The huge deductibles is going to force some of us to think twice about going for care. The potential impact for Medicare users will be finding a quality doctor who will work for declining fees that start in a real way in 2014 from what I read. There is only one way to reduce health care costs, fuel costs, RV'ing costs, etc and that is to reduce services used. If we drive the MH 3000 miles a year we can cut fuel costs by 50% by driving only 1500 miles a year. I can tell you with a family deductible of $5,000.00 you try to avoid going for medical services but if you hit that number you try to get everything done that you have been putting off for years.
The key to quality health care and services will just be able to afford being a private pay consumer of health services.