? Not too likely. They just looked stupidly at the sky as the streaking asteroid hurtled toward their home.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to or online at

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.


Managed Care
By Peter Wehrwein
Managed Care
By Howard Wolinsky